169041 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 205575 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOTLA BUSINESS SOLUTIONS ECK AMOUNT: $529.21
CARMEL, INDIANA 46032
CH
CHECK NUMBER: 169041
W W3. CHECK DATE: 2/17/2009
DEPARTMEN ACCOUNT PO NUMBER INVOICE N AMOUN DE SCRIPTION
1201 R4351501 18234 211660099 X493.00 SERVICE AGREEMENT
1201 R4351501 18234 211741946 36.21 SERVICE AGREEMENT
I
�Invoige Number: 211741946 Please Remit To: 23
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 01/31/2009 USA INC
Page 1 of 1 DEPT. CH 19188
Subject to E.O. 112478 and the regulations
ONICA MINOLTA PALATINE, IL 60055 -9188
of the Secretary of Labor on Affirmative For Billing Inquiries Call: 317 870 -7000
Action and Equal Opporturnity I
CORPORATE DUNS No. 00-170-7322 INVOI
0
FEDERAL DUNS No. 62- 657 -8041 fl
Bill To: Ship To:
CITY OF CARMEL 0 6 6J r l CITY OF CARMEL
1'11 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 Shipping Point Terms of Payment Comments
161.000 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670932802 Per Copy Charge -B &W 36.21
Copies Overage Charge
C353
A02EO 10001347
01/30/2009 91,244
12/30/2008 88,276
Usage 2,968
Tot Usage 2,968
Allowance 0
Overage 2,968
0.01220
TOTAL NBR OF UNITS
TOTAL AMT 36.21
Invoice Number: 211660099 Please Remit to: 23
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 01/23/2009 USA INC
Page 1 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 Arrirmalive For Billing Inquiries Call: 317 -870 -7000
Action and Equal Opporlurnity
CORPORATE DUNS No. 00-170 -7322 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 Shipping Point Terms of Payment Comments
161.000 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670959802 Sery /Supl Contract CF 1 EA 493.00
Color Clicks
FROM: 01/01/2009
TO: 12/31/2009
VOLUME: 6000 Upfront
(One Time) Billing
COLOR BILLED
ANNUAL 1 YR OR
6000 COPIES
WHICHEVER COMES
FIRST
C353/A02E010001347
Anvoice Number: 211660099 Please Remit To: 23
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 01/23/2009 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 -732 I N VOIC E
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 Shipping Point Terms of Payment Comments
161.000 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
ALL BLK /WHITE
COPIES BILLED
.0122
THANK YOU
TOTAL NBR OF UNITS
TOTAL AMT 493.00
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CITY OF CARMEL 148154 /148154 211660099 493.00
1 CIVIC SQ
CARMEL IN 46032 DATE ORDER REF. PAYMENT TERMS
01/23/2009 44346286 NET 30 DAYS
SEND YOUR PAYMENT TO:
You may also pay on line at www.MyKMBS KONICA MINOLTA BUSINESS SOLUTIONS
using your Payer 11D 148154 USA INC
DEPT. CH 19188
PALATINE, IL 60055 -9188
I�MEFtICNV VISA
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
Konica Minolta Business Solutions Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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 NQ, 610 _�WARRANT NO.
ALLOWED 20
Konica Minolta Busines Solutions
IN SUM OF
13847 Collections Center Drive
e alicay, it 60693
$529.21
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1201 Human Resources
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
DEPT.
bill(s) is (are) true and correct and that the
partial 2117419 46 51 r;-n A materials or services itemized thereon for
18234 which charge is made were ordered and
a is 211660 515 01 $493.00 received except
20
ign ture
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund