192866 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
0 ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO CHECK AMOUNT: $1,127.79
CARMEL, INDIANA 46032 DEPT CH 19188
PALATINE IL 60055 -9188
CHECK NUMBER: 192866
CHECK DATE: 12/1512010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4353004 216421984 45.49 COPIER
1701 4353004 216424599 47.52 COPIER
1701 4353004 216481144 1,034.78 COPIER
Invoice Number: 216481144 Please Remit To: K1.9
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 12/09/2010 USA INC
Page 1 of 2 DEPT. CH 19188
Subject to E.O. 112476 and the regulations
KONICA MINOLTA PALATINE, IL 60055 -9188
or the Secretary of Labor on Affirmative For Blllin.- 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:
CITY OF CARMEL CLERK TREASURER CITY OF CARMEL CLERK TREASURER
1 CIVIC SQ TREASURER JEAN BELCHER
OFC 1 CIVIC SQ TREASURER
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr I Date Account Nbr
Diana Cordray 424.11997 08117/2010. 263622./261654
Cartons Tot Wei ht Carrier Shipping Point Terms of Payment Comments
96.800 NET 30 DAYS
Q laf City Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670882802 Per Copy Charge Color 526.12
Copies Overage Charge
C451
AOOKOI0008945
1.1/30/201.0 25,224
06/10 /2010 20,066
Usage 5,158
Tot Usage 5,158
Allowance 0
Overage 5,158 t@
0.10200
7670772802 Per Copy Charge -B &W 232.20
I Copies Base Charge
Per Copy Charge -B&W 276.46
Copies Overage Charg;
Invoice Number: 216481144 S Please Remit To: K19
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 12/09/2010 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
and Equal r0- INVOICE
C DUNS NS N N o. o. 0 00.170 -7322
FEDERAL DUNS No. 62- 657 -8041
Bill To: Ship To:
CITY OF CARMEL CLERK TREASURER CITY OF CARMEL CLERK TREASURER
1 CIVIC SQ TREASURER JEAN BELCHER
OFC 1 CIVIC SQ TREASURER
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
Diana Cordray 42411997 08/17/2010- 263622-1261654
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
C451
AOOKOI 0008945
11/30/2010 117,511
06/10/2010 78,245
Usage 39,266
Tot Usage 39,266
Allowance 18,000
Overage 21,266 Q
0.01300
TOTAL NBR OF UNITS
TOTAL AMT 1,034.78
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CITY OF CARMEL CLERK TREASURER 263622/ 261654 216481144 1,034.78
1 CIVIC SQ TREASURER DATE ORDER REF. PAYMENT TERMS
OFC
CARMEL IN 46032 12/09/2010 42411997 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 263622 USA INC
DEPT. CH 19188
PALATINE, IL 60055 -9188
AMERIt;gN VISA
��RESS
O
Invoice Number: 21.6424599 Please Remit To: K19
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 12/01/2010 USA INC
Page 1 of 2 DEPT, CH 191.88
Subject to E.O. 112478 and the regulations
KONICA MINOLTA PALATINE, IL 60055 -9188
of the Secretarc of Labor on AfBrnnatiee For Billing Inquiries Call: 317 -870 -7000
Action and Equal Opporlurnitp
CORPORATE DUNS No. 00 -170 -7322 INVOICE
FEDERAL DUNS No. 62- 657 -8041
Bill To: Ship To:
CITY OF CARMEL CITY OF CARMEL
1 CIVIC SQ I CIVIC SQ
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order. Nbr Date Account Nbr
Barbara Lamb 42397236 05/27/2010 148154 1 148154
Cartons Tot Wei ht harrier Shipping 'Point Terms of Payment Comments
96.800 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670882802 Per Copy Charge Color 26.23
Copies Overage Charge
C353
A02EO10001347
11/30 /2010 27,957
10/22/2010 27,542
Usage 415
Tot Usage 41.5
Allowance 0
Overage 4150
0.06320
7670772802 Per Copy Charge -B &W 21.29
Copies Overage Charge
Invoice. Number: 216424599 Please Remit To: I{ 19
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 12/01/201.0 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: 31.7- 870 -7000
Action and Equal Opporlurnity
CORPORATE DUNS No. 00 -170 -7322 I NV O ICE
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 Sales Order Nbr Date Account Nbr
Barbara Lamb 42397236 05/27/2010 148154 148154
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
C353
A02EO10001.347
11/30/2010 195,576
10/22/2010 193,311
Usage 2,265
Tot Usage 2,265
Allowance 0
Overage 2,265 c�
0.00940
TOTAL NBR OF UNITS
TOTAL AMT 47.52
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CITY OF CARMEL 1.48154 /148154 216424599 47.52
1 CIVIC SQ DATE ORDER REF. PAYMENT TERMS
CARMEL IN 46032
12/01/2010 42397236 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
61M£RICMi
VI CA
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Invoice Number: 216421984 Please Remit To: K19
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 12/01/2010 USA INC
Page 1 of 1 DEPT. CH 19188
Subject to E, O. 112478 and the regulations KONKA MINOLTA PALATINE, IL 60055 -9188
of the Secretan of Labor on Arrirmatice For Billing Inquiries Call: 317- 870 -7000
Action and Equal Opporturnit
CORPORATE DUNS No. 00 -170 -7322 INVOICE
FEDERAL DUNS No, 62 -657 -8041
Bill To: Ship To:
CITY OF CARMEL CITY OF CARMEL
1 CIVIC SQ SHARON KIBBE
CARMEL IN 46032 1 CIVIC SQ
MAYOR'S OFC /3RD FL /M -F 730 -5
CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Ord r Nbr Date Account Nbr
5413 3006797145 311645541 /12/01 /2010 148154/ 124620
Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments
1 2.860 UPSC 130 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
lZ3F81260315768498
A00K010003953/C451
1 AOATWYO WASTE TONER BOX 1 EA 41.00 41.00
SUBTOTAL 41.00
FREIGHT 4.49
TOTAL NBR OF UNITS 1
TOTAL AMT 45.49
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.
t
Payee /i P,a_ Mw W 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
V n tt IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
�Ot iA
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1 J 4 c j materials or services itemized thereon for
L �jL�fal LG3 which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund