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Home My WebLink About214721 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