163824 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 205575 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOTLA BUSINESS SOLUTIO��gg CHECK AMOUNT: $76.97
CARMEL, INDIANA 46032 P0 BOX 7247 -Q322
tir'ro,6o" PHILADELPHIA PA 19170 -0322 CHECK NUMBER: 163824
CHECK DATE: 9/17/2008
D EPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AM OUNT DESC
,1201 4.351501 18234 210799503 76.97 SERVICE AGREEMENT
ti IL
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y
Invoice Number: 210799503 Please Remit To: 23
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 08/31/2008 USA INC
Page 1 of 1 ICONICA MINOLTA 13847 COLLECTIONS CENTER DRIVE
Subject. to E.O. 112478 and the regulations CHICAGO, IL 60693
of the Secretary of Labor on Affirmative For Billing Inquiries Call: 317- 870 -7000
A.W. and Equal Opporturnity
CORPORATE DUNS No. 00- 171-7322 INVOICE
O
FEDERAL DUNS No. 62- 657 -8441
Bill To: Ship To:
CITY OF CAR_ MEL CITY OF CARMEL
1 CIVIC SQ ATTN HR
CARMEL IN 46032 1 CIVIC SQ
CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
Shellv Lingelbaugh 44307055 01/07/2008 148t54/ 148154
Cartons Tot Wei ht Carrier Shi in Point Terms of Pa ment Comments
53.000 NET 30 DA i'a
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount.
7670932802 Per Copy Charge -B &W 76.97
Copies Overage Charge
C353
A02EO10001347
08/27/2008 53,695
07/31/2008 46,698
Usage 6,997
Tot Usage 6,997
Allowance 0
Overage 6,997
0.01100
TOTAL NBR OF UNITS
TOTAL AMT 76.97
crtica p ita l CITICAPIT,AL COMMERCIAL CORPORATION REMITTANCE ADVICE
3950 REGENT BLVD
IRVING, TEXAS 75063 N0. 174729
469- 220 -3331
Date: 17 OCT 08 Vendor Name: CITY OF CARMEL Vendor No.: 598059
°,INVOICE D R
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INVOICE ��e kCQNTRACT���p
NUMBERS IPTION, Nl1MBER �ETAAA
1'63824 16— OCT -08 WRONG REMIT KONICA IN 111- 0177311 -000 76.97
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ty P ,'-+T rh 7. ate ei, .�a'x,•.
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10/1/2008 2:43:13PM Processing Date: 10/1/2008 Work Source: All Page 112 of 132
CHECK IMAGE DETAIL REPORT Processing Date: 10 /1/2008
Seq# Check Acct# Amount RT# Pkt# Batch# Check# Box DDA#
28 j 000000099993427 76.97 074908594 1 0069100058 00000163824 0000006910 030469272
APPROVED BY THE STATE BOARD OF ACCOUNTS FOR THE CRY OF CARMEL xam CHECK NO.
PAYABLE AT
CITY OF CARMEL, INDIANA 85 163824
TIF'TN BANK OLIR.
e ONE. CIVIC SQUARE NOAIAPOLIB,INDANA 7a9
I DATE. 91
CARMEL, INDIANA 48032
6ENERAlACCOUNT
AM OUNT
PAY $76.97
THIS WARRANT 18 VOID TWO (21 YEARS AFTER
DCCEMBEA 31 OF THE YEAR OF WUB
To KONICA 11e1NOTLA BUSINESS SOLUTIONS
The PO BOX 7247 -0322 c EiwYREABUnEi> v
Order PHILADELPHIA PA 19170 -0322
Of
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CITY OF CARMEL, INDIANA VENDOR 205575 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOTLA BUSINESS SOLUTIOI CH
CARMEL', INDIANA 46032 Po aox 7247 0322
ECK AMOUNT: $76.97
PHILADELPHIA PA 19170 -0322 CHECK NUMBER: 163824
CHECK DATE: 9/1712008
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4351501 18234 21079.9503. 76 ..,9;7 SERVICE AGREEMENT
r
,4R.,�, --stwr �s �.s+., %+n• r. h car hrv- +n�.m- �v e -tia _:h e .mrz. ,_�.s.. :iak ..F.�s•>ar .a.� .Ka..ea.!..:r_a zE .u.�3 7.,.a,.1. �..ra ..+.a 1-.
REMITTANCE ADVICE DETACH ANl) RETAIN FCR Y❑UR RECORDS
ii t '�"'a... tiI b Pr k t. '.i, kx w7✓ I 1 7 7 14;
5 1 '��Ia'1> 47 rr.. �s�H >3 i s �•�n� n l' �'t� ,P 7 tk �mrt 7 tl: •K1# r +a': 1 °l.� �'r ?t 9,r'� t n�
i
DETACH HERE AND RETURN WITH REMITTANCE
CUST. N0. INVOICE NO. AMOUNT
CITY OF CARMEL 148154/ 148154 210799503 76.97
-1 CIVIC SQ
CARMEL IN 46032 DATE ORDER REF. PAYMENT TERMS
08/31/2008 44307055 NET 30 DAYS
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
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
J Konica Minolta Busines Solutions
IN SUM OF
13847 Collections Center Drive
Chicago, IL 60693
$76.97
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1201 Human Resources
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
partial 210799503 515 -01 97materials or services itemized thereon for
which charge is made were ordered and
received except
20
igna ur c
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund