208771 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00352270 Page 1 of 1
0 ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO _C}iECK AMOUNT: $977.00
CARMEL, INDIANA 46032 21146 NETWORK PLACE
CHICAGO IL 60673 -1211 CHECK NUMBER: 208771
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4353004 21294704 977.00 061 0010055 -000
KONICA MINOLTA BUSINESS SOL PAGE 1 of 1
ATTN: CUSTOMER SERVICE
P.O. BOX 550599 INVOICE NO. 21294704
JACKSONVILLE, FL 32255 -0599
INVOICE DATE 04/23/2012
View your account online at
CONTRACT NO. 061 0010055 -000
www.QDSontheeb.com DATE 06/07/2012
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Contract Number Description of charge(s) Amount Due Sales Tax Total Due
Asset Description
061 0010055 -000 PAYMENT DUE 06/07/12 977.00 0.00
KONICA MINOLTA COPIER 977.00
PO /Ref C451
INVOICE TOTAL 977.00 0.010 977.00
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INQUIRIES;
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�For£ustomer Service inquiries, pieasecalla- 877 -45 1 -1731
For Insurance inquiries please call ABIG at 888 -873- 1917
Notice of Bankruptcy filing should be mailed to One Deerwood 10201 Centurion Pkwy N;..Sude 100, "Jacksonville FL32256
IMPORTANT- INFORMATION
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Keep upper portion for vour records
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))
04/23/12 21294704 $977.00
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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Konica Minolta Business Solutions
IN SUM OF
21146 Network Place
Chicago, IL 60673 -1211
$977.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1160 21294704 43- 530.04 $977.00 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
Monday, May 07, 2012
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund