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211835 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00352270 Page 1 of 1 ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOSECK AMOUNT: $977.00 CARMEL, INDIANA 46032 21146 NETWORK PLACE CHICAGO IL 60673-1211 CHECK NUMBER: 211835 CHECK DATE: 8/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4353004 21791402 977 . 00 COPIER KONICA MINOLTA BUSINESS SOL PAGE 1 of 1 ATTN: CUSTOMER SERVICE P.O. BOX 550599 INVOICE NO. 21791402 KONICA MINOLTA JACKSONVILLE,FL 32255-0599 INVOICE DATE 07/24/2012 View your account online at CONTRACT NO. 061-0010055-000 DUE DATE 09/07/2012 Q Do www.QDSontheweb.com MW Service Made Simple Onhne Contract Number Description of charge(s) Amount Due Sales Tax Total Due Asset Description 061-0010055-000 PAYMENT DUE 09/07/12 977.00 0.00 KONICA MINOLTA COPIER 977.00 PO/Ref#C451 INVOICE TOTAL 977.00 0.0c 977.00 INQUIRIES' For Customer Service inquiries,please call 1-877151-1731 For Insurance inquiries please call ABIG at 888-873-1917 Note'Your lease is near the end"of its initial term.Please refer to,youc.lease terms 8 conditions for your end of lease notification obligations. -' "" ,,T• Notice of Bankniptcy filing stiould be mailed to One Deennrood,X10201 Centurion Pkwy N,,Suite 100,Jacksonville,FL 32256 r,- IMPORTANT INFORMATION Keep upper portion for your records VOUCHER NO. WARRANT NO. y Prescribed b State Board of Accounts City Form Konica Minolta Business Solutions ALLOWED 20 IN SUM OF $ CITY OF CARMEL i 21146 Network Place An invoice or bill to be properly itemized must show: kind of service,where performed, dates service re Chicago, IL 60673-1211 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. $977.00 Payee Purchase Order No. ON ACCOUNT OF APPROPRIATION FOR Terms Mayor's Office Date Due _ Invoice Invoice Description PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT _ Board Members Date Number (or note attached invoice(s) or bill(s)) I hereby certify that the attached invoice(s), or 07/24/12 21791402 1160 21791402 43-530.04 $977.00_ bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and i received except Wednesday, August 08, 2012 Mayor Title 7 Cost distribution ledger classification if L�V� I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in claim paid motor vehicle highway fund with IC 5-11-10-1.6 20 I Clerk-Treasurer o.241(Rev.1995) dered,by mount $977.00 r+ ;cordance