180470 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO _CHECK AMOUNT: $141.11
CARMEL, INDIANA 46032 DEPT CH 19188
PALATINE IL 60055 -9188 CHECK NUMBER: 180470
CHECK DATE: 12/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE N A MOUNT D ESCRIPTION
X 1201 4351501 213459226 141.11 EQUIPMENT MAINT CONTR
1
Invoice Number: 213459226 Please Remit To: RMS
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 11/30/2009 USA INC
Page 1 of 1 DEPT. CH 19188
to E.O. 112478 and the regulations
KONICA MINOLTA PALATINE, IL 60055 -9188
�f <.,,oubject
of the Secretary of Labor on Affirmative For Billing Inquiries Call: 317 -870 -7000
Action and Equal Opporlurnity
CORPORATE DUNS No. 00.170.7322 I NVOIC E
FEDERAL DUNS No. 62 -657 -8041
Bill To: Ship To:
CITY OF CARMEL 1 5 CITY OF CARMEL
1 CIVIC SQ 1 CIVIC SQ
CARMEL IN 46032 12 i CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
SHELLY LINGELBAUGH 44356137 06/12/2009 148154 /148154
Cartons Tot Weig r• Sh
..arroer Sh i pping fn Poiitt Terms of Payment I Comments
NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670932802 Per Copy Charge -B &W 141.11
Copies Overage Charge
C353
A02E010001347
11/23/2009 144,859 p Li_ r
10 133,293
L
Usage 11,566 D 4 2009
Tot Usage 11,566
Allowance 0
Overage 11,566 p
0.01220
T 0 AL NoR OiF UNITS
TOTAL AMT 141.11
?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
,a hom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Konica Minolta
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/30/09 213459226 Copier Charges $141.11
Total $141.11
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 N01 2/14/09 WARRANT NO.
ALLOWED 20
Konica Minolta
IN SUM OF
Dept. Ch 1918
Palatin IL 60055
$141.11
ON ACCOUNT OF APPROPRIATION FOR
General Fund
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
213459226 515 -01 $141.11 materials or services itemized thereon for
which charge is made were ordered and
received except
20
ignatu
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund