173116 05/28/2009 CITY OF CARMEL, INDIANA VENDOR: 00352270 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO _CHECK AMOUNT: $628.00
CARMEL, INDIANA 46032 21146 NETWORK PLACE
Ea CHICAGO IL 60673 -1211 CHECK NUMBER: 173116
c1 CHECK DATE: 5/28/2009
D EPARTMENT ACCO PO N INVOIC NUMBE AM DESCRIPTION
902 4353004 14199073 628.00 930 0014964 -000
KONICA MINOLTA BUSINESS SOL PAGE 1 of 1
ATTN: CUSTOMER SERVICE
P.O. BOX 550599 INVOICE -'NO. 14199073
JACKSONVILLE, FL 32255 -0599
INVOICE DATE 04/30/2009
View your account online at CONTRACT NO 930- 0014964 -000
Qualittl Digital Solutio DUE`DATE 05/25/2009
Where your answers are a click away. WWW.QDSontbeweb.com
Contract Number Description of charge(s) Amount Due Sales Tax Total Due
Asset Description
930 0014964 -000 PREVIOUSLY BILLED 41 A2 0.00
S/N 65LE01005 PAYMENT DUE 05/25/09 26 8.00 0.00
KONICA MINOLTA C500
CARMEUIN
PO /Ref
KON- MIN500
OLD CNTR# 2432672
930- 0014964 -000 SUBTOTAL 669.02 0.00 669.02
INVOICE TOTAL 669.02 0.00 669.02
I
INQUIRIES�
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For Customer SerJice plOse call 1 -888- 204 -0799
Notice'of Barikrupicy filing should be mailed to 6ne DeerAmd, 10201 -Centuri6n Pkwy Nl Suite 100,', Jacksonville, FL 32256
Keen canner nnrtinn fnr vniir racnrris
L 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
G2
10LI, 4 7 Pi a 10 So I-kl i 0 r' S Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 9 0
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. R
IT
20
Clerk- Treasurer
,�iOUCHER NO. WARRANT NO.
ALLOWED 20
kd«�co. /lino �c� J& Sot_ IN SUM OF
w or 6 cc, gp, �L
6n 673 -iztt
ON ACCOUNT OF APPROPRIATION FOR
�0a
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
9U i 9 0 1 6 73 35, 6 ;g,UU 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
A 0 6
Direct S or g o *8rations
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund