162830 08/20/2008 9 CITY OF CARMEL, INDIANA VENDOR: 205575 Page 1 of 1 ONE CIVIC SQUARE KONICA MINOTLA BUSINESS SOLUTIO �.1I AMOUNT: $95.58
CARMEL, INDIANA 46032 PO BOX 7247 -0322
PHILADELPHIA PA 19170 -0322 CHECK NUMBER: 162830
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4351501 18234 210605773 95.58 SERVICE AGREEMENT
Invoice Number: 210605773 Ambk Please Remit To: 23
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 07/31/2008 1 W USA INC
Page I of I KONICA MINOLTA 1.3847 COLLECTIONS CENTER DRIVE
Subject to E, 0. 112479 and the regulations CHICAGO, IL 60693
of the Secretary or Labor on Affirmative For Billing Inquiries Call: 317- 870 -7000
Action and Equal Opporturnity
CORPORATE DUNS No. 00.170 -7322 I NVOICE
FEDERAL DUNS No. 62- 657 -8041
Bill To: Ship To:
CITY OF CARMEL 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
Shelly Lingelbaugh 44307055 01/07/2008 148154 148154
Cartons Tot Weight Carrier Shipping Point Terms of Pa ment Comments
90.000 NET 30 DAYS
Quantity Quantity Quantity
Ordered Back Ordered Material Nbr Description Shipped Unit Net Price Amount
7670932802 Per Copy Charge -B &W 95.58
Copies Overage Charge
C353
A02EO10001347
07/31/2008 46,698
06/26/2008 38,009
Usage 8,689
Tot Usage 8,689
Allowance 0
Overage 8,689 @a
0.01100
TOTAL NBR OF UNITS
TOTAL AMT 95.58
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))
Total
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.
08/18/08
ALLOWED 20
Konica Mi nolta Business Solutions
IN SUM OF
13847 Collections Center Drive
Chicago, IL 60693
$95.58
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1201 Human Resources
Board Members
P09 or
DEPT. 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 210605773 515 -01 58materials or services itemized thereon for
which charge is made were ordered and
received except
20
atu� eA
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund