319849 12/21/17 t 1 u,"CggMf
CITY OF CARMEL, INDIANA VENDOR: 357004
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOPWECK AMOUNT: $*'*"""55.00`
CARMEL, INDIANA 46032 DEPT CH 19188 CHECK NUMBER: 319849
PALATINE IL 60055-9188 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9004100801 55.00 OTHER EXPENSES
= VOUCHER NO. 176961 WARRANT N0. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor# 357004 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
KONICA MINOLTA BUSINESS SOLUTIONS CITY OF CARMEL
DEPT CH 19188 An invoice or bill to be properly itemized must show: kind of service,where performed,
PALATINE, IL 60055-9188 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
55.00 357004 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR KONICA MINOLTA BUSINESS SOLUTIONS Terms
Carmel Wasterwater Utility DEPT CH 19188 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice PALATINE,IL 60055-9188
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT#' FUND# (or note attached invoice(s)or bill(s)) AMOUNT
9004100801 01-7362-06 $55.00 and received except 12/12/2017 9004100801 $55.00
1
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
Fed Tax# 13-1921089
Corporate Duns No 00-170-7322 Page 1 / 1
Federal Duns No 62-657-8041
Maintenance KONn MINOLTA
Invoice No: 9004100801 ORIGINAL Payment Due Date: 12/31/2017
SUMMARY INVOICE Payment Terms are NET 30 DAYS
Invoice.Date: 12/01/2017
Bill/Mail To: 296060 Payer: 148154
CITY OF CARMEL CITY OF CARMEL
9609 HAZEL DELL PKWY JIM P SPELBRING
INDIANAPOLIS IN 46280-2935 1 CIVIC SQ
CARMEL IN 46032-2584
Purchase Order Number Customer Contract Contract Coverage Dates
04/02/2017-04/01/2018
Invoice Comments
Summary Invoice Coverage Periods
11/02/2017-12/01/2017
Invoice Sub Total: 55.00
Tax Total: 0.00
Invoice TOTAL: $ 55.00