186679 06/21/2010 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO C}iECK AMOUNT: $102.92
CARMEL, INDIANA 46032 DEPT CH 19188
PALATINE IL 60055 -9188 CHECK NUMBER: 186679
CHECK DATE: 6/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4353004 214847872 102.92 COPIER
Invoice Number: 214847872 Please Remit To: RMS
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 05/31/2010 USA INC
Page l of 1 DEPT. CH 19188
Subject to E.O. 112478 and the regulations
ICONIC/ MINOLTA PALATINE, IL 60055 -9188
of the Secretan of Labor on Affirmative For Billing Inquiries Call: 317 -870 -7000
Action and Equal Opportarnity
CORPORATE DUNS No. 00 -170 -7322 I
FEDERAL DUNS No. 62- 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
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
44372017 02/17/2010 830936 750911
Cartons 'Tot 'Weight Carrier I Shipping T erms of Pa meat Comments
96 :800 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670952802 Per Copy Charge- Color 102.92
Copies Overage Charge
C450 311702472
05/25/2010 62,794
04/28/2010 61,966
Usage 828
Tot Usage 828
Allowance 0
Overage 828
0.12430
TOTAL NBR OF UNITS
TOTAL AMT 102.92
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CITY OF CARMEL 830936 /750911 214847872 102.92
111 W MAIN ST DATE ORDER REF. PAYMENT TERMS
STE 140
CARMEL IN 46032 05/31/2010 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
V ISA z
EXPRESS .I�I
O
1
-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 c
�tbt� IhtjfA R05 00J Sdq Purchase Order No.
beh+' cu Terms
IaI C 005S— es Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5' 1C 2.14 W8 2 c c -its over; 02.92
Total 02 1
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.
R 11 ALLOWED 20
Kon ica M t nc l w,s iineys Se rm5_ IN SUM OF$
Dfi CP /*Sl
52
ON ACCOUNT OF APPROPRIATION FOR
Ray from Cash
Board Members
PO# or
DEPT 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
Jo received except
201
ignature
Dire-0-ar Of Rrf W
oilmen
Cost distribution ledger classification if
claim paid motor vehicle highway fund