176076 08/18/2009 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
t. ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO SECK AMOUNT: $326.34
?a CARMEL, INDIANA 46032 DEPT CH 19188
PALATINE IL 60055 -9188 CHECK NUMBER: 176076
CHECK DATE: 8118/2009
DEP ARTMENT AC PO NUMBER INVO NU MBER AMOUNT DESCRIPTION
902 4353004 212777005 326.34 COPIER
Invoice Number: 212777005 Please Remit To: 23
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 07/31/2009 USA INC
Page 1 of 1 DEPT. CH 19188
Subject to E.O. 112478 and the regulations
ItONICA 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 CITY OF CARMEL
X111 W MAIN ST 111 W MAIN ST
-STE 140 STE 140
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
AUTO RENEWAL 44346258 01/22/2009 830936 /750911
Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments
53.000 NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670952802 Per Copy Charge- Color 326.34
Copies Overage Charge
C450 311702472
07/21/2009 46,935
06/30/2009 44,047
Usage 2,888
Tot Usage 2,888
Allowance 0
Overage 2,888
0.11300
TOTAL NBR OF UNITS
TOTAL AMT 326.34
y PrAd by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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 C
lC d�'Jicq /�✓I y9 �iS�� Ps5 .7d�/rJrs y 5�: r✓
f Purchase Order No.
/9/� b'' Terms
�Gv 5= 9 /v�� Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
242 7;; bS �o %o✓ Co C' ,rs ,x.26 may
Total 3 y
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.
r
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
gl/Z 2/277�GZ'r5' y3 s30a Al 326.3 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
Qj 20 D
Signa re
Director of O trati
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund