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HomeMy WebLinkAbout184358 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1 ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO�g CARMEL, INDIANA 46032 DEPT CH 19188 CHECK AMOUNT: $2,337.90 PALATINE IL 60055 -9188 CHECK NUMBER: 184358 CHECK DATE: 4114/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4353004 213961029 --10.12 COPIER 1201 R4351501 19347 214030942 ,.40.26 COPIER SERVICE 1110 4353004 214198998 --98.88 COPIER 1110 4353004 214198999 X391.95 COPIER 1091 4353004 214199290 .1,235.71 COPIER 1125 4353004 214273655 X 474.54 COPIER 1201 R4351501 19347 214275856 .86.44 COPIER SERVICE Invoice Number: 214198998 Please Remit To: RMS KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 03/19/2010 USA INC Page 1 of 2 DEPT. CH 19188 Subject to E.O. 112478 and the regulations ICON ICA MI VOLTA PALATINE, IL 60055 -9188 of the Secretary of Labor on Affirmative For Billing Inquiries Call: 317 -870 -7000 Action and Equal Opporturnity CORPORATE DUNS No. 011 170-7322 INVOICE FEDERAL DUNS No. 62- 657 -8041 Y Bill To: Ship To: CARMEL POLICE DEPT CARMEL POLICE DEPT ATTN THERESA ANDERSON ATTN THERESA ANDERSON 3 CIVIC SQ 3 CIVIC SQ CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr I Date Account Nbr Teresa Anderson 42176699/ 04/24/2006 149333 /149333 Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments NET 30 DAYS Quantity Quantity Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount 7670991202 Monthly Service /Supply 66.50 Digital Base Charge Monthly Service /Supply 32.38 Digital Overage Charge BIZ350 30AE07239 03/09 /2010 180,746 02/09/2010 1.80,104 Usage 642 BIZ350 30AE07284 03/09/2010 357,764 02/09/2010 350,915 Usage 6,849 Tot Usage 7,491 Allowance 5,000 Invoice Number: 21419899$ Ask Please Remit to: R KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 03/1912010 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 or Labor on Affirmative For Billing Inquiries. Call: 317 870 -7000 Action and Equal Opporturnity CORPORATE DUNS No. 00-170 -732 INVOICE FEDERAL DUNS No. 62- 657 -5041 Bill To: Ship To: CARMEL POLICE DEPT CARMEL POLICE DEPT ATTN THERESA ANDERSON ATTN THERESA ANDERSON 3 CIVIC SQ 3 CIVIC SQ CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr Da a Account Nbr Teresa Anderson 42176699/ 04/24/2006 149333/149333 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 Overage 2,491 Qa 0.01300 TOTAL NBR OF UNITS TOTAL AMT 48.88 Invoice Number: 214198999 Please Remit To: RMS t KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 03/19/2010 USA INC Page 1 of 2 DEPT. CH 19188 Subject to F.O. 112478 and the regulations ICONICA MINOLTA PALATINE, IL 60055 -91.88 of the Secretary of Labor on Affirmative For Biliing Inquiries Call: 317- 870 -70M Action and Equal Opporturnity CORPORATE DUNS No. 00- 170 -7322 FEDERAL DUNS No. 62- 657 -8041 INVOICE Bill To: Ship To: CARMEL POLICE DEPT CARMEL POLICE DEPT ATTN THERESA ANDERSON ATTN THERESA ANDERSON 3 CIVIC SQ 3 CIVIC SQ CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr I Date Account Nbr Teresa Anderson 42176700 04/24/2006 149333 /149333 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 7670992802 Cost Per Copy Charge 258.95 CF Overage Charge C450 31101851 03/09/2010 57,541 02/09/2010 55,594 Usage 1,947 Tot Usage 1,947 Allowance 0 Overage 1,947 0.13300 7670771802 Monthly Service /Supply 133.00 B &W Copies Base Charge Invoice Number: 214198999 AML Please Remit To: RMS KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 03/19/2010 USA INC Page 2 of 2 DEPT. CH 19188 Subjec7 to E.O. 112478 and the regulations KONICA MINOLTA PALATINE, IL 60055 -9188 of the Secretary of Labor on Affirmative For Billin.g 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 POLICE DEPT CARMEL POLICE DEPT ATTN THERESA ANDERSON ATTN THERESA ANDERSON 3 CIVIC SQ 3 CIVIC SQ CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr Teresa Anderson 42176700/ 04/24/2006 149333 /149333 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 C450 31101851 03/09/201.0 428,762. 02/09/2010 418,903 Usage 9,859 Tot Usage 9,859 Allowance 10,000 Overage 0 0.01300 TOTAL NBR OF UNITS TOTAL AMT 391.95 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. Payee Konica Minolta Business Solutions Purchase Order No. Dept CH 19188 Terms Palatine, IL 60055 -9188 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3/19/10 214198998 monthly a.- ent 98.88 3 19 1Q 214198999 monthly payment 391.95 Total 490.83 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 VOUCHER NO. WARRANT NO. ALLOWED 20 K onica Minolta Business Solutions IN SUM OF Dept CH 19188 Palatine, IL 60055 -9188 490.83 ON ACCOUNT OF APPROPRIATION FOR p olice g enera lfund Board Members DEPT. INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or 1110 214198998 530 -04 98.88 bill(s) is (are) true and correct and that the 1110 214198999 530 -04 391.95 materials or services itemized thereon for which charge is made were ordered and received except March 31 20 10 i Signature r'}hi of of Pnl Z rP Cost distribution ledger classification if Title claim paid motor vehicle highway fund Invoice Number: 214199290 Please Remit To: R r KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 03/19/2010 USA INC Page 2 of 2 DEPT. CH 19188 Subject to E.O. 112478 and the regulations KONICA MINOLTA PALATINE, IL 60055 -9t88 of the Sccretan or Lahor on Affirmative For Billing Enquiries Call: 317 -870 -7000 Action and Equal Opporturnity CORPORATE DUNS No. 00 -170 -732 INVO FEDERAL DUNS No. 62- 657 -8041 Bill To: Ship To: CARMEL CLAY PARKS AND RECREATION CARMEL CLAY PARKS AND RECREATION 1411 E 116TH ST ATTN MONON CTR CARMEL IN 46032 1235 CENTRAL PARK DR E CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr I Dale Account Nbr KATE SCHNEIDER 42331746 05/14/2009 818502/ 254596 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 Charge C550 A00J 010006182 03 /t9 /2010 461,570 02/19/2010 442,946 Cp 1a'q' Usage 1.8,624 Purchase Description !'Y)CC MAR 2 6 MO Tot Usage 1.8,624 C /Q R.O.A PorF Allowance t0,000 G.L 4 BIa Overage 8,624 Q Budget 0.01155 Line D Purchaser Ew Approval Date TOTAL NBR OF UNITS_ TOTAL AMT 1,235.71 DETACH HERE AND RETURN WITH REMITTANCE CUST. NO. INVOICE NO. AMOUNT CARMEL CLAY PARKS AND RECREATION 81.8502 /254596 214199290 1,235.71 1411 E 116TH ST DATE ORDER REF. PAYMENT TERMS CARMEL IN 46032 03/19/2010 42331746 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 AMEFlICAN i j��/tf ©R�BE55 IN Invoice Number: 214199290 Please Remit To: RMS KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 03/19/2010 USA INC Page 1 of 2 DEPT. CH 19188 Subject to E.O. 112478 and the regulations ICONICA 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 INVOI FEDERAL DUNS No. 62- 657 -8041 B Ship To: Bill To: CARMEL CLAY PARKS AND RECREATION CARMEL CLAY PARKS AND RECREATION 1411 E 116TH ST ATTN MONON CTR CARMEL IN 46032 1235 CENTRAL PARK DR E CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr KATE SCHNEIDER 42331746 05/t4/200 818502 /2545 Cartons Tot Weight I 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 1,021.15 Copies Overage Charge C550 A00J010006182 03/19/2010 245,878 02/19/2010 234,274 n Usage 1.1,604�l,i` 4 u Tot Usage 11,604 Allowance 0 Overage 11,604 0.08800 7670771802 Monthly Service /Supply 114.95 B &W Copies Base Charge Monthly. Service /Supply 99.61 5 Please Remit To: R Inv oice r Number: 2142736 KONICA WNOLTA BUSINESS SOLUTIONS Invoice Date: 03/311201.0 USA INC 1' Page 2 of 2 DEPT. CH 19188 ICONICA MINOLTA 'PALATINE, IL 600 -91 88 Subject to E.O. 112478 and the regulations E of the Secretary of Labor on Affirmative For Billing Ingmries Call: 317 870 7000 Action and Equal Opporturnity CORPORATE DUNS No. 00.170 -732 FEDERAL DUNS No. 62- 657 -8041 INV Bill To: Ship To: CARMEL CLAY PARKS AND RECREATION CARMEL CLAY PARKS AND RECREATION 141.1 E 116TH ST 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 Wei ht Carrier Shipping Point Terms of Payment Comments NET 30 DAYS Quantity Quantity Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount Charge C550 A00J010007453 03/31/2010 301,033 02/28/2010 287,572 Usage 13,461 rchase pc— C (7e5 Tot Usage 13,461 D D 9scrIptlon Allowance 10,000 APP 0 6 201) PQi IPorF Overage 3,461 Ir.0 i1)5 5 o© B d et 0.01155 Sys IWI eescr CO r Pi rohaser pate roval We TOTAL NBR OF UNITS TOTAL AMT 474.54 Invoice Number: 214273655 Please Remit To: RMS KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 03/31/2010 USA INC Page 1 of 2 DEPT. CH 19188 Subject to E.O. 11247& 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 Nu- 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 Deliver Nbr Sales Order Nbr Date Account Nbr Mark Westermeier 42337587 06/29/2009 818502 1 818502 Cartons Tot Wei ht 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 319.62 V Copies Overage Charge C550 A00JO10007453 03/31/2010 67,284 02/28/2010 63 ,652 APR C 6 2010 Usage 3,632 Tot Usage 3,632 BY. Allowance 0 Overage 3,632 0.08800 V, 7670771802 Monthly Service /Supply 114.95 I I B &W Copies Base V I Charge Monthly Service /Supply 39.97. DETACH HERE AND RETURN WITH REMITTANCE CUST. NO. INVOICE NO. AMOUNT CARMEL CLAY PARKS AND RECREATION 818502 /818502 214273655 474.54 1411E 116TH ST CARMEL IN 46032 DATE ORDER REF. PAYMENT TERMS 03/31/2010 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 y�q��y I� PALATINE, IL 60055 -9188 AMERICAN A �ff+RE55 l r t9 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 3119/10 214199290 CPC Charges 2/19 3/19110 MCC 1,235.71 3/31/10 214273655 CPC Charges 2/28 3/31/10 AO 474.54 Total 1,710.25 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 i Voucher No. Warrant No. 357004 Konica Minolta Business Solutions USA Inc. Allowed 20 Dept. CH 19188 Palentine, IL 60055 -9188 In Sum of 1,710.25 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1091 214199290 4353004 1,235.71 1 hereby certify that the attached invoice(s), or 1125 214273655 4353004 474.54 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 8 -Apr 2010 Signature 1,710.25 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 0410912010 13:27 3175712265 CARMEL UTILITIES PAGE 02/04 Fax`Server 4/9/2010 11:35,00 AM PAGE 2/004 Fax Server y3s REPPJM I Number: 213961019 Please Ramp To: RMS KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 02/1812010 USA INC Page 1 of 1 DEPT. Cli 19188 Sam oa KONICA MOM PALATINE. IL 6M55 -9188 41'* I ■n or Labor an ARk.au.e Fot Billing Inquiries COD! 317.870.70M Zo.- o co"MA79MMM0. W]76-=Z p I NVOICE VW"L DUNS Na C45741Ml BIII To: Ship To: CITY OF CARMEL CITY OF CARMEL I civic SQ ATTN SHERRY MIELKE CARMEL IN 46032 1 CIVIC SQ OFC MAYOR'S CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Salsit Order Nbr I Qatsk Account Nbr JENNY CHASTAIN 44355509105/2812009 1481541 124620 Cartons Tat 11Ve1 ht Carrier Sh n #mint Tame of Pe ent Cd mmeWy NET 30 DAYS Quantity Quantity Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Not Price Amount 7670932802 Per Copy Charge -B &W 10.1.2 CopitA Overage barge C451 AOOKOI0003953 02/08/2010 55,110 01113/2010 54,190 Usage 920 Tat Usage 920 Allowance 0 Overage 9200 0.01100 TOTAL NBR OF UNITS TOTAL AMY 10.12 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. Payee Purchase Order No. Terms 0 Ss Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) a� ff i 013 /o, /Z_ Total /o, 1 2-- 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 VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF C 7- Clt 9i S Z- /a /Z ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT (DEPT. I hereby certify that the attached invoice(s), or �D a�39 002 4 /v 2— 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 1 gnature Cost distribution ledger classification if claim paid motor vehicle highway fund DETACH HERE AND RETURN WITH REMITTANCE CUST. NO. INVOICE NO. AMOUNT CITY OF CARMEL 148154 /148154 214275856 86.44 1 CIVIC SQ DATE ORDER REF. PAYMENT TERMS CARMEL IN 46032 03/31/2010 44356137 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 148154 USA INC DEPT. CH 19188 yy 'SA� PALATINE, IL 60055 -9188 AMERICAN EXPRESS O 1`L Ihvoice Number: 214030942 Please Remit To: RMS KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 02/28/2010 USA INC Page 1 of 1 F DEPT. CH 19188 Subject to R.O. 112478 and the repd.li s KON ICA MINOLTA PALATINE, IL 60055 -9188 V he Secretary of Labor on Affirmative For Billing Inquiries Call: 317- 870 -7000 ion and Equal Opporlurnily CORPORATE' DUNS No. 00 -170 -7322 INVOIC FEDERAL DUNS No. 62.657 -8041 Bill To: Ship To: CITY OF CARMEL CITY OF CARMEL 1 CIVIC SQ 1 CIVIC SQ CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Solu Order Nbr I Date Account Nbr SHELLY LINGELBAUGH 44356137 06/12/2009 148154 /148154 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 7670932802 Per Copy Charge -B &W 40.26 Copies Overage Charge C353 A02EO10001347 02/26!2010 159,995 01/29/2010 156,695 Usage 3,300 Tot Usage 3,300 Allowance 0 D Overage 3,300 Q AP 1 2 2 0.01220 By TOTAL NBR OF UNITS TOTAL AMT 40.26 Ii]vo e Number: 214275856 Please Remit To: RMS KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 03/31/2010 USA INC Page I of 1 DEPT. CH 19188 Subject io E.O. 112478 and the regulations <ONICA 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 I NVOIC E FEDERAL DUNS No. 62- 657 -8041 Bill To: Ship To: CITY OF CARMEL 13 CITY OF CARMEL 1 CIVIC SQ 1 CIVIC SQ CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales O de Nbr Date Account Nbr SHELLY LINGELBAUGH 44356137 106/12/2009 1,48154 148154 ----Cart-onss+—. T-o �p �..:..1���._-v C1......: Point T +C V{t111111ef1CS va .�c� vu� Sri- moms o ayrnent NET 30 DAYS Quantity Quantity Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount 7670932802 Per Copy Charge -B &W 86.44 Copies Overage Charge C353 A02EO10001347 03/31/2010 167,080 02/26/2010 159,995 Usage 7,085 Tot Usage 7,085 Allowance 0 Overage 7,085 0.01220 TOTAL NBR OF UNITS TOTAL AMT 86.44 VQUCHER NO. WARR NO. Konica Minolta Business Solutions USA Inc. ALLOWED 20 1 IN SUM OF Dept. CH 19188 Palatine, IL 60055 -9188 $126.70 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT /TITEE AMOUNT Board Members 19347 /1 214030942 43- 515.01 $40.26 1 hereby certify that the attached invoice(s), or 19347 Q 214275856 43- 515.01 $86.44 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and V" received except Monday, April 12, 2010 Director, H Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/28/10 214030942 $40.26 03/31/10 214275856 $86.44 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