176826 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 00352270 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO CHECK AMOUNT: $977.00
CARMEL, INDIANA 46032 21146 NETWORK PLACE
CHICAGO IL 60673 -1211 CHECK NUMBER: 176826
CHECK DATE: 912/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1160 4353004 15012766 977.00 061- 0010055 -000
KONICA MINOLTA BUSINESS SOL
ATTN: CUSTOMER SERVICE c/3 j 3U °j` PAGE 1 of 1
P.O. BOX 550599 /r INVOICE NO:. 15012766
JACKSONVILLE, FL 32255 -0599 T
INVOICE DATE 08/18/2009
View your account online at CONTRACT NO. 061- 0010055 000
DUE DATE 09/0712009
,Qr%s www.QDSontheweb.com
Scrvicc Mndc Siinnin C)line
Contract Number Description of charge(s) Amount Due Sales Tax Total Due
Asset Description
061 -0010055 -000 PAYMENT DUE 09/07/09 977.00 0.00
KONICA MINOLTA COPIER 977.00
INVOICE TOTAL 977.00 0.00 977.00
INQUIRIES
www.QDSonlheweticom
'For Customer Service inquiries, please call 1 -888 204 -0799
For Insurance inquiries please, call ABIG.at 88&873 =1917 ac
Notice of Bankruptcy filing shQultl be m to ailed One Deerwood 10201 Centurion Pkwy N, Suite 100, Jksonville FL 32256
a ,s
IMPORTANT, INFORMATION
d
r
y
all
E i 9 f MQ
✓.iwr F ..-tea
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER
City Form No. 201 (Rev. 1995)
8/31/09 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 Sol Purchase Order No.
21146 Network Place Terms
Chicago IL 60673 -1211 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/18/0) 15012766 Quarterly lease payment for Mayor's copier $977.00
Total $977.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk Treasurer
VOUCHER NO. WARRANT NO.
8/31/09
ALLOWED 20
Konica Minolta Business Solutions IN SUM OF
21146 Network Place
Chicago IL 60673 -1211
977.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4353004
Copier
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
15012766 4353004 $977:00 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
200
Signat e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund