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259613 06/14/16 c CITY OF CARMEL, INDIANA VENDOR: 357004 ® i. ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOrWECK AMOUNT: $.....**146.06* i. a° CARMEL, INDIANA 46032 DEPT CH 19188 CHECK NUMBER: 259613 9M�tON�°'� PALATINE IL 60055-9188 CHECK DATE: 06/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4351501 9002466013 146.06 EQUIPMENT MAINT CONTR VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER KONICA MINOLTA BUSINESS SOLUTIONS DEPT CH 19188 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service PALATINE, IL 60055-9188 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $146.06 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Human Resources Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 9002466013 43-515.01 $146.06 1 hereby certify that the attached invoice(s),or 6/1/16 9002466013 $146.06 1201 101 1201 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Wednesday,June 08,2016 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Aft Fed Tax# 13-1921089 -- Corporate Duns No 00-170-7322 Page 1 / 1 Federal Duns No 62-657-8041 Maintenance I(ONICA MINOLTA Invoice No: 9002466013 ORIGINAL Payment Due Date: 07/01/2016 SUMMARY INVOICE Payment Terms are NET 30 DAYS Invoice Date: 06/01/2016 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 Number Customer Contract Contract Coverage Dates 04/02/2016-04/01/2017 Invoice Comments Summary Invoice Coverage Periods 05/02/2016-06/01/2016 Submitt7ToJUS! 0 6 Clerk Treasurer Invoice Sub Total: 146.06 Tax Total: 0.00 Invoice TOTAL: $ 146.06 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- DT 17A CF TIT77AOLT TT-TUrnl)WX ULTr%117 ATTTI T)nT M—Tl srmTr v—T—n..�--1 Tm Fed Tax# 13-1921089 Corporate Duns No 00-170-7322 Aft Duns No 62-657-8041 Page 1 / 1 Maintenance _ KONICA MINOLTA Invoice No: 9002466013 ORIGINAL Payment Due Date: 07/01/2016 Payment Terms: Invoice Date: 06/01/2016 SUMMARY DETAIL NET 30 DAYS 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 Summary of Invoice Charges Quantity Unit Bill Amount Charge Invoice 240003609 Unit Contract_:6.1013456_ **BIZHUB C353 PRINTER/COPIER A02EO10001347 1 Aggregate Current Meter Previous Meter Meter Usage Allowable Svc.Crd Credits 7TIerRange ] 64,056 63,006 1,050 0 0 0 999,999,999 1,050 0.09253 97.16 Color Meter Aggregate Current Meter Previous Meter Meter Usage Allowable Svc.Crd Credits Tier Range 396,889 393,335 3,554 0 0 0 999,999,999 3,554 0.01376 48.90 B&W Meter Invoice Sub Total: 146.06 Tax Total: , 0.00 Invoice Total: $ 146.06 Invoice Description/ Comments Monthly invoice for Maintenance agreement covering the billing period of 05/02/2016-06/01/2016. Includes labor, parts,drums,staples and supplies. Excludes paper. Purchase Order Number Equipment Location 148154 CITY OF CARMEL 1 CIVIC SQ Customer Contract Contract Coverage Dates CARMEL IN 46032-2584 0410212016-04/01/2017 Sort by: MACHINE DESCRIPTION Sort Invoice Sub Total: 146.06 Sort Value: BIZHUB C353 PRINTER/COPIER Sort Tax Total: 0.00 Sort Meter Usage Sub Total: 4,604 Sort Invoice Total: $146.06 Total Meter Usage: 4,604 Total Number of Invoices Included: 1 Sub Total: 146.06 0.00 $146.06 Fed Tax# 13-1921089 Corporate Duns No 00-170-7322 Page 1 / 1 Federal Duns No 62-657-8041 Maintenance KONICA MINOLTA Invoice No: 9002466013 ORIGINAL Payment Due Date: 07/01/2016 SUMMARY INVOICE Payment Terms are NET 30 DAYS Invoice Date: 06/01/2016 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 Number Customer Contract Contract Coverage Dates 04/02/2016-04/01/2017 Invoice Comments Summary Invoice Coverage Periods 05/0212016-06/01/2016 N Submitted To JUN 0 6 2016 LCIerk �reasurp� Invoice Sub Total: 146.06 Tax Total: 0.00 Invoice TOTAL: $ 146.06 - ---------------------------------------------------------------------------------------------------------------------------------------------------------------------- >; PLEASE DETACH THE FORM BELOW AND RETURN WITH YOUR PAYMENT OR SEE CREDIT CARD INFORMATION ON BACK Please pay online at www.MyIC%IBS.com using your payer id or remit payment to: KONICA MINOLTA BUSINESS SOLUTIONS Payer ID: 148154 USA INC y DEPT. CH 19188 PALATINE IL 60055-9188 Invoice Nbr: 9002466013 Payment Due Date: 07/01/2016 For Administrative Use Only Pay This Amount: $ 146.06 40079167 Maintenance 148154 9002466013 2 MIM-2 2 248 Fed Tax# 13-1921089 Corporate Duns No 00-170-7322 Aft Duns No 62-657-8041 Page 1 % 1 Maintenance _ Invoice No: 9002466013 KOIVICA MINOLTA Pa ment Due Date: ORIGINAL y 07/01/2016 Payment Terms: Invoice Date: 06/01/201'6 SUMMARY DETAIL NET 30 DAYS 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 Summary of Invoice Charges Quantity Charge Bill Amount Invoice 240003609 Unit Contract:61013456 **BIZHUB C353 PRINTERICOPIER A02EO10001347 1 Aggregate Current Meter Previous Meter Meter Usage Allowable Svc.Crd Credits % Tier Range 64,056 63,006 1,050 0 0 0 999,999,999 1,050 0.09253 97.16 Color Meter Aggregate Current Meter Previous Meter Meter Usage Allowable Svc.Crd Credits Tier Range 396,889 393,335 3,554 0 0 0 999,999,999 3,554 0.01376 48.90 B&W Meter Invoice Sub Total: 146.06 Tax Total: 0.00 Invoice Total: $ 146.06 Invoice Description/Comments Monthly invoice for Maintenance agreement covering the billing period of 05/02/2016-06/01/2016. Includes labor, parts,drums, staples and supplies. Excludes paper. Purchase Order Number Equipment Location 148154 CITY OF CARMEL 1 CIVIC SQ Customer Contract Contract Coverage Dates CARMEL IN 46032-2584 04/02/2016-04/01/2017 Sort by: MACHINE DESCRIPTION Sort Invoice Sub Total: 146.06 Sort Value: BIZHUB C353 PRINTER/COPIER Sort Tax Total: 0.00 Sort Meter Usage Sub Total: 4,604 Sort Invoice Total: $ 146.06 Total Meter Usage: 4,604 Total Number of Invoices Included: 1 Sub Total: 146.06 0.00 $ 146.06