HomeMy WebLinkAbout255384 02/12/16 r e�q
CITY OF CARMEL, INDIANA VENDOR: 366094
j ® ONE CIVIC SQUARE KONICA MINOLTA PREMIER FINANCE CHECK AMOUNT: $.....**582.00*
?� CARMEL, INDIANA 46032 PO BOX 642333 CHECK NUMBER: 255384
PITTSBURGH PA 15264-2333 CHECK DATE: 02/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4353004 39411 54200078 291.00 AO COPIER LEASE 2016
1081 4353004 64203877 72.75 COPIER
1091 4353004 64203877 218.25 COPIER
Please remember to reference Account Schedule#(s)pertaining to your request(s).
Phone#: 800452-1623
Fax: 319-841-6324
• Correspondence Only:PO BOX 3083
KONICA MINOLTA BUSINESS SOLUTI CEDAR RAPIDS IA 52406-3083
P.0.BOX
PITTTSBURGGHH PPA 75264-2333 Billing ID Number 90136136234
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90871 MB 0.436nvoicADate„ �.
9087
as 03/09/2016
#BWNHXFZ Due Date:
#0901 3613 6234 8# 291.00
CARMEL CLAY PARKS&RECREATION Current Items Due:
1411111 STH ST Total Amount Due: 582.00
CARMEL IN 46032-3455
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Our Federal Tax Id# 941686094
INVOICE FOR CURRENT ITEMS D UE
Account Schedule Due Date Purchase Ober Number Line Item AcctlSched
Number Equipment Description Amount Total
7725582-001 — -- — -- — --� -- - — — -
0001 KONICA MINOLTA COPIER
SERIAL NUMBER AOP1011009876
03/09/2016 PAYMENT/INSTALLMENT DUE 291.00
tiu
ACCOUNT SCHEDULE 7725582-001 TOTAL 49
W C
JAN 2 9 2096
BY:
Please Include your Billing ID number on all correspondence. P
All correspondence should be sent to the correspondence only address,which is indicated on the front of this invoice.
Payments: Please detach the remit to portion of this invoice and mail your payment(s) to our payment processing center using the
return envelope provided. Please send only the remit to portion with your payment - retain the top portion of the invoice for your
records.
Sales, Use, Rental Tag (Tag): The sales, use, or rental tax rate is determined by the location of the leased equipment, when
applicable. Equipment location changes are subject to approval. Prior to the equipment being moved, the lessor is to be notified. Call
the Customer Service number on the front of this invoice for instructions for reporting an equipment location change. If you are sales
tax exempt, fax a completed,signed exemption certificate, including your account schedule number,to the fax number on the front of
the invoice or mail a copy to the correspondence only address on the front of the invoice,Attention: Sales Tax Exemption.
Personal Property Taxes: Personal Property Tax is assessed on leased equipment as required by the local taxing jurisdiction. If
the lessor is required to report and pay the tax bill, the lessee will be billed for reimbursement as agreed to in the lease agreement.
This may be invoiced separately and/or included in this invoice. If the Lessee paid property taxes directly to the taxing jurisdiction in
error,please contact the jurisdiction for instructions to file for a refund and pay the amount on your invoice from the lessor.
Taxes are determined by the location of the leased equipment, when applicable. Equipment location changes are subject to approval.
Prior to the equipment being moved, the lessor is to be notified. Call the Customer Service number on the front of this invoice for
instructions for reporting an equipment location change.
Purchase Order Number(s): For your convenience we can display your purchase order number on your invoice. However, the
contract terms and conditions are not modified in any way by your purchase order. If you need your purchase order number to appear
on the invoice or if you need to update your purchase order information, fax a copy_of the purchase order including your account _
schedule number(s), the purchase order effective and expiration dates to the fax number on the front of the invoice or mail a copy to
the correspondence only address referenced on the front of this invoice.
Late Charges: To avoid late charges, all payments must be received by the due date. Late charges will be added to your invoice
consistent with the terms and conditions of your contract.
Insurance: Your contract requires you to provide and maintain insurance coverage against all risks of loss for your equipment, and
provide proof of coverage information. Please be sure we are named as LOSS PAYEE and Additional Insured and your account
schedule number appears on the certificate and fax a copy to the fax number on the front of the invoice or mail a copy to the
correspondence only address.
Name Changes: Fax a copy of the amendment that was filed with the secretary of state, including your account schedule number,to
the fax number on the front of the invoice or mail a copy to the correspondence only address. Changes are subject to fees.
Acceptable Forms of Payment: We will accept payments in the form of company checks, (or personal checks in the case of sole
proprietorships), direct debit, or wires only: Cash and cash equivalents are not acceptable forms of payment and such forms of
payment may delay processing or be returned. Furthermore, only you or your authorized agent as approved may remit payments on
these accounts.
Disputed Payments: Without prejudice to any of our rights and remedies under your contract, all written communication
concerning disputed amounts, including any check or other payment instrument that (a) indicates that the written payment constitutes
"payment in full" or is tendered as full satisfaction of a disputed amount or (b)is tendered with other conditions or limitation must be
mailed or delivered to us at the correspondence only address and not to the payment address.
STATEMENT OF PREVIOUSLYBILLED ITEMS Billing ID Number: 90136136239
CARMEL CLAY PARKS&RECREATION
Account Schedule Due Date Invoice Number/Description Invoice Line Item AccUSched
Number 11 Date Amount Total
02/09/2016 64015406/PAYMENT/INSTALLMENT DUE 12/27/2015 291.00
ACCOUNT SCHEDULE 7725582-001 TOTAL 291.00
2 9087
Please remember to reference Account Schedule#(s)pertaining to your request(s).
Phone#: 800452-1623
Fax: 319-841-6324
Correspondence Only:PO BOX 3083
KONICA MINOLTA BUSINESS SOLUTI CEDAR RAPIDS IA 52406-3083
P.O.BOX 642333 Billie ID Number 90136136232
PITTSBURGH PA 15264-2333 g
Invoice Numbe 64203$7
90861 MB 0.436 Irrva�ce,�patec � � Q, l/24/Zd 16"
9066
46 03/09/2016
#BWNHXFZ Due Date:
#0901 3613 6232 0# 291.00
CARMEL CLAY PARKS&RECREATION Current Items Due:
1411 E 116TH ST Total Amount Due: 582.00
CARMEL IN 46032-3455
II�IIhIIPI�IIuImIInII�IhI�IIII�II�n��IIhIIIIII�I�III�I�I HMPBOH
ON
Our Federal Tax Id# 941686094
INVOICE FOR CURRENT ITEMS DUE
Account Schedule Due Date Purchase Order Number Line Item AcctlSched
Number Equipment Description Amount Total
-_7725582-002
0001 KONICA MINOLTA COPIER
SERIAL NUMBER AOP1011009747
03/09/2016 PAYMENT/INSTALLMENT DUE 291.00
ACCOUNT SCHEDULE 7725582-002 TOTAL
RECEIVEL
JAN B 9 2016
BY:
Please include your Billing ID number on all correspondence.
All correspondence should be sent to the correspondence only address,which is indicated on the front of this invoice.
Payments: Please detach the remit to portion of this invoice and mail your payment(s) to our payment processing center using the
return envelope provided. Please send only the remit to portion with your payment - retain the top portion of the invoice for your
records.
Sales, Use, Rental Tag (Tax): The sales, use, or rental tax rate is determined by the location of the leased equipment, when
applicable. Equipment location changes are subject to approval. Prior to the equipment being moved,the lessor is to be notified. Call
the Customer Service number on the front of this invoice for instructions for reporting an equipment location change. If you are sales
tax exempt, fax a completed,signed exemption certificate, including your account schedule number,to the fax number on the front of
the invoice or mail a copy to the correspondence only address on the front of the invoice,Attention: Sales Tax Exemption.
Personal Property Taxes: Personal Property Tax is assessed on leased equipment as required by the local taxing jurisdiction. If
the lessor is required to report and pay the tax bill, the lessee will be billed for reimbursement as agreed to in the lease agreement.
This may be invoiced separately and/or included in this invoice. If the Lessee paid property taxes directly to the taxing jurisdiction in
error,please contact the jurisdiction for instructions to file for a refund and pay the amount on your invoice from the lessor.
Taxes are determined by the location of the leased equipment, when applicable. Equipment location changes are subject to approval.
Prior to the equipment being moved, the lessor is to be notified. Call the Customer Service number on the front of this invoice for
instructions for reporting an equipment location change.
Purchase Order Number(s): For your convenience we can display your purchase order number on your invoice. However, the
contract terms and conditions are not modified in any way by your purchase order. If you need your purchase order number to appear
,un the invoice or if you need to update your purchase order information, fax a copy of the purchase order-including youur-account_
schedule number(s),the purchase order effective and expiration dates to the fax number on the front of the invoice or mail a copy to
the correspondence only address referenced on the front of this invoice.
Late Charges: To avoid late charges, all payments must be received by the due date. Late charges will be added to your invoice
consistent with the terms and conditions of your contract.
Insurance: Your contract requires you to provide and maintain insurance coverage against all risks of loss for your equipment, and
provide proof of coverage information. Please be sure we are named as LOSS PAYEE and Additional Insured and your account
schedule number appears on the certificate and fax a copy to the fax number on the front of the invoice or mail a copy to the
correspondence only address.
Name Changes: Fax a copy of the amendment that was filed with the secretary of state, including your account schedule number,to
the fax number on the front of the invoice or mail a copy to the correspondence only address.Changes are subject to fees.
Acceptable Forms of Payment: We will accept payments in the form of company checks, (or personal checks in the case of sole
proprietorships), direct debit,,, or'wir'es only. Cash and cash equivalents are not acceptable forms of payment and such forms of
payment may delay processing or be returned. Furthermore, only you or your authorized agent as approved may remit payments on
these accounts.
Disputed Payments: Without prejudice to any of our rights and remedies under your contract, all written communication
concerning disputed amounts, includirig any check or other payment instrument that (a)indicates that the written payment constitutes
"payment in full" or is tendered as full satisfaction of a disputed amount or(b)is tendered with other conditions or limitation must be
mailed or delivered to us at the correspondence only address and not to the payment address.
J I A l EMENT OF PREVIO USL Y BILLED ITEMS Billing ID Number: 90136136232
CARMEL CLAY PARKS&RECREATION
Account Scledle 'Due Date Invoice Number/Description Invoice Line Item Acct/Sched
Number Date Amount Total
02/09/2016 64021624/PAYMENT/INSTALLMENT DUE 12/27/2015 291.00
ACCOUNT SCHEDULE 7725582-002 TOTAL 291.00
2 9086
I
I �
Voucher No. Warrant No.
366094 Konica Minolta Business Solutions Allowed 20
P.O. Box 642333
Pittsburgh, PA 15264-2333
In Sum of$
$ 582.00
r
f
ON ACCOUNT OF APPROPRIATION FOR
i'
101 General Fund/108 ESE/109 MCC
—i.
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
39411 64200078 4353004 $ 291.00 I�hereby certify that the attached invoice(s), or
1091 64203877 4353004 $ 218.25 bill(s) is (are)true and correct and that the
1081-99 64203877 4353004 $ 72.75 materials or services itemized thereon for
\�hich charge is made were ordered and
deceived except
l
t February 5, 2016
., Signature
$ 582.00 ` Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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i1
1I
1
(
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
366094 Konica Minolta Business Solutions Terms
P.O. Box 642333 Date Due
Pittsburgh, PA 15264-2333
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1/24/16 64200078 Copier Lease AO Mar'16 39411 $ 291.00
1/24/16 64203877 Copier Lease MCC East Mar'16 39444 $ 218.25
1/24/16 1 64203877 Copier Lease MCC East/ESE Mar'16 39444 $ 72.75
Total $ 582.00
with IC 5-11-10-1.6
, 20
Clerk-Treasurer