174397 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO CHECK AMOUNT: $330.89
CARMEL, INDIANA 46032 DEPT CH 19188
PALATINE IL 60055 -9188
CHECK NUMBER: 174397
CHECK DATE: 7/8/2009
DEPARTMENT ACC OUNT PO N UMBE R I NUMBE AMOUNT DESCRIPTION
1110 4353004 212548405 82.05 COPIER
1110 4353004 212548406 248.84 COPIER
Invoice Number: 212548405 s Please Remit To: 23
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 06/19/2009 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 or Labor on Affirmative For Billing Inquiries Call: 317 -870 -7000
Action and r0- INVOICE
CORPORATE E DUNS No. Yo. 0 00- 170 -7322
FEDERAL DUNS No. 62 -657 -8041
Bill To: Ship To:
CARMEL POLICE DEPT CARMEL POLICE DEPT
ATTN THERESA ANDERSON ATTN THERESA ANDERSON
YCIVIC SQ 3 CIVIC SQ
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
Teresa Anderson 42176699 04/24/2006 149333 /149333
Cartons I Tot Weight Carrier Shipping Point Terms of Payment Comments
160.000 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670991202 Monthly Service /Supply 66.50
Digital Base Charge
Monthly Service /Supply 15.55
Digital Overage Charge
BIZ350 30AE07239
06/09/2009 171,550
05/12/2009 171,176
Usage 374
BIZ350 30AE07284
06/09/2009 299.960
05/12/2009 294,138
Usage 5,822
Tot Usage 6,196
Allowance 5,000
r Invoice Number: 212548405 AMh�
Please Remit To: 23
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 06/19/2009 USA INC
Page 2 of 2 DEPT. CH 19188
Subject to E.O. 112478 and the regulations KON ICA MINOLTA PALATINE, IL 60055 -9188
of the Secretary of Labor on Affirmative For Billing Inquiries Call: 317 870 -7000
Action and Equal Opporturnily
CORPORATE DUNS No. 00- 170 -732 I NVO I C E
FEDERAL DUNS No. 62 -657 -8041
Bill To: Ship To:
CARMEL POLICE DEPT CARMEL POLICE DEPT
ATTN THERESA ANDERSON ATTN THERESA ANDERSON
3 CIVIC SQ 3 CIVIC SQ
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
Teresa Anderson 42176699 04/24/2006 149333 /149333
Cartons I Tot Weight Carrier Shipping Point Terms of Payment Comments
160.000 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
Overage 1,196
0.01300
TOTAL NBR OF UNITS
TOTAL AMT 82.05
Invoice Number: 212548406 Please Remit To: 23
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 06/19/2009 USA INC
Page 1 of 2 DEPT. CH 19188
Subject to E.O. 112478 and the regulations
KONICA MINOLTA PALATINE, IL 60055 -9188
or 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:
CARMEL POLICE DEPT CARMEL POLICE DEPT
ATTN THERESA ANDERSON ATTN THERESA ANDERSON
3 SQ 3 CIVIC SQ
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
Teresa Anderson 42176700/ 04/24/2006 149333/ 149333
Cartons Tot Weight Carrier Shipping Point Terms of Pa ment Comments
160.000 NET 30 DAPS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670992802 Cost Per Copy Charge 115.84
CF Overage Charge
C450 31101851
06/09/2009 44,757
05/12/2009 43,886
Usage 871
Tot Usage 871
Allowance 0
Overage 871
0.13300
7670771802 Monthly Service /Supply 133.00
B &W Copies Base
Charge
i Invoice Number: 212548406 Please Remit to: 23
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 06/19/2009 USA INC
Page 2 of 2 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
CORPORATE DUNS No. 00 -170 -7322 INVOICE
FEDERAL DUNS No. 62- 657 -8041
Bill To: Ship To:
CARMEL POLICE DEPT CARMEL POLICE DEPT
ATTN THERESA ANDERSON ATTN THERESA ANDERSON
3 SQ 3 CIVIC SQ
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr I Date Account Nbr
Teresa Anderson 42176700 04/24/2006 149333 /149333
Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments
160.000 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
C450 31101851
06/09/2009 359,902
05/12/2009 351,972
Usage 7,930
Tot Usage 7,930
Allowance 10,000
Overage 0
0.01300
TOTAL NBR OF UNITS x
TOTAL AMT 248.84
r.
Presc� bed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995)
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.
Dept. CH 19188 Terms
Palatine, IL 60055 -9188 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/19/09 212548405 payment for usage fees 82.05
6/19/09 212548406 p aym for usage fees 2IR 3 248.84
Total 330.89
1 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
V%JCHER NO. WARRANT NO.
ALLOWED 20
K onica Minolta Business Solutions IN SUM OF
Dept. CH 19188
Palatine, IL 60055 -9188
330.89
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 212548406 530 -04 248.84 bill(s) is (are) true and correct and that the
1110 212548405 530 -04 82.05 materials or services itemized thereon for
which charge is made were ordered and
received except
June 29 2009
Signature
CHief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund