213990 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO
CARMEL, INDIANA 46032 DEPT CH 19188ECK AMOUNT: $655.60
-;' PALATINE IL 60055-9188 CHECK NUMBER: 213990
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4353004 222542863 655 . 60 COPIER
Invoice Number: 222542863 AM
Please Remit To: 17
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 10/14/2012 ® 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 Affirmative For Billing Inquiries Call: 317-870-7000
Action and Equal Opportunity INVOICE
CORPORATE DUNS No. W170-7322 FEDERAL DUNS No. 62-657-8041
Bill To: Ship To:
CARMEL POLICE DEPT CARMEL POLICE DEPT
ATTN THERESA ANDERSON ATTN THERESA ANDERSON
3 CIVIC SQ 3 CIVIC SQ
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
27058 42439034 / 03/07/2011 149333 / 149333
Cartatts Tort Weight. Carrier Shipping Point Terms of Payment Comments
NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670882802 Quarterly Per Copy 487.30
Charge - Color Copies
Overage Charge
C451
AOOK0IOO11046
10/05/2012 55,962
07/11/2012 51,224
Usage 4,738
Tot Usage 4,738
Allowance 0
Overage 4,738 @
0.10285
7670771802 Quarterly Service/Supply 168.30
r...,v,.
- noc vv Copies Base
Charge
DETACH HERE AND RETURN WITH REMITTANCE
f
CUST. NO. INVOICE NO. AMOUNT
CARMEL POLICE DEPT 149333 / 149333 222542863 655.60
ATTN THERESA ANDERSON DATE ORDER REF. PAYMENT TERMS
3 CIVIC SQ
CARMEL IN 46032 10/14/2012 42439034 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 # 149333 USA INC
DEPT. CH 19188
PALATINE, IL 60055-9188
M 'SA
t
Invoice Number: 222542863 _ Please Remit To: 17
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 10/14/2012 ® USA INC
Page 2 of 2 DEPT. CH 19188
Subject to E.O.112478 and the regulations KON I CA 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 INVOICE
®
FEDERAL DUNS No. 62-657-8041
Bill To: Ship To:
CARMEL POLICE DEPT CARMEL POLICE DEPT
ATTN THERESA ANDERSON ATTN THERESA ANDERSON
3 CIVIC SQ 3 CIVIC SQ
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
27058 42439034 / 03/07/2011 149333 / 149333
Cartons Tot vei ht Carrier Shipping Point Terms of Pa ment Comments
NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
C451
AOOKOIOO11046
10/05/2012 199,225
07/11/2012 191,911
Usage 7,314
Tot Usage 7,314
Allowance 15,000
Overage 0 @
0.01122
TOTAL NBIR OF UNITS
TOTAL AMT I I 655.60
....... .......... .... ...... . ...... . ..... .. ..... ... .
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CARMEL POLICE DEPT 149333 / 149333 222542863 655.60
ATTN THERESA ANDERSON DATE ORDER REF. PAYMENT TERMS
3 CIVIC SQ
CARMEL IN 46032 10/14/2012 42439034 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 # 149333 USA INC
DEPT. CH 19188
PALATINE, IL 60055-9188
0-M � ISA VISA .' �
VOUCHER NO. WARRANT NO.
ALLOWED 20
Konica Minolta Business Solutions
IN SUM OF $
Dept. CH 19188
Palatine, IL 60055-9188
$655.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1110 I 222542863 I 43-530.04 I $655.60 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
Friday, October 19, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
10/14/12 222542863 quarterly payment $655.60
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