174975 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 00352270 Pag 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO�g
CARMEL, INDIANA 46032 21146 NETWORK PLACE CHECK AMOUNT: $628.00
CHICAGO IL 60673 -1211 CHECK NUMBER: 174975
CHECK DATE: 7/22/2009
D EPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER J AMOUNT DESCRIPTION
1192 4353004 14652405 628.00 930 0014964 -000
i
KONICA MINOLTA BUSINESS SOL PAGE 1 of 1
ATTN: CUSTOMER SERVICE
P.O. BOX 550599 INVOICE NO. 14652405
JACKSONVILLE, FL 32255 -0599
INVOICE DATE 06/30/2009
View your account online at CONTRACT `NO:,, 930- 0014964 -000
QU� DUE DATE 07/25/2009
www.QDSontheweb.com
Service madC Simile ON—
Contract Number Description of charge(s) Amount Due Sales Tax Total Due
Asset Description
930- 0014964 -000 PREVIOUSLY BILLED 669.02 0.00
S/N 65LE01005 PAYMENT DUE 07/25/09 628.00 0.00
KONICA MINOLTA C500
CARMEL /IN
PO /Ref
KON- MIN500
OLD CNTR# 2432672
936 0014964 -000 SUBTOTAL 1,297.02 0.00 1,297.02
INVOICE TOTAL 1.297.02 0.00 1,297.02
r 2 A IVED
7 2009 CS
INQUIRIES,f' p
www Wsontheweb com 4 0
For Customer Sery ice mgwnes please call 1-888 204 -0799
Nonce of Banlwptcy filing should be mailed to One Deennrood 10201 Centunon Pkv✓y N, Sude 100 :Jacksonville FL 32256
31` RA
IMPORTANT INFORMATION
Youceccount is delinquent irwre than 1 days If you ve ha not already done so please remit" y our payment onlinevsing vaw.v odsonthewe6 tom ,A late fee penalty maybe assessed on your acGOUnt
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reed udder oortfori "tot vour "records
Prescribed by State Board of Accounts City Form No. 201 (Rev!' 1995)
ACCOUNTS PAYABLE VOUCHER
i
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/30/09 14652405 Copier rental 3rd floor $628.00
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
VOI.ICHER NO. WARRANT NO.
ALLOWED 20
Konica Minolta Business Solutions
Customer Service IN SUM OF
P.O. Box 550599
Jacksonville, FL 32255 -0599
$628.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 14652405 43- 530.04 $628.00 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, July 20, 2009
t
ector, S
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund