186134 06/07/2010 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOI AMOUNT: $50.22
CARMEL, INDIANA 46032 DEPT CH 19188
PALATINE IL 60055 -9188 CHECK NUMBER: 186134
CHECK DATE: 6/712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4353004 214030991 50.22 COPIER
FP ,4x,"�Server 5/26/2010 1:01:57 PM PAGE 1/002 Fax Server
Remit: 4388 Collection Center Dr. Chicago IL 60693 4388
Date: 5/26/2010 1:01:40 PM
KONICA MINOLTA
Number of pages including cover sheet: 2
To: DON CLEVLAND From:
Phone: Phone: 866 259 -5965
Fax phone: 484 -242 -3128
Fax phone: 3175712789
REMARKS: X Urgent X For your review I X I Reply ASAP X Please continent
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dialing 866 -259 -5965, 8:00 AM to 6:00 PM EST.
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Fax.� 5/26/2010 1:01:57 PM PAGE 2/002 Fax Server
REPRINT
Invoice Number: 214030991 Please Remit To: RMS
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 02/28/2010 USA INC
Page 1 of 1 DEPT. CH 19188
Su6.kcl to E.Q. 112 and the ngmiatiotu KONICA MINOLTA PALATINE, IL 60055 -9188
or the seowary of Iwbor on AHhwaHse For Billing Inquiries Call: 317- 870.7000
Aerbn and Fgaal OppaMrahy
CORPORATE DINS No. 00.1707312 IN V OICE
FEDERAL DUNS No. 62.41 -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
Purchase Order Nbr Delivery Nbr Sales Qrdfir Nbr I Date Account Nbr
44372017/ 02/17/2010 830936 /750911
Cartons I Tot Weight Carrier Shipping Point Terms of Payment Comments
1 96.800 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670952802 Per Copy Charge- Color 50.22
Copies Overage Charge
C450 311702472
0212612010 59,931
01/31/2010 59,527
Usage 404
Tot Usage 404
Allowance 0
Overage 404
0.1.2430
TOTAL NBR OF UNITS
TOTAL AMT 50.22
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CITY OF CARMEL 830936 /750911 214030991 50.22
111 W MAIN ST DATE ORDER REF. PAYMENT TERMS
STE 140
CARMEL IN 46032 02/28/2010 44372017 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 830936 USA INC
DEPT. CH 19188
PALATINE, IL 60055 -9188
VISA
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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 er hour, number of units, price per unit, etc.
n r.
Payee a
D 1 ,�ol�c1 S
c�S11�rf�, y 1 if 1C1iS Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
��Qrti l4 'IN'Dlld NSir -eS S0&f)`P 'S IN SUM OF
9)H
5 0:22
ON ACCOUNT OF APPROPRIATION FOR
Pay from Cash
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
902 <l Q30j �f3�3ao 5 c 2 bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
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3 20 /Q
ignature
Director of Redevelopment
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund