205918 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO
CARMEL, INDIANA 46032 DEPT CH 19188ECK AMOUNT: $493.82
PALATINE IL 60055 -9188 CHECK NUMBER: 205918
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4353004 219984988 493.82 COPIER
Invoice Number: 219984988 Please Remit To: 17
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 01/14/2012 USA INC
Page 1 of 2 DEPT. CH 19188
Subject to E.O. 112478 and the regulations KON ICA 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
O
FEDERAL DUNS No. 62-657 -8041
Bill To: Ship To:
CARMEL POLICE DEPT CARMEL POLICE DEPT
ATTN THERESA ANDERSON ATTN THERESA ANDERSON
3 CIVIC SQ 3 CIVIC SQ
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Account Nbr
27058 42439034 03/07/2011 149333/ 149333
Cartons Tot`Wei ht I Carrier Shipping Point Terms of Payment I Comments
NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670882802 Quarterly Per Copy 325.52
Charge Color Copies
Overage Charge
C451
AOOKOI OO11046
01/06/2012 42,590
10/06/2011 39,425
Usage 3,165
Tot Usage 3,165
Allowance 0
Overage 3,165
0.10285
7670771802 Quarterly Service /Supply 168.30
L—L B&W Copies Base
Charge
Invoice Number: 219984988 Please Remit To: 17
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 01/14/2012 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 Secretary of Labor on Affirmative For Billing Inquiries Call: 317 870 -7000
Action and Equal Opporturnity
CORPORATE DUNS No. 00- 170 -7322
FEDERAL DUNS No. 62-657 -8041 INVOICE
Bill To: Ship To:
CARMEL POLICE DEPT CARMEL POLICE DEPT
ATTN THERESA ANDERSON ATTN THERESA ANDERSON
3 CIVIC SQ 3 CIVIC SQ
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr a Account Nbr
27058 42439034 03/07/2011 149333 /149333
Cartons I 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
AOOKOIOO11046
01/06/2012 172,996
10/06/2011 164,851
Usage 8,145
Tot Usage 8,145
Allowance 15,000
Overage 0
0.01122
TOTAL NBR OF UNITS
TOTAL AMT 493.82
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))
01/14/12 219984988 usage fees $493.82
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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Konica Minolta Business Solutions
IN SUM OF
Dept. CH 19188
Palatine, IL 60055 -9188
$493.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 I 219984988 43- 530.04 I $493.82 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
Thursday, January 26, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund