166034 11/13/2008 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIONS
CHECK AMOUNT: $192.39
!a CARMEL, INDIANA 46032 13847 COLLECTIONS cElvreR oRlve
CHICAGO IL 60693 CHECK NUMBER: 166034
CHECK DATE: 11/13/2008
D EPARTMENT ACCOUNT P O NUM INV NUMBE AMOU DESCRIPTION
1201 4- 351501 18234 211196393 192.39 SERVICE AGREEMENT
h
lnvolce Number: 211196393 please Remit To: 23
KONICA MINOLTA BUS SOLUTIONS
Invoice Date: 10/31/2008 USA INC
Page I of 1 KONICA MINOLTA DEPT. CH 19188
PALATINE, IL 60055 -9188
`Subject to E.O. 112478 and the regulations
of the Secretary or Labor on Affirnwtive For Billing Inquiries Call: 317- 870 -7000
Action and Equal ur0- INVOICE
CORPORATE DUNS NS No. No. 0 00.170.7322
FEDERAL DUNS No. 62- 657 -8041
Bill To: Ship To:
CITY OF CARMEL CITY OF CARMEL
I CIVIC SQ ATTN HR
CARMEL IN 46032 1 CIVIC SQ
CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
Shelly Lingeibaugh 44307055 01/07/2008 148154 148154
Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments
32.000 NET 30 DAYS
Quantity Quantity Quantity
Ordered Back Ordered .Material Nbr Description Shipped Unit Net Price Amount
7670932802 Per Copy Charge -B &W 192.39
Copies Overage Charge
C353
A02EO 10001347
10/31/2008 76,402
09/30/2008 58,912
Usage 17,490
Tot Usage 17,490
Allowance 0
Overage 17,490
0.01100
TOTAL NBR OF UNITS
TOTAL AMT 192.39
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
Konica Minolta Business Solutions Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
W31 /08 2111963913 Per Copy Charge-BOV Overage Charge $192.39
Total
l 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 N( rtt W VARRANT NO.
ut ALLOWED 20
Elonica Minolta Business Solutions
IN SUM OF
13847 Collections Center Drive
Ghicago, 1L 60693
$192.3
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1201 Human Resources
Board Members
or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT, I hereb y Y certif that the attached invoice(s), or
18234 bill(s) is (are) true and correct and that the
partial 211196393 515 -01 39 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Sign re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund