205917 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOSECK AMOUNT: $444.22
CARMEL, INDIANA 46032 PO BOX 642333
.a» PITTSBURGH PA 15264 -2333 CHECK NUMBER: 205917
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 219948176 444.22 COPIER
Invoice Number: 219948176 Alk
Please Remit To: K09
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 01/09/2012 USA INC
Page 1 of 2 DEPT. CH 19188
Subject to G.O. 112478 and the regulations
KONICA MINOLTA PALATINE, IL 60055 -9188
of the Secretary 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 -5041
Bill To: Ship To:
CITY OF CARMEL CITY OF CARMEL WATER DISTRIBUTION
SHARON KIBBE 3450 W 131ST ST
1 CIVIC SQ CARMEL IN 46074
CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
42419865/10/06/2010 148154/295718
Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments
f.r NET 30 DAYS
Quantity Quantity Quantity
Ordered Backordered Material Nbr Description Shipped Unit Net Price Amount
7670881802 Quarterly Service /Supply 320.65
Color Copies Base
Charge
Quarterly Service /Supply 1.29
Color Copies Overage
Charge
C550
AOOJOI0002479
01/06/2012 97,167
09/30/2011 94,155
Usage 3,012
Tot Usage 3,012
Allowance 3,000
Overage 12 g
Invoice Number: 219948176 Please Remit To: KO
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 01/09/2012 USA INC
Page 2 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 Opporturnitv
CORPORATE DUNS No. 00-170 -732 INVOICE
FEDERAL DUNS No. 62- 657 -8041
Bill To: Ship To:
CITY OF CARMEL CITY OF CARMEL WATER DISTRIBUTION
SHARON KIBBE 3450 W 131ST ST
1 CIVIC SQ CARMEL IN 46074
CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
42419865/10/06/2010 148154/295718
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
0.10714
7670772802 Quarterly Per Copy 122.28
Charge -B &W Copies
Overage Charge
C550
AOOJOI0002479
01/06/2012 194,556
09/30/2011 185,803
Usage 8,753
Tot Usage 8,753
Allowance 0
Overage. 8,753
0.01397
TOTAL NBR OF UNITS
TOTAL AMT 444.22
I.
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CITY OF CARMEL 148154/ 295718 219948176 444.22
SHARON KIBBE
1 CIVIC SQ DATE ORDER REF. PAYMENT TERMS
CARMEL IN 46032 01/09/2012 42419865 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 148154 USA INC
DEPT. CH 19188
)f PALATINE. IL 60055 -9188
AM ERRESS A
EXPRESS x•
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/09/12 219948176 $444.22
1 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
1 20
Clerk- Treasurer
VOUCHER N O. WARRANT NO.
ALLOWED 20
Konica Minolta Business Solutions USA Inc.
IN SUM OF
Dept. CH 19188
Palatine, IL 60055 -9188
$444.22
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1160 219948176 43- 530.04 $444.22 1 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
Friday, January 27, 2012
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund