180863 12/30/2009 i CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
p 1 ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIONS
1 CARMEL, INDIANA 46032 DEPT CH 19188 CIiECK AMOUNT: $518.94
;;,,o PALATINE IL 60055 -9188 CHECK NUMBER: 180863
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4353004 213458152 421.10 COPIER
1701 4353004 213543325 97.84 COPIER
Invoice Number: (2I 45 T152 Please Remit To: RMS
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: _11730/200 USA INC
Page 2 of 2 DEPT. CH 19188
Subject to E.O. 112478 and the regulations
KONICA MINOLTA PALATINE, IL 60055 -9188
of the Secretary of Labor on Affirmative For Billing Inquiries Call: 317 870 -7000
Action and Equal Opporturnity
CORPORATE DUNS No. 00 -170 -7322 INVOICE
FEDERAL DUNS No. 62- 657 -8041
Bill To: Ship To:
CARMEL CLAY PARKS AND RECREATION CARMEL CLAY PARKS AND RECREATION
1411 E 116TH ST 1411 E 116TH ST
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
Mark Westermeier 42337587 06/29/2009 818502 818502
Cartons 1 Tot Weight Carrier Shipping Point Terms of Payment 1 Comments
NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
C550
A00J010007453
11/30/2009 256,420
10/31/2009 247,168
Usage 9,252 Purctes!! �p� 19/3/-11/301.- Tot Usage 9,252 Descripd� L r
Allowance 10,000 P.O. .n_ 1-1,3
5
Overage 0 G.L. 0 I i' 1 JQL4-
0.01155 lne
unde 5escr_ C
c; laser I Date
Date
TOTAL NBR OF UNi T S
TOTAL AMT 421 1'0
...a...- ..�__�--mE% r ..Y. n .^^�vr�✓^� cll "6Y N, .L�fi W%
Invoice Number: 21 41111k Please Remit To: RMS
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 11/30/2009 VIOPv USA INC
Page 1 of 2 DEPT. CH 19188
Subject to E.O. 112478 and the regulations
KONICA MINOLTA PALATINE, IL 60055 -9188
of the Secretary of Labor on Affirmative For Billing Inquiries Call: 317 870 -7000
Action and Equal Opporturnity
CORPORATE DUNS No. 00 -170 -7322 INVOICE
FEDERAL DUNS No. 62- 657 -8041
Bill To: Ship To:
CARMEL CLAY PARKS AND RECREATION CARMEL CLAY PARKS AND RECREATION
1411E11.6THST 1411E116THST
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
Mark Westermeier 42337587 06/29/2009 818502 818502
l
Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments
NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670882802 Per Copy Charge Color 306.15
Copies Overage Charge
C550
A00J010007453 DEC 0 7 2OO9
11/30/2009 51,860 AZ
10/31/2009 48,381V
Usage 3,479 V
Tot Usage 3,479
AIlowance 0
Overage 3,479
0.08800 1/
7670771802 Monthly Service /Supply 114.95 V
B &W Copies Base
Charge
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CARMEL CLAY PARKS AND RECREATION 818502 818502 213458152 421.10
1411 E 116TH ST DATE ORDER REF. PAYMENT TERMS
CARMEL IN 46032
11/30/2009 42337587 NET 30 DAYS
SEND YOUR PAYMENT TO:
You may also pay on line at www.MyKMBS.com KONICA MINOLTA BUSINESS SOLUTIONS
using your Payer ID 818502 USA INC
DEPT. CH 19188
PALATINE, IL 60055 -9188
LiMEFiiC
VISA
MasterCard C
IJ�RESS
d
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.
357004 Konica Minolta Business Solutions USA Inc. Terms
Dept. CH,19188 Date Due
Palentine, IL 60055 -9188
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/30/09 213458152 CPC Charges AO 10/31- 11130109 421.10
Total 421.10
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
Clerk- Treasurer
Voucher No. Warrant No.
357004 Konica Minolta Business Solutions USA Inc. Allowed 20
Dept. CH 19188
Palentine, IL 60055 -9188
In Sum of$
421.10
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1125' 213458152 4353004 421.10 I hereby certify that the attached invoice(s), or
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
23 -Dec 2009
Signature
421.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
tom
In'obice Number: 213543325 Please Remit To: RMS
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 12/09/2009 USA INC
Page 1 of 1 DEPT. CH 19188
Subject to E.O. 112478 and the regulations
KONICA MINOLTA PALATINE, IL 60055 -9188
of the Secretar of Labor on Affirmative For Billing. Inquiries Call: 317 -870 -7000
Action and E Opporturnit
CORPORATE DUNS No. 00-170-7322 INVOICE
FEDERAL DUNS No. 62- 657 -8041
Bill To: Ship To:
CITY OF CARMEL CLERK TREASURER CITY OF CARMEL CLERK TREASURER
1 CIVIC SQ TREASURER JEAN BELCHER
OFC 1 CIVIC SQ TREASURER
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
AUTO RENEWAL 44355970 06/10/2009 263622 261654
Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments
NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670952802 Per Copy Charge- Color 97.84
Copies Overage Charge
C451
AOOK010008945
12/04/2009 14,654
11/04/2009 13,602
Usage 1,052
Tot Usage 1,052
Allowance 0
Overage 1,052
0.09300
TOTAL NBR OF UNITS
TOTAL AMT 97.84
Prescribed by State Board of Accounts City Form No 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
(Y,i, Payee
V V� (C Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Lpt(( Os qt7. R'
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
K MRtt MAU/Lk IN A.053 IN SUM OF
CA (gg
/kW ;-1 l 1. lioD 9t 8
7
ON ACCOUNT OF APPROPRIATION FOR
ISI0 I-%r
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT hereby certify invoice( s), �EPr. I hereb certif that the attached invoices or
1 c1.5/-133025-
l ?3 5 G .b1-I q— FL/ 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
20
.e'er a
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund