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Home My WebLink About203921 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 205575 Page 1 of 1 ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUIllSECK AMOUNT: $194.00 CARMEL, INDIANA 46032 PO BOX 642333 PITTSBURGH PA 15264 -2333 CHECK NUMBER: 203921 CHECK DATE: 11121!2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4353004 56411672 194.00 COPIER Please remember to reference Account Schedule #(Y) pertaining to your request(s). Phone 800 -452 -1623 Fax: 319 841 -6324 Correspondence Only: PO 130X3083 KONICA MINOLTA BUSINESS SOLUTI CL JZ4P1DS IA 52406 -3083 P. O. BOX 642333 Billin ID Number 40136136234 PITTSBURGH PA 15264 -2333 g Invoice Number 56411872 12875 1 MB 0.390 Invoice Date 1.0/30/2011 12875 59 11/09/2011 BWNHXFZ Due Date: 0901 3613 6234 8 CARMEL CLAY PARKS RECREATION Ciu7rnt Items Due: 194.00 1411 E 116TH ST CARMEL IN 46032 -3455 Total Amount Due: 194.00 I�IIII�IIII�III�llyl. 1, IlIhII I1111111I��1u1��I111Illlll�llnll KMPBCH INVOICE FOR CURRENT ITEMS DUE Our Federal Tax ID 941686094 Account Schedule Due Date Purchase Order Number Line Item AcctlSched Number Equipment Description Amount Total THANKS FOR ALLOWING US TO SERVE YOUR BUSINESS NEEDS. WE GENUINELY APPRECIATE YOUR BUSINESS PLEASE VERIFY THE BILLING ADDRESS AS DISPLAYED ON THIS INVOICE. IF DISCREPANCIES EXIST, PLEASE CONTACT US IMMEDIATELY. YOUR PAYMENT WILL BE DUE ON THE 9TH OF THE MONTH, WITH YOUR FIRST PAYMENT DUE 11/09/2011 IF YOU HAVE ANY QUESTIONS CONCERNING THIS AGREEMENT, PLEASE FEEL FREE TO CALL US AT 800 -452 -1623 WHEN DOING SO PLEASE REFER TO ACCOUNT 7725582 -001 7725582 -001 YOUR DUE DATE IS THE 09TH. THIS INVOICE INCLUDES A TRANSITIONAL BILL OF 194.00 FOR THE PERIOD 10/20/2011 THRU 11/09/2011. KONICA MINOLTA COPIER MODEL: BIZHUB C552 SERIAL: AOP1011009876 11/09/2011 MINIMUM CHARGES DUE 194.00 Purchase ArCOUN'P SCHMULE 7725562 -001 TOTAL 194.00 Description P.O. 1 P or F t1 G. L. 422 2 J D R R Budget Q.Q17jE& N O V 4 Line Descr ®3 [01 Purchaser Date D� Approval Gate BY. Please include your Billing ID number on all correspondence. All correspondence should be sent to the correspondence on /yaddress, which is indicated on the front of this invoice. Payments: Please detach the remit to portion of this invoice and mail your payment(s) to our payment processing center using the return envelope provided. Please send only the remit to portion with your payment retain the top portion of the invoice for your records. Sales, Use, Rental Tax (Tax): The sales, use, or rental tax rate is determined by the location of the leased equipment, when applicable. Equipment location changes are subject to approval. Prior to the equipment being moved, the lessor is to be notified. Call the Customer Service number on the front of this invoice for instructions for reporting an equipment location change. If you are sales tax exempt, fax a completed, signed exemption certificate; including your account schedule number, to the fax number on the front of the invoice or mail a copy to the correspondence only address on the front of the invoice, Attention: Sales Tax Exemption Personal Property Taxes: Personal Property Tax is assessed on leased equipment as required by the local taxing jurisdiction. If the lessor is required to report and pay the tax bill, the lessee will be billed for reimbursement as agreed to in the lease agreement. This may be invoiced separately and/or included in this invoice. If the Lessee paid property taxes directly to the taxing jurisdiction in error, please contact the jurisdiction for instructions to file for a refund and pay the amount on your invoice from the lessor. Taxes are determined by the location of the leased equipment, when applicable. Equipment location changes are subject to approval. Prior to the equipment being moved, the lessor is to be notified. Call the Customer Service number on the front of this invoice for instructions for reporting an equipment location change. Purchase Order Number(s): For your convenience we can display your purchase order number on your invoice. However, the contract terms and conditions are not modified in any way by your purchase order. If you need your purchase order number to appear on the invoice or if you need to update your purchase order information, fax a copy of the purchase order including your account schedule number(s), the purchase order effective and expiration dates to the fax number on the front of the invoice or mail a copy to the correspondence only address referenced on the front of this invoice. Late Charges: To avoid late charges, all payments must be received by the due date. Late charges will be added to your invoice consistent with the terms and conditions of your contract. Insurance: Your contract requires you to provide and maintain insurance coverage against all risks of loss for your equipment, and provide proof of coverage information. Please be sure we are named as LOSS PAYEE and Additional Insured and your account schedule number appears on the certificate and fax a copy to the fax number on the front of the invoice or mail a copy to the correspondence only address. Name Changes: Fax a copy of the amendment that was filed with the secretary of state, including your account schedule number, to the fax number on the front of the invoice or mail a copy to the correspondence only address. Changes are subject to fees. Acceptable Forms of Payment: We will accept payments in the form of company checks, (or personal checks in the case of sole proprietorships), direct debit, or wires only. Cash and cash equivalents are not acceptable forms of payment and such forms of payment may delay processing or be returned. Furthermore, only you or your.authorized agent as approved may remit payments on these accounts. Disputed Payments: Without prejudice to any of our rights and remedies under your contract, all written communication concerning disputed amounts, including any check or other payment instrument that (a) indicates that the written payment constitutes "payment in full" or is tendered as full satisfaction of a disputed amount or (b) is tendered with other conditions or limitation must be mailed or delivered to us at the correspondence only address and not to the payment address. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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, 357004 Konica Minolta Business Solutions USA Inc. Terms Dept. CH 19188 Date Due Palentine, IL 60055 -9188 Invoice Invoice Description Amount or note attached invoice(s) or bill(s)) PO Date Number 194.00 10/30111 56411872 Copier AO 194.00 10/30/11 56416605 Co ier MCC 334.38 10/31/11 219311408 CPC Char es 9/30 10/29/11 Total 722.38 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 i Voucher No, Warrant No. 357004 Konica Minolta Business Solutions USA Inc. Allowed 20 Dept. CH 19188 Palentine, IL 60055 -9188 In Sum of$ 722.38 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund 109 Monon Center PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept 1125 56411872 4353004 194.00 1 hereby certify that the attached invoice(s), or 1091 56416605 4353004 194.00 bill(s) is (are) true and correct and that the 1125 219311408 4353004 334.38 materials or services itemized thereon for which charge is made were ordered and received except 17 -Nov 2011 A NF Signature r 722.38 Accounts Payable Coordinator Co distribution ledger classification if Title claim paid otc cle highway fund I