170954 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 205575 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOTLA BUSINESS SOLUTIO _C}1ECK AMOUNT: $41.36
ss ,a CARMEL, INDIANA 46032 PO BOX 7247 -0322
?y.. L o y PHILADELPHIA PA 19170 -0322 CHECK NUMBER: 170954
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4351501 18234 212062038 41.36 SERVICE AGREEMENT
3
a
i
Invoice Number: 212062038 Please Remit to: 23
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 03/31/2009 USA INC
Page 1 of 1 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 Opporturnitc
CORPORATE DUNS No. 00- 170.7322 FEDERAL INVOICE
FEDERAL DUNS No. 62- 657 -8041
Bill To: Ship To:
CITY OF CARMEL CITY OF CARMEL
1 CIVIC SQ 1 CIVIC SQ
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
AUTO RENEWAL 44346286 01/22/2009 148154/ 148154
Cartons Tot Weight Carrier hipping Point Terms of Payment Comments
55:000 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670932802 Per Copy Charge -B &W 41.36
Copies Overage Charge
C353
A02EO10001347
03/31/2009 101,838
02/27/2009 98,448
Usage 3,390
Tot Usage 3,390
Allowance 0
Overage 3,390
0.01220
TOTAL NBR OF UNITS
TOTAL AMT 41.36
oed 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
Konica Minolta Business Solutions Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Milli MCI 0
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.
04T1 -3�0
ALLOWED 20
Konica Minolta Bu siness Solution
IN SUM OF
13847 Collections Center Drive
Chicago, IL 60693
$41.36
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1201 Human Resources
Board Members
PO# or D PT. L2120620 NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
partia 36 materials or services itemized thereon for
which charge is made were ordered and
received except
20
t
ig ture
��YI Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund