192669 12/10/2010 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIONS
CARMEL, INDIANA 46032 DEPT CH 19188 CHECK AMOUNT: $816.05
s *,ro PALATINE IL 60055 -9188
CHECK NUMBER: 192669
CHECK DATE: 12/1012010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4353004 216295160 816.05 COPIER
Invoice Number: 216295160 Please Remit To: RMS
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 11 19/2010 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 Opporturnhy
CORPORATE DUNS No. 00-170 -7322 I N VOICE
FEDERAL DUN'S No. 62 -657 -8041
Bill To: Ship To:
CARMEL CLAY PARKS AND RECREATION CARMEL CLAY PARKS AND RECREATION
141.1 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 42395222 05/17/2010 818502 /254596
Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments
96.800 NET 30 DAYS
r
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
C550
AOOJOI0006182
11 /18 /2010 564,482
10 /19 /2010 556,440 C� NW--FS
Pu chase
Usage 8,042 De cription lc i 8 (rl
Tot Usage 8,042 P.O. P o F
Allowance 10,000 G. 3 S3dd T
Overage 0 ZO,o L et
L u a fe
OVA
0.01270
NOV 4{ P rchaser Date
Ar proval Date
BY: ....a
TOTAL NBR OF UNITS
TOTAL AMT 816.05
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CARMEL CLAY PARKS AND RECREATION 818502 /254596 216295160 816.05
1.411 E 116TH ST
CARMEL IN 46032 DATE ORDER REF. PAYMENT TERMS
11 /19 /2010 42395222 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
as PALATINE, 1L 60055 -9188
F��RE55
11 2 °1
Invoice Number: 216295160 Please Remit To: RMS
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 11/19/2010 USA INC
Page 1 of 2 DEPT. CH 19188
Subject to E.O. 312578 and the regulations
<ONICA MINOLTA PALATINE, IL 60055 -9188
or the Secretary or Labor on Affirmative For Billing Inquiries Call: 317 -870 -7000
Action and Equal Opporturnity
co RPORATE DUNS No, 00.170 -7322 I IV Y ®I V
FEDERAL DUNS No. 62- 657 -5041
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 Date Account Nbr
KATE SCHNEIDER- 42395222 05/17/2010 818502/ 254596
Cartons Tot Wei ght Carrier Shipping Point Terms of Payment Comments
96.800 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped knit Net Price Amount
7670882802 Per Copy Charge Color 689.60
Copies Overage Charge
C550
AOOJOI0006182
t 11/18/2010 31.8,451
1.0/19/2010 311,327
Usage 7,124
Tot Usage 7,124
Allowance 0
Overage 7,1.24
0.09680
7670771802 Monthly Service /Supply 126.45
B&W Copies Base
Charge
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
11/19/10 216295160 CPC Charges 10119- 11118110 MCC 816.05
Total 816.05
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
i
Voucher No. Warrant No.
357004 'Konica Minolta Business Solutions USA Inc. Allowed 20
Dept. CH 19188
Palentine, IL 60055 -9188
In Sum of
816.05
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #TTITLE AMOUNT" Board Members
Dept
1091 216295160 4353004 816.05 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
9 -Dec 2010
Signature
816.05 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund