159954 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 00352270 Page 1 of 1
t 0 c f ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOSECK AMOUNT: $977.00
CARMEL, INDIANA 46032 21146 NETWORK PLACE
CHICAGO IL 60673 -1211
CHECK NUMBER: 159954
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
3160 R4353004 18024 11454707 977.00 061 0010055 -000
i
KONICA MINOLTA BUSINESS SOL PAGE J06/07/2008
ATTN: CUSTOMER SERVICE
P.O. BOX 550599 INVOICE NO.
JACKSONVILLE, FL 32255 -0599
INVOICE DATE
View your account online at CONTRACT NO. 06
QUaIItu Digital SOIUtIO S DUE DATE
www.QDSontheweb.com
Where your answers are a click away.
Contract Number e Description of char s At D Sales Tax
Asset Description p 9 Amount Due Total Due
061- 0010055 -000 PAYMENT DUE 06/07/08 977.00 0.00
KONICA MINOLTA COPIER 977.00
INVOICE TOTAL 977.00 0.00 977.00
INQUIRIES
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IMPORTANT INFORMATION
Keep upper portion for your records
Please return this portion with your payments
KONICA MINOLTA BUSINESS SOL CONTRACT NO. 061- 0010055 -000
ATTN: CUSTOMER SERVICE
P.O. BOX 550599 INVOICE NO. 11454707
JACKSONVILLE, FL 32255 -0599 INVOICE DATE 05/18/2008
INVOICE TOTAL 977.00
DUE DATE 06/07/2008
MAKE CHECK PAYABLE TO:
CARMEL, CITY OF
JENNY CHASTAIN
C/O OFFICE OF THE MAYOR
ONE CIVIC SQUARE 8207
3RD FLOOR NNNN KONICA MINOLTA BUSINESS SOL
CARMEL, IN 46032 21146 NETWORK PLACE
CHICAGO, IL 60673 -1211
02000146 01001100 45470700 00000977004
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
y ACCOUNTS PAYABLE VOUCHER
5/23/08 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
Konica Minolta Business SOL Purchase Order No.
Attn: Customer Service
P. 0. Box 550599 Terms
Jacksonville, FL 32255 -0599 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/18/08 11454707 Second Quarter 2008 copier rental charge $977.00
Mayor's copier
Total $977.00
1 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.
5/23/08
ALLOWED 20
Konica Minolta Business SOL IN SUM OF
Attn: Customer Service
P. 0. Box 550599
Jacksonville, FL 32255 -0599
977.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayors R4353004
Copier
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
18024 11454707 84353004 $977.00 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
ni-) i —e iot) which charge is made were ordered and
received except
20
i
Sign ture
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund