158486 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 00352270 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOSECK AMOUNT: $628.00
CARMEL, INDIANA 46032 21146 NETWORK PLACE
CHICAGO IL 60673 -1211 CHECK NUMBER: 158486
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4353004 11054779 628.00 COPIER
KONICA MINOLTA BUSINESS SOL PAGE 1 of 1
ATW CUSTOMER SERVICE
P.O. BOX 550599 INVOICE NO. 11054779
JACKSONVILLE, FL 32255 -0599
INVOICE DATE 03/31/2008
View your account online at CONTRACT NO._ 930- 0014964 -000
Oualitu Digital Solutio s DUE`DATE 04/25/2008
Where your answers are a click away. www.QDSontheweb.com
Contract Number Description of charge(s) Amount Due Sales Tax Total Due
-Asset Description
930- 0014964 -000 PREVIOUSLY BILLED 0.00
S/N 65LE01005 PAYMENT DUE 04/25/08 628.00 0.00
KONICA MINOLTA C500
CARMEL /IN
PO /Ref
KON- MIN500
OLD CNTR# 2432672
930- 0014964 -000 SUBTOTAL 669.02 0.00 669.02
INVOICE TOTAL 669.02 0.00 669.02
INQUIRIES
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Notice. of Bankruptcy filing should be mailed to One Deerwood, 10201 Centurion Pkwy N, Suite.100,.:Jacksonville,. FL 32256
KeeD uooer portion for vour records
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
r
f(Y 3
Total COQ
i
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
IN SUM OF
X06 7.3 /fir
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), 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