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206729 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1 ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOSECK AMOUNT: $347.93 CARMEL, INDIANA 46032 DEPT CH 19188 PALATINE IL 60055 -9188 CHECK NUMBER: 206729 CHECK DATE: 2/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4353004 220227074 347.93 COPIER Invoice Number: 220227074 Please Remit To: K09 KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 02/10/2012 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 of Labor on Affirmative For Billing Inquiries Call: 317- 870 -70M 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 SHARON KIBBE ATTN SHARON KIBBE I CIVIC SQ 1 CIVIC SQ CARMEL IN 46032 OFC MAYOR'S CARMEL IN 46032 Purchase Order Nbr Deliver Nbr Sales Order N Date Account Nbr S Engleking 42462697 10/04/2011 148154 /124620 Cartons Tot Weight Carrier Shipping Poirit Terms of Payment Comments 30 DAYS Quantity Quantity Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount 7670882802 Quarterly Color CPC 293.48 Copies Overage Charge C451 AOOKOI0003953 01/31/2012 51,574 10/31/2011 48,239 Usage 3,335 Tot Usage 3,335 Allowance 0 Overage 3,335 0.08800 7670771802 Quarterly B &W Base 54.45 Charge Invoice Number: 220227074 Please Remit To: K09 KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 02/10/2012 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 Opporturnity CORPORATE DUNS No. 00-170-7322 INVOICE FEDERAL DUNS No. 62- 657 -8041 Bill To: Ship To: CITY OF CARMEL CITY OF CARMEL SHARON KIBBE ATTN SHARON KIBBE 1 CIVIC SQ 1 CIVIC SQ CARMEL IN 46032 OFC MAYOR'S CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr I Date Account Nbr S Engleking 42462697 10/04/2011 1481541 124620 Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments NET.30 DAYS Quantity Quantity Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount C451 AOOKOI 0003953 01/31/2012 94,377 10/31/2011 91,671 Usage 2,706 Tot Usage 2,706 Allowance 4,500 Overage 0 0.0121.0 TOTAL NBR OF UNITS TOTAL AMT 347.93 VOUCHER NO. WARRANT N ALLOWED 20 Konica Minolta Business Solutions USA Inc. IN SUM OF Dept. CH 19188 Palatine, IL 60055 -9188 $347.93 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members 1160 220227074 43- 530.04 $347.93 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 Friday February 24, 2012 Mayor Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/10/12 220227074 $347.93 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 2Q Clerk- Treasurer