169983 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO
CARMEL, INDIANA 46032 DEPT CH 19188ECK AMOUNT: $252.10
PALATINE IL 60055 -9188 CHECK NUMBER: 169983
CHECK DATE: 311812009
DEPARTMENT ACCOUNT PO NUMBE I NVOICE N UMBER AMOUN DESCRIPTION
1701 4353004 211961825 43.18 COPIER
1047 4353004 .34213542 208.92 COPIER
Invoice Number: 34213542 Please Remit To: 23
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 02/09/2009 USA INC
Page 1 of 1 DEPT. CH 19188
Subject to E.O. 112478 and the regulations KON ICA MINOLTA PALATINE, IL 60055 -9188
of the Secretan of Labor on Affirmative For Billing Inquiries Call: 317 870 -7000
Action and Equal Opporturnity
CORPORATE DUNS No. 00- 170 -7322 I
FEDERAL DUNS No. 62- 657 -8041
Bill To: Ship To:
CARMEL CLAY PARKS AND RECREATION CARMEL CLAY PARKS AND RECREATION
ATTN MONON CTR 1427 E 116TH ST
1235 CENTRAL PARK DR E R CARMEL IN 46032
CARMEL IN 46032 FEB 1 8 2009
Account Nbr PurchaseL rder Service Order Nbr /Notif Nbr Serial Nbr
254596 /751182 1 47074227/ 9447391 SN 31801395
Service Date Equipment Serviced Equipment Number Terms of Payment
02/04/2009 DI201OF PRINTER /COPIER /FAX FG 1460001 NET 30 DAYS
Quantity Unit Material Nbr Description Net Price Amount
1 EA 7670900002 Service Labor Charge Digital 160.00 135.00
1 EA 9313110033 FAN MOTOR 45.72 45.72
SUBTOTAL 180.72
Trip Charge 25.00
TAX 3.20
P rchase I
criptiot
PO. PorF
B AQet e
U e Descr
P rchaser Date,Liz/09
proval Date
AMOUNT DUE 208.92
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
357004 Konica Minolta Business Solutions USA Inc. Terms
Dept. CH 19188
Palatine, IL 60055 -9188
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/9/09 34213542 Copier repairs parts 208.92
Total 208.92
1 hereby certify that the attached invoice(s), or bills) 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.
357004 Konica Minolta Business Solutions USA Inc. Allowed 20
Dept. CH 19188
Palatine, IL 60055-9188..
In Sum of
r a„.
208.92
ON ACCOUNT OF APPROPRIATION FOR
104 Program fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 34213542 4353004 208.92 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
12 -Mar 2009
Signature
208.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
^:.voice Number: 211961825 Please Remit To: 23
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 03/09/2009 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 Opporturnity
CORPORATE DUNS No. 00 -170 -7322 INVOICE
FEDERAL DUNS No. 62- 657 -8041
Bill To: Ship To:
CITY OF CARMEL CLERK TREASURER CITY OF CARMEL CLERK TREASURER
1 CIVIC SQ TREASURER 1 CIVIC SQ TREASURER
OFC OFC
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
008 3038068 -000 44324680 /06/19/2008 263622 /263622
Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments
55.000 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670952802 Per Copy Charge- Color 43.18
Copies Overage Charge
C451
A00KO 10008945
03/09/2009 7,128
02/11/2009 6,620
Usage 508
Tot Usage 508
Allowance 0
Overage 5080
0.08500
TOTAL NBR OF UNITS
TOTAL AMT 43.18
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
w 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
Z�CL (fin r V Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3,(9
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.
i
ALLOWED 20
��.A. C A r��S IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. r I hereby certify that the attached invoice(s), or
a�l�bl K ��JD� C 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
20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund