183651 03/25/2010 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOI�ECK AMOUNT: $485.61
CARMEL, INDIANA 46032 DEPT CH 19188
PALATINE IL 60055 -9188 CHECK NUMBER: 183651
CHECK DATE: 3/25/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4353004 214029757 485.61 COPIER
Invoice Number: 21402'9757 Please Remit To: RMS
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 0212812010 USA INC
Page 2 of 2 DEPT. CH 19188
Subject to E.O. 11 2478 and the regulations
KONICA MINOLTA PALATINE, IL 60055 -9188
of the Secretar of Labor ou Affirmative For Billin,g Inquiries Call: 317 870 -7000
Action and Equal S No. 0ur0- I
CORPORATE DUNS 10. DD- 170.7322
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 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
C550
A00JO10007453
02/28/2010 287,572/
01 /31 /2010 278,960V
ase S
Usage 8,612 Des ptlon �I a C
P.O. P or F
Tot Usage 8,612
Q.L. 1 P L 5 4?)5 D
Allowance 10,000 Bud
Overage 0 Line escr
0.01155 Purchaser Date
App vel Date
TOTAL NBR OF UNITS
TOTAL AMT 485.61
Invoice Number: 214029757 Please Remit To: RMS
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 02/28/2010 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
Anion and Equal Opporturnity
CORPORATE DUNS No, 00 -170 -7322 INVOICE
FEDERAL DUNS No. 62- 657.8041
Bill To: ---A Ship To:
CARMEL CLAY PARKS AND RECREATION CARMEL CLAY PARKS AND RECREATION
1411 E 116T14 ST �i�R Q L� 1 1411 E 116TH ST
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr I Date Account Nbr
Mark Westermeier 42337587 06/29/2009 818502 818502
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 370.66
Copies Overage Charge
0550
A007010O07453
02/28/2010 63,652
01/31/2010 59,440-
Usage 4,212
Tot Usage 4,212
Allowance 0
Overage 4,212
0.08800
7670771802 Monthly Service /Supply 114.95
R &W Copies Base
Charge
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CARMEL CLAY PARKS AND RECREATION 818502 /818502 214029757 485.61
1411 E 116TH ST
CARMEL IN 46032 DATE ORDER REF. PAYMENT TERMS
02/28/2010 42337587 NET 30 DAYS
SEND YOUR PAYMENT TO:
You may also pay on line at www.MyKMBS KONICA MINOLTA BUSINESS SOLUTIONS
using your Payer ID 818502 USA INC
DEPT. CH 19188
PALATINE, IL 60055 -9188
,.WIERI CAN VISA
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
2128110 214029757 CPC Charges 1131 2/28110 AO 485.61
Total 485.61
1 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
1
Voucher No. Warrant No.
357004 Konica Minolta Business Solutions USA Inc. Allowed 20
Dept. CH 19188
Palentine, IL 60055 -9188
In Sum of
485.61
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1125 214029757 4353004 485.61 1 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
25 -Mar 2010
Signature
485.61 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1