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182714 03/02/2010 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1 ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIONS CARMEL, INDIANA 46032 DEPT CH 19188 CHECK AMOUNT: $1,123.00 PALATINE IL 60055 -9188 CHECK NUMBER: 182714 CHECK DATE: 3/2/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4353004 213950200 1,123.00 COPIER n i Invoice Number: 213950200 Please Remit To: RMS KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 02/17/2010 USA INC Page 1 of 2 DEPT. CH 19188 Subject to E.O. 112478 and the regulations KONKA MINOLTA PALATINE, IL 60055 -9188 of the Secretan• of Labor on Afririnative For Billing Inquiries Call: 317- 870 -7000 Action and D r0- I N VOI CE CORPORATE DUNS NS No. No. 0 00- 170 -7322 FEDERAL DUNS No. 61- 657 -8041 Bill To: Ship To: CITY OF CARMEL CITY OF CARMEL 111 W MAIN ST 111 W MAIN ST STE 140 STE 140 CARMEL IN 46032 CARMEL IN 46032 4 1,�3 5 Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr 44372017/ 02/17/2010 830936 /750911 Cartons Tot Weight Carrier F Shipping Point Terms of Payment Comments NET 30 DAYS Quantity Quantity Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount 7670939802 Sery /Supl Contract CF I EA 1,129.00 B/W Clicks FROM: 02/01/2010 TO: 01/31/2011 VOLUME: 77000 Upfront (One Time) Billing BLK /WHITE I YR OR 77,000 COPIES WHICHEVER COMES FIRST C450/311702472 START METER 240,211 ALL COLOR COPIES BILLED @.1243 Prescribld 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. Payee Purchase Order No. 'As" l, C ff Terms r ��91, /G 6r! >�_S .5 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2139 d y r y 4 t Total WD1 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 l� 0/7if�' /�1G�'r�i ��J /h�J1`✓c� /UTjGhS //Jl IN SUM OF /g 5) ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT 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 2 2 20 4:9 S' nature Director perations Cost distribution ledger classification if Title claim paid motor vehicle highway fund