319146 11/30/17 CITY OF CARMEL, INDIANA VENDOR: 357004
it ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOrWECK AMOUNT: $**"****173.45*
CARMEL, INDIANA 46032 DEPT CH 19188 CHECK NUMBER: 319146
PALATINE IL 60055-9188 CHECK DATE: 11/30/17
SDN�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4351501 248597424 173.45 EQUIPMENT MAINT CONTR
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 357004 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
KONICA MINOLTA BUSINESS SOLUTIONS IN SUM OF$ CITY OF CARMEL
DEPT CH 19188 An invoice or bill to be propedy 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.
PALATINE, IL 60055-9188
Payee
$173.45
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
248597424 43-515.01 $173.45 1 hereby certify that the attached invoice(s),or 11/19/17 248597424 $173.45
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, November 29,2017
Lamb, Barbara
Director
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
Fed Tax# 13-1921089O _
Corporate Duns No 00-170-73270-7322
Federal Duns No 62-657-8041 —
Maintenance �I _
Page 1 / 1
KONICA MINOLTA
Invoice No: 248597424 ORIGINAL Payment Due Date: 12/19/2017
Invoice Date: 11/19/2017 INVOICE Payment Terms: 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
Purchase Order Number Equipment Location 148154
- - -- - -- - - -- -- CITY-OF CARMEL - - -- — ---
Customer Contract Contract Coverage Dates HR
1 CIVIC SQ
AEPA IF13#013.1 12/20/2016-12/19/2021 CARMEL IN 46032-2584
Invoice Description/Comments
Monthly invoice for Maintenance agreement covering the billing period of 10/20/2017-11/19/2017.
Includes labor, parts, drums,staples and supplies. Excludes paper.
Summary of Invoice Charges Quantity Unit Bill Amount
Charge
*131ZHUB C368 A7PU011018484 1
DIGITAL SUPPORT SERVICE 1 12.00 12.00
Current Previous Meter Agg Upto
Meter Meter Usage Allowable Svc.Crd Cred Tier
39,988 34,562 5,426 0 0 0 999,999,999 5,426 0.00960 52.09
B&W Meter
Base Rate Allocation 12.00
Current Previous Meter Agg Up to
Meter Meter Usage Allowable Svc.Crd Cred Tier
8,575 6,583 1,992 0 0 0 999,999,999 1,992 0.05490 109.36
Color Meter
Suthm-ltted To
- -- ------- -----N-O-V_2-7 2017_ - - - -- - - - -
Invoice Sub Total: 173.45
Cls`k Treasurer Tax Total: 0.00
Invoice TOTAL: $ 173.45