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253692 01/22/16 CITY OF CARMEL, INDIANA VENDOR: 357004 ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOJWECK AMOUNT: $*******391.40* 19� jr° CARMEL, INDIANA 46032 DEPT CH 19188 CHECK NUMBER: 253692 , y��TON�. PALATINE IL 60055-9188 CHECK DATE: 01/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4351501 8000932676 -3.31 EQUIPMENT MAINT CONTR 1201 4351501 9002049413 394.71 EQUIPMENT MAINT CONTR i Voucher No. Warrant No. i 366094 Konica Minolta Business Solutions Allowed 20 P.O. Box 642333 Pittsburgh, PA 15264-2333 a In Sum of$ $ 582.00 ON ACCOUNT OF APPROPRIATION FOR y 101 General Fund f PO#or INVOICE NO. ACCT#MTLE AMOUNT Board Members Dept# 39411.. 64015406 4353004 $ 291.00 1 hereby certify that the attached invoice(s), or 1091 64021624 4353004 $ 218.25 bill(s)is(are)true and correct and that the 1081-99 64021624 4353004 $ 72.75 ; materials or services itemized thereon for i' which charge is made were ordered and received except f January 14,2016 I Signature $ •582.00 Accounts Payable Coordinator Cost distribution ledger classification if ! Title claim paid motor vehicle highway fund 1� 1 � I<ONI�A MINOLTA Account Number: 148154 Statement Date : 11/30/2015 Invoice Invoice Due Date Summary Serial Number Usage/ Amount Due Doc. Date Doc. Num Ref. Num Coverage Period 08 1'0�201j2, ' X80009326764 08/10/2012 LOUIS PAGANOti 11/03/2015 236814629 12/03/2015 9001888083 A02EO10001347 10022015-11012015 $111.89 Future Current 1-30 Days Past Due 31-60 Days Past Due 61-90 Days Past Due Over ays $0.00 $111.89 $0.00 . $0.00 1 $0.00 ($3.31) Statement Amount: $108.58 Amount DuesfoPayment: $108.58 Q( l� r � - Page 2 of 2 For more information about Konica Minolta Business Solutions U.S.A., Inc. please visit us at www.countonkonicaminolta.com Fed Taa# 13-1921089 Ss- Corporate Duns No 00-170-7322 Federal Duns No 62-657-8041 2�\ Page 1 1 / Maintenance KONICA MINOLTA Invoice No: 9002049413 ORIGINAL payment Due Date: 01/31/2016 SUMMARY INVOICE Payment Terms are NET 30 DAYS Invoice Date: 01/01/2016 Bill/Mail To: 148154 Payer: 148154 CITY OF CARMEL CITY OF CARMEL JIM P SPELBRING JIM P SPELBRING 1 CIVIC SQ 1 CIVIC SQ CARMEL IN 46032-2584 CARMEL IN 46032-2584 Purchase Order- Customer Contract Contract Coverage.I)ates __. 04/02/2015-04/01/2016 Invoice Comments Summary Invoice Coverage Periods 12/0212015-01/01/2016 ROO O � 39 (c) 7 � Submitted To JAN 19 2016 --� Clerk Treasurer -- 3 _ Invoice Sub Total: 394.71 Tax Total: 0.00 Invoice TOTAL: $ 394.71 -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- PLEASE DETACH THE FORM BELOW AND RETURN WITH YOUR PAYMENT OR SEE CREDIT CARD INFORMATION ON BACK Please pay online at www.MyKMBS.com using your payer id or remit payment to: KONICA MINOLTA BUSINESS SOLUTIONS Payer ID: 148154 USA INC DEPT.CH 19188 PALATINE IL 60055-9188 Invoice Nbr: 9002049413 Payment Due Date: 01/31/2016 For Administrative Use Only Pay This Amount: $ 1 40079167 Maintenance 148154 9002049413 2 MIM-2 2 248