214721 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 354781 Page 1 of 1
s` 01 �i ONE CIVIC SQUARE KONICA MINOLTA CHECK AMOUNT: $2,759.46
v ra CARMEL, INDIANA 46032 8910 PURDUE RD-STE 150
INDIANAPOLIS IN 46268 CHECK NUMBER: 214721
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351501 41405101 2 , 759 .46 EQUIPMENT MAINT CONTR
KONICA MINOLTA BUSINESS
Amhk SOLUTIONS U.S.A INC
8910 PURDUE ROAD
STE 150
I�ONICA MINOLTA INDIANAPOLIS IN 46268
*Place your service calls, meter reads
and order supplies on line with Myl(MBS.com.
Ask your Sales or Service representative for more details.*
CARMEL FIRE DEPT CITY OF MAINTENANCE AGREEMENT
CARMEL
ATTN DENISE SNYDER Number/Date : 41405101 / 10/19/2012
2 CARMEL CIVIC SQ Reference number/Date
CARMEL IN 46032 Commencement Meter
M/A Meter Expiration
Sales Location : S INDIANAPOLIS
Ship-to address Partner number : 149242
CAI:M•EL FTP:E DE-FT OAT-Y-OF- ---------------- -- — - - -- - - —- ----- - - - - ---- - -
CARMEL validity period : 01/04/2013 to 01/03/2014
ATTN JEAN JUNKER Volume: 60,000
2 CARMEL CIVIC SQ
CARMEL IN 46032
Item aterla escriptlon
Qty Price Price unit Value
Serial no.: 31001669 4396311 **DI7210 DIGITAL PRINTER/COPIER
313357 4002311 **DI550 COPIER
000001 7670999202 Service Supply Contract - Digital
1 EA 2,759.46 USD 2,759.46
NOTE: ONE COPY IS COUNTED FOR EACH 8.5 X 11 INCH IMAGE
Under the items of this'program, customers purchasing this agreement
will be entitled to labor, transportation costs, all replacement parts,
black starter, staples, imaging units as required, and black toner
based on 6% toner usage ratio and number of copies purchased, excluding
paper. Customer may renew agreement when the copies purchased are used
within the agreement period. Customer also may need to purchase
additional toner based on customers application.
Items total 2,759.46
Tax Total 0.00
FINAL AMOUNT 2,759.46
When this Agreement is signed by the Customer and the Branch Service Manager, it shall constitute a Binding Agreement.
PLEASE READ REVERSE SIDE OF AGREEMENT FOR ADDITIONAL TERMS AND CONDITIONS.
MBS, a KONICA MINOLTA BUSINESS SOLUTIONS U.S.A., INC. company
by by
Customer Signature Date KIVIBS Service Rep Date
by
Title KMBS Service Manager Date
This AGREEMENT MUST BE RETURNED ALONG WITH PAYMENT to the Service Location listed above. Please be sure to enter the
COMMENCEMENT METER READING and add STATE and LOCAL TAXES to payment. AUTHORIZED SIGNATURE is required to process this
Agreement.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Konica Minolta
IN SUM OF $
+3B-49-eaiie-Ctlons en er nve
ChiGagta I-L-60693—�I AeI:S /111 91(11-�W
$2,759.46
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE I AMOUNT Board Members
1120 I 41405101 I 43-515.01 I $2,759.46 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
NeY I
j,,
—
&�r
Fire Chief
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))
41405101 $2,759.46
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
120
Clerk-Treasurer