HomeMy WebLinkAbout204875 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO�g
ECK AMOUNT: $1,003.30
CARMEL, INDIANA 46032 DEPT. CH 19188
CH
PALATINE IL 60055 -9188 CHECK NUMBER: 204875
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4353004 219684770 1,003.30 COPIER
Invoice Number: 219684770 Please Remit to: K09
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 12/09/2011 USA INC
Page 1 of 2 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 Opporturnily
CORPORATE DUNS No. 001170 -7322 INVOICE
FEDERAL DUNS No. 62- 657 -8041
Bill To: Ship To:
CITY OF CARMEL CLERK TREASURER CITY OF CARMEL CLERK TREASURER
1 CIVIC SQ TREASURER JEAN BELCHER
OFC 1 CIVIC SQ TREASURER
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
Diana Cordray 42411997 08/17/2010 263622/ 261654
Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments
NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670882802 Per Copy Charge Color 693.73
Copies Overage Charge
C451
A00KO 10008945
11/29/2011 34,842
05/31/2011 28,659
Usage 6,183
Tot Usage 6,183
Allowance 0
Overage 6,183
0.11220
7670772802 Per Copy Charge -B &W 255.42
Copies Base Charge
Per Copy Charge -B &W 54.15
Copies Overage Charge
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CITY OF CARMEL CLERK TREASURER 263622 /261654 219684770 1,003.30
1 CIVIC SQ TREASURER DATE ORDER REF. PAYMENT TERMS
OFC
CARMEL IN 46032 12/09/2011 42411997 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 263622 USA INC
DEPT. CH 19188
VISA PALATINE, IL 60055 -9188
AMERICAN
M V I
O
Invoice Number: 219684770 Please Remit to: K09
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 12/09/2011 USA INC
Page 2 of 2 R DEPT. CH 19188
Subject to E.O. 112478 and the regulations
KONICA MINOLTA PALATINE, IL 60055 -9188
of the Secretar of Labor on Affirmative For Billing Inquiries Call: 317 870 -7000
Action and Equal Opporturnity
CORPORATE DUNS No. 00-170 -7322 INVOICE
FEDERAL DUNS No. 62 -657 -8041
Bill To: Ship To:
CITY OF CARMEL CLERK TREASURER CITY OF CARMEL CLERK TREASURER
1 CIVIC SQ TREASURER JEAN BELCHER
OFC 1 CIVIC SQ TREASURER
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
Diana Cordray 42411997 08/17/2010 263622 /261654
Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments
NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
C451
AOOKOI0008945
11/29/2011 155,964
05/31/2011 134,177
Usage 21,787
Tot Usage 21,787
Allowance 18,000
Overage 3,787
0.01430
f
TOTAL NBR OF UNITS
TOTAL AMT 1,003.30
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.
I
Payee
Purchase Order No.
Terms NR
t y L Ul! Date Due
Invoice Invoice Description Amount
Date Number (or note attach pd invoice(s) or bill(s))
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
IN SUM OF
M
►l�
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
:20 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'
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund