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209595 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1 ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO�g CARMEL, INDIANA 46032 DEPT CH 19188 CHECK AMOUNT: $698.16 PALATINE IL 60055 -9188 CHECK NUMBER: 209595 CHECK DATE: 6/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4353004 35761424 698.16 COPIER Invoice Number: 35761424 Please Remit To: 17 KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 05/17/2012 USA INC Page 2 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 -7000 Action and Equal Opporturnity CORPORATE DUNS No. 00.170.7322 FEDERAL IN VO I CE FEDERAL DUNS No. 62- 657 -8041 Bill To: Ship To: CARMEL CLAY PARKS AND RECREATION CARMEL CLAY PARKS AND RECREATION 1411 E 116TH ST 1195 CENTRAL PARK DR W CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr Paula Schlemmer 70479561 05/17/2012 818502 /1163688 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 01/31/2012 541,232 10/31/2011 530,874 Usage 10,360 Allowance 15,000 Overage 0 0.01200 T� �r TG' t r r-t; t rl l Purchase MAY 2 1 2012 Descriptio P.O. P or F BY: G.L. Budoet Line Desc Purchaser Date Approval Date Invoice Number: 35761424 AM Please Remit To: 17 KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 05/17/2012 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 Affir native For Billing Inquiries Call: 317 -870 -7000 Action and Equal urni INVOICE CORPORATE DUNS NS No. No. 00- 170 -7322 FEDERAL DUNS No. 62 -657 -8041 Bill To: Ship To: CARMEL CLAY PARKS AND RECREATION CARMEL CLAY PARKS AND RECREATION 1411 E 116TH ST 1195 CENTRAL PARK DR W CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr Paula Schlemmer 70479561 05/17/2012 818502 1163688 Cartons Tot Weight Carrier I Shipping Point Terms of Payment Comments NET 30 DAYS Quantity F Quantity Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount 7670882802 Quarterly -all Color 1 EA_ 488.16 488.16 Copies Base Charge C550 AOOJOI0007453 01/31/2012 152,621 10/31/2011 147,053 Usage 5,568 Copy Credit 1,500 Billable 4,068 .12 *1 time Color Credit approved by Service 7670771802 Quarterly- B &W Copies 1 EA 210.00 210.00 15k Base Charge DETACH HERE AND RETURN WITH REMITTANCE CUST. NO. INVOICE NO. AMOUNT CARMEL CLAY PARKS AND RECREATION 818502 /1163688 35761424 698.16 1411 E 116TH ST DATE ORDER REF. PAYMENT TERMS CARMEL IN 46032 05/17/2012 70479561 NET 30 DAYS SEND YOUR PAYMENT TO: You may also pay on line at www.MyKMBS.com KONICA MINOLTA BUSINESS SOLUTIONS using your Payer ID 818502 USA INC DEPT. CH 19188 p PALATINE, IL 60055 -9188 'VI LIMERICAN SA EXPRESS 9@ ft, 0 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 USA Inc. Terms Dept. CH 19188 Date Due Palentine, IL 60055 -9188 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 5/17/12 35761424 Copier lease 10/31/11 1/31/12 MCC West 698.16 Total 698.16 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. 357004 Konica Minolta Business Solutions USA Inc. Allowed 20 Dept. CH 19188 Palentine, IL 60055 -9188 In Sum of 698.16 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1091 35761424 4353004 698.16 1 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 31 -May 2011 h'�,j2�� {'Yl yY1.PJ�iJ Signature 698.16 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund