214350 11/07/2012 �.f CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
s�` ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO_CHECK AMOUNT $676.08
;o CARMEL, INDIANA 46032 DEPT CH 19188
PALATINE IL 60055-9188 CHECK NUMBER: 214350
CHECK DATE. 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 222512647 676 08 OTHER EXPENSES
Invoice Number- 222512647 ® Please Remit To K09
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date 10/09/2012 ® 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 Opporturnity
CORPORATE DUNS No. 00-170-7322 INVOICE
O
FEDERAL DUNS No. 62-657-8041
Bill To Ship To
CITY OF CARMEL CITY OF CARMEL WATER DISTRIBUTION
SHARON KIBBE 3450 W 131ST ST
1 CIVIC SQ CARMEL IN 46074
CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr I Date Account Nbr
42419865 / 10/06/2010 148154 / 295718
Carious Tof'vvei hi Carrier Shipping Point berms OT i•a ment Comments
NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670881802 Quarterly Service/Supply 320 65
- Color Copies Base
Charge
Quarterly Service/Supply 216 74
- Color Copies Overage
Charge
C550
AOOJOI0002479
10/01/2012 111,011
07/09/2012 105,988
Usage 5,023
Tot Usage 5,023
Allowance 3,000
_ Overage 2 023 Cc�
Invoice Number- 222512647 Please Remit To KO
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date 10/09/2012 ® 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. 00-170-732 INVOICE
FEDERAL DUNS No. 62-657-8041
Bill To Ship To
CITY OF CARMEL CITY OF CARMEL WATER DISTRIBUTION
SHARON KIBBE 3450 W 131ST ST
1 CIVIC SQ CARMEL IN 46074
CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
42419865 / 10/06/2010 148154 / 295718
Odltons t Tot wei iii Carrier 1 Shipping Point Terms of Payment Comments
NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
0 10714
7670772802 Quarterly Per Copy 138 69
Charge-B&W Copies
Overage Charge
C550
A00JO10002479
10/01/2012 230,364
07/09/2012 220,436
Usage 9,928
Tot Usage 9,928
Allowance 0
Overage 9,928 @
0 01397
- TOTAL NBR OF UNITS
LLTOTAL AMT 676 08
DETACH HERE AND RETURN WITH REMITTANCE
CUST NO INVOICE NO AMOUNT
CITY OF CARMEL 148154 / 295718 222512647 676 08
SHARON KIBBE DATE ORDER REF PAYMENT TERMS
1 CIVIC SQ 10/09/2012 42419865 NET 30 DAYS
CARMEL IN 46032
SEND YOUR PAYMENT TO
You may also pay on line at www MyKMBS com KONICA MINOLTA BUSINESS SOLUTIONS
UsA INC
using your Payer ID # 148154 DEPT CH 19188
PALATINE, IL 60055-9188
FAMEMON
1;1ESS
"S' �`� -:�=Y-+P%,� _ ._hi-. .a -,vat t" ."a�.,,a�.".,yu�„�Rr '�`-�-•` v =r _
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354781
KONICA MINOLTA BUSINESS SOLUTIONS Purchase Order No
DEPT CH19188 Terms
PALATINE, IL 60055-9188 Due Date 10/29/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/29/201; 222512647 $67608
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
C,
Date Officer
VOUCHER # 122558 WARRANT # ALLOWED
354781 IN SUM OF $
KONICA MINOLTA BUSINESS SOLUTI(
DEPT CH 19188
PALATINE, IL 60055-9188
i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
222512647 01-6360-06 $676.08
Ii
I
Voucher Total $67608
Cost distribution ledger classification if
claim paid under vehicle highway fund