164554 10/14/2008 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOI AMOUNT: $69.62
CARMEL, INDIANA 46032 13847 COUECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 164554
CHECK DATE: 1011412008
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBE AMO DESCRI
1701 R4351501 18,280 210846706 69.62 COPIER LEASE
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JAN.06.2001 18:23 #6847 P.002 /002
REPRINT 23
F um Invoice Number: 210846706 PI @0S0 Remit T0: KONICA MINOLTA BUSINESS SOLUTIONS
invoice Date: 09/09/2008 USA INC
KONICA MINOLTA 13$47 COLLECTIONS CENTER DRIVE
Page 1 of 1 CHICAGO, IL 60693
gunlaee to Win_ 1 124" —a sae For BU14 Inquiries Cali: 317- 870 -7004
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A NSNO. +r INVOICE
CnRP(MWTE DUN$ Ko. W110-7522 n DEaar. DUxs No_ 626S -8041 Ship To:
Bill To: CITY OF CARMEL CLERK TREASURER
CITY OF CARMEL CLERK TREASURER 1 CIVIC SQ TREASURER
1, CIVIC SQ TREASURER O] =C
,OFC CARMEL IN 46032
CARMEL IN 46032
Account Nbr
Purchase Order Nbr Delive Nbr 1 44324680 06! 1912008 263622 263622
008 3038068 -00
Cartons Tot Weight Carrier Shi in Point Term ET 30 DAYS t Comments
53.000
Quantity
Quantity Quantity Shipped "69-62
Ordered Backordered Material Nbr Description
Copy e
7670952802 p Co y Cliarg
Color
Copies Overage Cbarge
C451
A00K010008945
09/09/2008 2,810
08/08/2008 1,991
Usage 819
Tot Usage 819
Allowance 0
Overage 819 Q
0.08500
TOTAL NBR OF UNITS 69.62
TOTAL_ AMT
D
DE TACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CITY OF CARMEL CLERK TREASURER 263622 1 263622 210846706 69.62
1 CIVIC SQ TREASURER DATE ORDER REF. PAYMENT TERMS
OFC 09/09/2008 44324680 NET 30 TRAYS
CARMEL IN 46032
PLEASE REMIT THIS STUB WITH YOUR PAYMENT TO: KO MINOLTA BUSINESS SOLUTIONS
IJ INC
13847 COLLECTIONS CENTER DRIVE
CHICAGO, IL 60693
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
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
(C) Ch
IN SUM OF
L
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. N 1 hereby certify that the attached invoices 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund