HomeMy WebLinkAbout207293 03/14/2012 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO _CHECK AMOUNT: $277.55
CARMEL, INDIANA 46032 DEPT CH 19188
PALATINE IL 60055 -9188 CHECK NUMBER: 207293
CHECK DATE: 3114/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4350100 35651872 277.55 BUILDING REPAIRS MA
Invoice Number: 35651.872 Please Remit To: K09
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 02/29/2012 USA INC
Page 1 of 1 DEPT. CH 19188
Subject to E.O. 112478 and the regulations
ICONICA MINOLTA PALATINE, IL 60055 -9188
or the Secretary or Labor on Affirmative For Billing Inquiries Call: 317- 870 -7000
Action and Equal Opporturnity
CORPORATE DUNS No. W-170 -7322 INVOICE
FEDERAL DUNS No. 62- 657 -8041
Bill To: Ship To:
CITY OF CARMEL CITY OF CARMEL CLERK TREASURER
SHARON KIBBE JEAN BELCHER
1 CIVIC SQ 1 CIVIC SQ TREASURER
CARMEL IN 46032 CARMEL IN 46032
Account Nbr Purchase Order Nbr Service Order Nbr /Notif Nbr Serial Nbr
148154/ 261654 02011 51461140/ 14253720 SN 3138862
Service Date Equipment Serviced Equipment Numb Terms of Payment
02/07/2012 *D1250 (WITH IMAGING UNIT) 136736 NET 30 DAYS
Quantity Unit Material Nbr Description Net Price Amount
1.250 H 7670900010 Service Labor Charge Obsolete 250.00 225.00
1 EA 9335181.012 SOLID STATE SWITCH 27.55 27.55
SUBTOTAL 252.55
Trip Charge 25.00
AMOUNT DUE 277.55
Prescribed 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.
1 rM Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
I hereby certify that the attached involce(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.
ALLOWED 20
IN SUM OF
ti�ig8
ON ACCOUNT OF APPROPRIATION FOR
077 5Z) 1
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund