155375 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 205575 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOTLA BUSINESS SOLUTIO
PECK AMOUNT: $1,167.00
CARMEL, INDIANA 46032 PO BOX 7247 -0322
PHILADELPHIA PA 19170 -0322 CHECK NUMBER: 155375
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4353004 10260018 1,167.00 910 0009004 -000
KONICA MINOLTA BUSINESS SOL
PAGE 1 of 1
ATTN: CUSTOMER SERVICE
P.O. BOX 550599 INVOICE NO 10260018
JACKSONVILLE, FL 32255 -0599 W,
INVOIWDATE 12/21/2007
View your account online at CONTW TNO 910- 0009004 -000
r' !DUE DATE 01/14/2008
Qualitq Dighl SDIUUO S www.ODSontheweb.com
Where your answers are a click away.
F Contract Number Copy Copy
Asset Description Description of charge(s) Amount Due Sales Tax Total Due
j� P Volume Rate
910 0009004 -000 MINIMUM DUE 01/14/08 15,000 1,167.00 0.00
S/N 31725122 LATE CHARGE -20 -JAN 01/14/06 115.90 0.00
KONICA MINOLTA DI 47 LATE CHARGE 20 -APR 04/14/06 115.90 0.00
CARMEUIN LATE CHARGE 20 -JUL 07/14/06 115.90 0.00
Model #KMBS D1470 LATE CHARGE 22 -JAN 01/14/07 115.90 0.00
OLD CNTR# 200137883 LATE CHARGE 20 -APR 04/14/07 115.90 0.00
KMBS D1470 LATE CHARGE 20 -JUL 07/14/07 115.90 0.00
BEGIN READ 07/14/2007 104,943
END READ 10/13/2007 119,383
910- 0009004 -000 SUBTOTAL 1,862.40 0.00 1,862.40
INVOICE TOTAL 1,862.40 0.00 1,862.40
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IM PORTANT INFORMATION
Welcome this is the first invoice for one of you New Lease Contracts
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MA
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
s.
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
hom, 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))
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v
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
V UC WARR NT NO.
�s'
ALLOWED 20
ClYli'
C o IN SUM OF
lP 7. 0
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
,35 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
t! received except
20
SI nature 1
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund