HomeMy WebLinkAbout204291 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO AMOUNT: $160.00
CARMEL, INDIANA 46032 DEPT CH 19188
PALATINE IL 60055 -9188 CHECK NUMBER: 204291
CHECK DATE: 12/612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4350000 35516232 160.00 EQUIPMENT REPAIRS M
Invoice Number: 35516232 Please Remit to: 17
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 11/09/2011 1w USA INC
Page 1 of 1 DEPT. CH 19188
Subject to E.O. 112478 and the regulations
KONICA MINOLTA PALATINE, IL 60055 -9188
of the Secretan' of Labor on Affirmative For Billing Inquiries Call: 317 870 -7000
Action and Equal Opporturniq•
CORPORATE DUNS No. 00.170 -7322 INVOICE
FEDERAL DUNS No. 62- 657 -5041
Bill To: Ship To:
CITY OF CARMEL ENG CITY OF CARMEL ENG
1 CIVIC SQ I CIVIC SQ
CARMEL IN 46032 CARMEL IN 46032
Account Nbr Purchase Order Nbr Service Order Nbr /Notif Nbr Serial Nbr
257397 /257397 PO#t 28105 51093627 /13882393 SN A00KO10003948
Service Date Equipment Serviced Equipment Number Terms of Payment
11/09/2011 BIZHUB C451 2748611 NET 30 DAYS
Quantity Unit Material Nbr Description Net Price Amount
I EA 7670900008 Service Labor Charge CF 160.00 135.00
SUBTOTAL 135.00
Trip Charge 25.00
p
f 9CMED
HOV 2011 n
to t ARiME1. ry
AMOUNT DUE 160.00
I
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CITY OF CARMEL ENG 257397/ 257397 35516232 160.00
1 CIVIC SQ DATE ORDER REF. PAYMENT TERMS
CARMEL IN 46032
11/09/2011 51093627 NET 30 DAYS
SEND YOUR PAYMENT TO:
You may also pay on line at www.MyKMBS.com KONICA MINOLTA BUSINESS SOLUTIONS
using your Payer ID 257397 USA INC
DEPT. CH 19188
ISA s PALATINE, IL 60055 -9188
AMERICAN
EXPRESS
VOUCHER NO. WARRANT NO.
ALLOWED 20
Konica Mennita Rusiness Solutions LISA Inc
IN SUM OF
Dept. CH 19188
Palatine, IL 60055 -9188
$160.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
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
I
\Z`S 11 20
Signature
C
6 4 VI Q vL�st
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm 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 USA Inc
Purchase Order No.
Dept. CH 19188
Terms
Palatine, IL 60055 -9188
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/12/09 35516232 Copier repair $160.00
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
Konica Minolta Business Solutions LISA Inc IN SUM OF
Dept. CH 19188
Palatine, IL 60055 -9188
$160.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
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
C oi �QSt.y'
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund