207937 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIONS
CARMEL, INDIANA 46032 DEPT CH 19188 CHECK AMOUNT: E582.00
PALATINE IL 50055 -9188
CHECK NUMBER: 207937
CHECK DATE: 4110/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4353004 57020721 291.00 COPIER
1091 4353004 57024223 291.00 COPIER
Please reutember !o reference. Iccount hedule #(c) Pertaining to your request(s).
Phone 800- 452-1623
Pax: 319 841 -6324
Correspondence On1r: PO BOX 3083
KONICA 117INOLTA BUSINESS SOLUTI CR1)ARR.4PmS /:1 52406 -3083
P. BOROH 15261 -2333 Billing ID Number 90136136234
Invoice Number 57020721
9103 1 MEI 0.404 Invoice Dale 03/25/2012
9103
a1 05/09/2012
BWNHXFZ Doe Dore:
0901 3613 6234 8 291
CARMEL CLAY PARKS RECREATION !!;i�1 Current Items Due.
E 116TH ST i
CARMEL IN 46032 -3455 Total.-1 mount Due: 291.00
Jill....dhll Ih II rlrhhPl uq.wP I o
Our Federal Tax Id 941686094
INVOICE FOR CURRENT ITEMS DUE
Accmuu S'chednle Due Date Purchase Order Number Line Item AcctlSched
A'untber Equipment Description Amount Total
7725582-001 MEY.OLTT-COP: EIt—
SE,T,L IAjl .upivllcx
05/05;201? P:al h'R'P /IRS ?F!li �t]T DUE -91.00
OUMl' Sl]1 ULB 7725582 -001 1C)TAL 291.00
Purchase Y, rte CL i1(��
Description �ER LO MnI A� rl`�
P.O.# PorF
G.L.# tA 5- i- oa- 4 crx► o
eu•d�et C�{ MAR 2 N 1012
Lire Uescr
Purchaser Date
Approval Date BY
Please include your Billing ID number on all correspondence.
All correspondence should be sent to the correspondence only address, which is indicated on the front of this invoice.
Payments: Please detach the remit to portion of this invoice and mail your payment(s) to our payment processing center using the
return envelope provider. Please smut only the remir to portion with your payment retain the top portion of the invoice for your
records.
Sales, Use, Rental Tax "Pax): The sales, use, or rental tax rate is determined by the location of the leased equipment, when
applicable. Equipment location changes are subject to approval. Prior to the equipment being moved, the lessor is to be notified. Call
the Customer Service number on Ilse front of this invoice for instructions for reporting an equipment location change. If you are sales
lax exempt, fax a completed, signed exemption certificate, including your account schedule number, to the tax number on the front of
the invoice or mail a copy to the correspondence only address on the front of the invoice, Attention: Sales Tax Exemption
Personal Property Taxes: Personal Properly "Pax is assessed on leased equipment as required by the local taxing jurisdiction. If
the lessor is required to report and pay the tax bill, the lessee will be billed for reimbursement as agreed to in the lease agreement.
This may be invoiced separately and/or included in this invoice. If the Lessee paid property taxes directly to the taxing jurisdiction in
error, please contact thejurisdiction for instructions to tile for a refund and pay the amount on your invoice from the lessor.
Taxes are determined by the location of the leased equipment, when applicable. Equipment location changes are subject to approval.
Prior to the equipment tieing moved, the lessor is to be notified. Call the Customer Service number on the front of this invoice for
instructions for reporting an equipment location change.
Purchase Order Number(s): For your convenience we can display your purchase order number on your invoice. However, the
contract terms and conditions are not modified in any way by your purchase order. If you need your purchase order number to appear
on the invoice or if you need to update your purchase order information, fax a copy of the purchase order including your account
schedule number(s). the purchase order effective and expiration dates to the fax number on the front of the invoice or mail n copy to
file correspondence only address referenced on the front of this invoice.
Late Charges: To avoid late charges. all payments must be received by the due date. Late charges will be added to your invoice
eonsislent with the terms and conditions of your contract..
Insurance: Your contract requires you to provide and maintain insurance coverage against all risks of loss for your equipment, and
provide proof of coverage infornation_ Please be scot we are named as LOSS PAYEE and Additional Insured and yotm account
schedule number appears on the certificae and fax a copy to the fax number on the front of the invoice or mail a copy to the
correspondence only address.
Name Changes: Fax a copy of the amendment that was filed with the secretary of state, including your account schedule number. to
the fax number on the from of the invoice or mail a copy to the correspondence only address. Changes are subject to fees.
Acceptable Forms of Paynnenl: We will accept payments in the form of company checks, (or personal checks in tine case of sole
proprietorships), direct debit, or wires only. Cash and cash equivalents are not acceptable forms of payment and such forms of
payment may delay processing or be returned. Furthermore, only you or your authorized agent as approved may remit payments on
these accounts.
Disputed PayinentS: Without prejudice to any of our rights and remedies under your contract, all written communication
concerning disputed amounts, including any check or other payment instrument that (a) indicates that the written payment constitutes
"payment in full" or is tendered as lull satisfaction of a disputed amount or (b) is tendered with other conditions or limitation must be
mailed or delivered to us at file correspondence on1v address and not to the payment address.
I'lease retnenlher to reference account .Schedule #(s) pertaining to) our request(s).
Phone 800452 -1623
Fax: 319 841 -63 24
Correspondence Ono: PO BOX 3083
KONICA MINOLTA BUSINESS SOLUTI CEDAR It-WIDS 1:1 52406 -3083
P. o SBURGH PA 15266 -2333 Billing ID Number 90136136232
Im oice Number 57024223
9102 1 MB 0.404 Invoice Dale 03 /25/2012
9102
41 05/09/2012
BWNHXFZ Due Dine:
0901 3613 6232 0
CARMEL CLAY PARKS RECREATION T� Current Items Do 1 9100
c:
1411 E 116TH ST
CARMEL IN 46032 -3455 Taal: Imouut Due: 291.00
it. 111111111.111. Jill 1.III 111 1.111111 1 6 1
Our Federal Tax Id 941686094
INVOICE FOR CURRENT ITENI.S DUE
Account Schedule Due Date Purchase Order Number Line Item AcctlSched
Nunrher Equipment Description Amount To t a l
7725582 -002
0007 '.FONTCA.bII flOLTA COPIER
SERI,! 1JU-PER AOP1011005747
05/05/2012 PA1PILI]T/ItSTALIIiENT DUE 254.00
ACCOUNT SCHEDULE 7725582 -002 1VTAL 291.00
Purchase
P.O. PorF
G.L.4 1 r)qi 3 w
5 3 L r O W MAR 2 9 2012 D
B3 d'et t
Line Decc, —QL-
0 R�
Purchaser Daie1
Approval Date
Please include your Billing ID number on all correspondence.
All correspondence should be sent to the correspondence only address, which is indicated on the front of this invoice.
Payments: Please detach the rennir to portion of this invoice and mail your paymenl(s) to our payment processing center using the
return envelope provided. Please send only the remit to portion with your payment retain the lop portion of the invoice for your
records.
Sales, Use. Rental Tax (Tax): The sales. use, or rental lax rate is determined by the location of the leased equipment, when
applicable. Equipment location changes are subject to approval. Prior to the equipment being moved, the lessor is to be notified. Call
the Customer Service number on the front of this invoice for instructions for reporting an equipment location change. If you are sales
lax exempt, fax a completer], signed exemption certificate, including your account schedule number, to die fax number on the front of
the invoice or mail a copy to the correspondence only address on the front of the invoice, Attention: Sales Tax Exemption
Personal Properly Taxes: Personal Property Tax is assessed on leased equipment as required by the local taxing jurisdiction. If
the lessor is required to report and pay the tae bill, the lessee will be billed for reimbursement as agreed to in the lease agreement.
This may be invoiced separately and/or included in this invoice. If the Lessee paid property taxes directly to the taxing jurisdiction in
error, please contact the jurisdiction for instructions to file for a refund and pay the amount on your invoice from the lessor.
Taxes are determined by the location of the leased equipment, when applicable. Equipment location changes are subject to approval.
Prior to the equipment being moved, the lessor is to be notified. Call the Customer Service number on the front of this invoice for
instructions for reporting an equipment location change.
Purchase Order Nuntber(s): For your convenience we can display your purchase order number on your invoice. However, the
contract terns and conditions are not modilied in any way by your purclimc order. It you need your purchase orrtler number to appear
on the invoice or if you need to update your purchase order information, fax a copy of the purchase order including your account
schedule number(s), the purchase order effective mid expiation dates to the fax number on the front of tune invoice or mail a copy to
the corre=sponde=nce only addreis referenced on the front of this invoice.
Late Charges: To avoid late charges, all payments must be received by the due date. Late charges will be added to your invoice
consistent with the terms and conditions of your contract.
Insurance: Your contract requires you to provide and maintain insurance coverage against all risks of loss for your equipment, and
provide proof of coverage inRxntation. please be sure we are named as LOSS PAYEE and Additional Insured and your accoon
schedule number appears on the certificate and fax a copy to the fax number on the front of the invoice or mail a copy to the
correspondence only address.
Name Changes: Fax a copy of the amendment that was filed with the secretary of state, including your account schedule number, to
the fax number on the front of the invoice or mail a copy to the correspondence only address. Changes are subject to Pecs.
Acceptable Forms Of Paytttelll: We will accept payments in the form of company checks, (or personal checks in the case of sole
proprietorships), direct dchit, or wires only. Cash anti cash equivalents are not acceptable I'orns of payment and such forms of
payment stay delay processing or be returned. Furthermore, only you or your authorized agent as approved may remit payments on
these accounts.
Disputed Payments: Without prejudice to any of our rights and remedies under your contract, all written communication
concerning disputed amounts, including any check or other payment instrument that (a) indicates that the written payment constitutes
payntent in lull" or is tendered as full satisfaction of a disputed amount or (b) is tendered with other conditions or limitation must be
mailed or delivered to us at the correspondence onhv address and not to the payment. address.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
357004 Konica Minolta Business Solutions Terms
Dept. CH 19188 Date Due
Palatine, IL 60055 -9188
Invoice E570220721 Description
Date (or note attached invoice(s) or bill(s)) PO Amount
3125/12 Copier Lease Ma '12 AO 291.00
3125112 Copier Lease Ma '12 MCC 291.00
Total 582.00
1 hereby certify that the attached Invoice(s), or bi11(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
,20_
Clerk- Treasurer
i
Voucher No. Warrant No.
357004 Konica Minolta Business Solutions Allowed 20
Dept. CH 19188
Palatine, IL 60055 -9188
In Sum of
582.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 1 109 Monon Center
PO# or Board Members
Dept
INVOICENO. ACCT #/TITLE AMOUNT
1125 57020721 4353004 291.00 1 hereby certify that the attached invoice(s), or
1091 57024223 4353004 291.00 bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
5 -Apr 2012
Signature
582.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund