HomeMy WebLinkAbout204594 12/13/2011 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO��gg
CHECK AMOUNT: $46.02
CARMEL, INDIANA 46032 DEPT. CH 19188
PALATINE IL 60055 -9188 CHECK NUMBER: 204594
CHECK DATE: 12/1312011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4230200 219525808 46.02 OFFICE SUPPLIES
Invoice Number: 219525808 Please Remit To: 17
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 11/23/2011 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 Secretary of Labor on Affirnmtice For Billing Inquiries Call: 317 870 -7000
Action and Equal Opporturnitr
CORPORATE DUNS No. 00- 170.7322 INVOICE
FEDERAL DUNS No. 62- 657 -8041
Bill To: Ship To:
CITY OF CARMEL ENG CITY OF CARMEL ENG
1 CIVIC SQ LISA SCOTT
CARMEL IN 46032 1 CIVIC SQUARE
engineering department
CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
28176 3008214986 1 312676962 /11/23/2011 257397 /257397
Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments
1 2.840 UPSG 130 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
lZ3F81260320069242 S/
A00K010003948/C451
I AOATWYO WASTE TONER BOX 1 EA 41.00 41.00
LISA SCOTT 317 571
2441
SUBTOTAL 41.00
FREIGHT 2345 X89 5.02
�O
O 11J
All
TOTAL NBR OF UNITS 1 g�
TOTAL AMT `��2Z6Z 26� 46.02
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CITY OF CARMEL ENG 257397 /257397 219525808 46.02
1 CIVIC SQ
CARMEL IN 46032 DATE ORDER REF. PAYMENT TERMS
11/23/2011 312676962 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
V PALATINE, IL 60055 -9188
F-R VISA
O
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))
11/23/11 219525808 Konica supplies $46.02
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 USA Inc IN SUM OF
Dept. CH 19188
Palatine, IL 60055 -9188
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT ere y
DEPT. I hereby y certif that the attached invoice( s or
n/a 219525808 --2M"230200 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
QA
20
Signature
Title
Cost distribution ledge lassification if
claim paid motor vehicle highway fund