188407 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 354781 Page 1 of 1
0 iL ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO C}1ECK AMOUNT: $794.19
CARMEL, INDIANA 46032 2842 RAND RD
INDIANAPOLIS IN 46241 CHECK NUMBER: 188407
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W09329 215182251 794.19 COPY CHARGES
Invoice Number: 215182251 Please Remit To: RMS
s�
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 07/09/2010 USA INC
Page 1 of 2 DEPT. CH 19188
Subject to E.O. 112678 and the regulations
KONICA (MINOLTA PALATINE, IL 60055 -9188
of the Seeretar or 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
Bill To: Ship To:
CITY OF CARMEL CITY OF CARMEL WATER DISTRIBUTION
1 CIVIC SQ 3450 W 131ST ST
CARMEL IN 46032' WESTFIELD IN 46074
a
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
Paul 42352274 10/09/2009 148154/ 295718
Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments
96.800 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670881802 Quarterly Service /Supply 265.00
Color Copies Base
Charge
Quarterly Service /Supply 375.54
Color Copies Overage
Charge
C550
AOOJOI0002479
07/06/2010 68,638
03/30/2010 61,397
Usage 7,241
Tot Usage 7,241
Allowance 3,000
Overage 4,241-0-
Invoice Number: 215182251 Please Remit To: R
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 07/09/2010 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 of labor on Affirmative For Billing Inquiries Call: 317 870 -7000
Action and Equal Opporturniq
CORPORATE DUNS No. 00- 170 -732 INVOI
FEDERAL DUNS No. 62- 657 -8041
Bill To: Ship To:
CITY OF CARMEL CITY OF CARMEL WATER DISTRIBUTION
1 CIVIC SQ 3450 W 131ST ST
CARMEL IN 46032 WESTFIELD IN 46074
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
Paul 42352274 10/09/2009 148154/ 295718
Cartons Tot Weight I Carrier Shipping Point Terms of Payment I
I Comments
96.800 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
0.08855
7670772802 Quarterly Per Copy 153.65
Charge -B &W Copies
Overage Charge
C550
A00J010002479
07/06 /2010 133,311
03/30/2010 1.20,008
Usage 13,303
Tot Usage 13,303
AIlowance 0
Overage 13,303
0.01155
TOTAL NBR OF UNITS
TOTAL AMT 794.19
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CITY OF CARMEL 148154/ 295718 215182251 794.19
1 CIVIC SQ DATE ORDER REF. PAYMENT TERMS
CARMEL IN 46032
07/09/2010 42352274 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
PALATINE, IL 60055 -9188
,o,t�tt= att.�t
�R�RE55
VOUCHER 102273 WARRANT ALLOWED
354781 IN SUM OF
KONICA MINOLTA BUSINESS SOLUTI(
DEPT CH 19188 �AEq
PALATINE, IL 60055 -9188
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
q
L} 215182251 01- 6360 -06 $794.19
Voucher Total $794.19
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354781
KONICA MINOLTA BUSINESS SOLUTIONS Purchase Order No.
DEPT CH 19188 Terms
PALATINE, IL 60055 -9188 Due bate 7/27/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/27/2010 215182251 $794.19
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
Date Officer