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Home My WebLink About214722 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1 ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO�g CARMEL, INDIANA 46032 DEPT CH 19188 CHECK AMOUNT: $5,108.03 PALATINE IL 60055-9188 o„�o CHECK NUMBER: 214722 CHECK DATE: 11120/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4351501 222138373 91 . 45 EQUIPMENT MAINT CONTR 1201 4351501 222447249 52 . 22 EQUIPMENT MAINT CONTR 1091 4353004 222571175 3 , 267 . 01 COPIER 1125 4353004 222571190 840 . 00 COPIER 1201 4351501 222747323 89 . 99 EQUIPMENT MAINT CONTR 1160 4353004 222819876 767 .36 COPIER Invoice Number: 222571190 Please Remit To: 17 KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 10/17/2012 USA INC Page 2 of 2 DEPT. CH 19188 Subject to E.O.112478 and the regulations <ONICA MINOLTA PALATINE, IL 60055-9188 oft he Secretary of Labor on Affirmative For Billing Inquiries Call:317-870-7000 Action and Equal rn0- INVOICE CORPORATE DUNS NS No.No. 00.170-7322 FEDERAL DUNS No. 62-657-8041 Bill To: Ship To: CARMEL CLAY PARKS AND RECREATION CARMEL CLAY PARKS AND RECREATION 1411 E 116TH ST 1411 E 116TH ST CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr I Date Account Nbr 7725582001 42464364 / 10/17/2011 818502 / 818502 Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments NET 30 DAYS Quantity Quantity Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount C552 AOP1011009876 10/15/2012 136,422 07/15/2012 108,641 Usage 27,781 G urcha e CppliF E-5 Tot Usage 27,781 Ccscrip ion A Allowance 39,000 P.O.# Overage 0 @ G L.# P or F 11, 5-1-� 0.00780 8 Idaet Oy- Li le-bes r con � Pl.rchasEl AV proval_ Date o —Date �- TOTAL NBR OF UNITS TOTAL AMT 840.00 Invoice Number: 222571190 Please Remit To: 17 KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 10/17/2012 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 Secretan 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. 62-657-8031 Bill To: Ship To: CARMEL CLAY PARKS AND RECREATI r`FT1,-TF'D CARMEL CLAY PARKS AND RECREATION 1411 E 116TH ST 1411 E 116TH ST CARMEL IN 46032 QCT 2 3 2012 CARMEL IN 46032 BY:- Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr 7725582001 42464364 / 10/17/2011 818502 / 818502 Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments NET 30 DAYS Quantity Quantity Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount 7670881802 Monthly Service/Supply 591.00 - Color Copies Base Charge C552 AOP1011009876 10/15/2012 52,035 07/15/2012 40,968 Usage 11,067 Tot Usage 11,067 Allowance 12,000 Overage 0 @ 0.05800 7670771802 Monthly Service/Supply 249.00 - B&W Copies Base Charge DETACH HERE AND RETURN WITH REMITTANCE CUST. NO. INVOICE NO. AMOUNT CARMEL CLAY PARKS AND RECREATION 818502 / 818502 222571190 840.00 1411 E 116TH ST DATE ORDER REF. PAYMENT TERMS CARMEL IN 46032 10/17/2012 42464364 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 # 818502 USA INC DEPT. CH 19188 ��gg PALATINE, IL 60055-9188 {ii6�9� yA AMERIGIN �` IS r EXPRE55 '/ 0 Invoice Number: 222571175 — Please Remit To: 17 KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 10/17/2012 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: CARMEL CLAY PARKS AND RECREATION CARMEL CLAY PARKS AND RECREATION 1411 E 116TH ST 1235 CENTRAL PARK DR E CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr DIRECTOR 42463823 / 10/14/2011 818502 / 254596 Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments NET 30 DAYS Quantity Quantity Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount Quarterly - B&W Copies Overage Charge C552 AOPIOII009747 10/15/2012 188,080 07/15/2012 137,495 Purchas C hlEl� C� Descripti n - Usage 50,585 P.O.# P or F Tot Usage 50,585 G.L.# ICS Allowance 36,000 Budget Overage 14,585 @ Line Des r Da e 0.00780 Purchas �r Approva Da e TOTAL NBR OF UNITS TOTAL AMT 3,267.01 Invoice Number: 222571175 _ Please Remit To: 17 KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 10/17/2012 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 Billin8 Inquiries Call: 317-870-7000 Action and Equal Opporturnitp CORPORATE DUNS No. 00-170-7322 INVOICE FEDERAL DUNS No. 62-657-8041 Bill To: Ship To: CARMEL CLAY PARKS AND RECREATIO CARMEL CLAY PARKS AND RECREATION 1411 E 116TH ST RF' C�+ TV -,D 1235 CENTRAL PARK DR E CARMEL IN 46032 OCT 23 2012 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr DIRECTOR 42463823 / 10/14/2011 818502 / 254596 Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments NET 30 DAYS Quantity Quantity Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount 7670881802 Quarterly - Color Copies 1,515.00 Base Charge Quarterly - Color Copies 1,383.25 Overage Charge C552 AOP1011009747 10/15/2012 181,896 07/15/2012 121,231 Usage 60,665 Tot Usage 60,665 Allowance 33,000 Overage 27,665 @ 0.05000 7670771802 Quarterly - B&W Copies 255.00 Base Charge DETACH HERE AND RETURN WITH REMITTANCE CUST. NO. INVOICE NO. AMOUNT CARMEL CLAY PARKS AND RECREATION 818502 / 254596 222571175 3,267.01 1411 E 116TH ST CARMEL IN 46032 DATE ORDER REF. PAYMENT TERMS 10/17/2012 42463823 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 # 818502 USA INC DEPT. CH 19188 PALATINE, IL 60055-9188 AWSA anneRacsanf oaFSess ° 0 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 357004 Konica Minolta Business Solutions USA Inc. Terms Dept. CH 19188 Date Due Palatine, IL 60055-9188 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 10/17/12 222571190 Copier charges 7/15 - 10/15/12 A.O. $ 840.00 10/17/12 222571175 Copier charges 7/15- 10/15/12 MCC East $ 3,267.01 Total $ 4,107.01 I 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 i Voucher No. Warrant No. 357004 Konica Minolta Business Solutions USA Inc. Allowed 20 Dept. CH 19188 Palatine, IL 60055-9188 In Sum of$ $ 4,107.01 ON ACCOUNT OF APPROPRIATION FOR 101 - General / 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 222571190 4353004 $ 840.00 I hereby certify that the attached invoice(s), or 1091 222571175 4353004 $ 3,267.01 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 15-Nov 2012 Signature $ 4,107.01 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I i I i Invoice Number: 222819876 Please Remit To: K09 KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 11/10/2012 ® 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 Opporturnily CORPORATE DUNS No. 00.170-7322 INVOICE FEDERAL DUNS No. 62-657-8041 Bill To: Ship To: CITY OF CARMEL CITY OF CARMEL SHARON KIBBE ATTN SHARON KIBBE 1 CIVIC SQ 1 CIVIC SQ CARMEL IN 46032 OFC MAYOR'S CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Or r Nbr Account Nbr S Engleking 42462697 / 10/04/2011 148154 / 124620 Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments NET 30 DAYS Quantity Quan-f"ity Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount 7670882802 Quarterly Color CPC 673.05 Copies Overage Charge C451 AOOKOI0003953 11/05/2012 69,877 07/31/2012 62,924 Usage 6,953 Tot Usage 6,953 Allowance 0 Overage 6,953 0.09680 7670771802 Quarterly - B&W Base 59.90 Charge Quarterly - B&W 34.41 Overage Charge Invoice Number: 222819876 Please Remit To: K09 KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 11/10/2012 ® 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. 00-170-7322 INVOICE FEDERAL DUNS No. 62-657-8041 Bill To: Ship To: CITY OF CARMEL CITY OF CARMEL SHARON KIBBE ATTN SHARON KIBBE 1 CIVIC SQ 1 CIVIC SQ CARMEL IN 46032 OFC MAYOR'S CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales r Nbr Date Account Nbr S Engleking 42462697 / 10/04/2011 148154 / 124620 Cartons Yot Weight Carrier Shipping Point Terms of Payment Comments NET 30 DAYS Quantity Quantity — Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount C451 AOOKO 1 0003953 11/05/2012 116,850 07/31/2012 109,765 Usage 7,085 Tot Usage 7,085 Allowance 4,500 Overage 2,585 @ 0.01331 TOTAL NB1R OF-UNITS- TOTAL AMT 767.36 ........... . ........ . .. ...... DETACH HERE AND RETURN WITH REMITTANCE CUST. NO. INVOICE NO. AMOUNT CITY OF CARMEL 148154 / 124620 222819876 767.36 SHARON KIBBE DATE ORDER REF. PAYMENT TERMS 1 CIVIC SQ CARMEL IN 46032 11/10/2012 42462697 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 # 148154 USA INC DEPT. CH 19188 PALATINE, IL-60055-9188 y M '� VOUCHER NO. WARRANT NO. ALLOWED 20 Konica Minolta Business Solutions USA Inc. IN SUM OF $ Dept. CH 19188 Palatine, IL 60055-9188 $767.36 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1160 222819876 43-530.04 $767.36 I 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 Fri ay, November 16, 2012 Mayor 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)) 11/10/12 222819876 $767.36 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 Invoice Number: 222138373 A Please Remit To: K09 KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 09/01/2012 ® USA INC Page 1 of 2 DEPT. CH 19188 Subject to E.O.112478 and the regulations KON ICA MINOLTA PALATINE, IL 60055-9188 oft he Secretary of Labor on Afrrmative 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: CITY OF CARMEL CITY OF CARMEL SHARON KIBBE SHARON KIBBE 1 CIVIC SQ 1 CIVIC SQ CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr Barbara Lamb 42397236 / 05/27/2010 148154 / 148154 Cartons Tot Weight Carrier Shipping Paint Terms of Payment Comments NET 30 DAYS Quantity Quantity Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Arnount 7670882802 Per Copy Charge - Color 39.23 Copies Overage Charge C353 A02EO10001347 08/27/2012 37,470 07/27/2012 36,957 Usage 513 Tot Usage 513 Allowance 0 Overage 513 @ 0.07647 7670772802 Per Copy Charge-B&W 52.22 Copies Overage Charge a Invoice Number: 222138373 Please Remit To: K09 KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 09/01/2012 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. 00.170.7322 INVOICE FEDERAL DUNS No. 62-657-8041 Bill To: Ship To: CITY OF CARMEL CITY OF CARMEL SHARON KIBBE SHARON KIBBE 1 CIVIC SQ 1 CIVIC SQ CARMEL IN'46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr / Date Account Nbr Barbara Lamb 42397236 / 05/27/2010 148154 / 148154 Cartons Tot Weight Carrier Shipping Point Terms of Payment Comments NET 30 DAYS Quantity Quantity Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount C353 A02EO10001347 08/27/2012 245,646 07/27/2012 241,053 Usage 4,593 Tot Usage 4,593 Allowance 0 Overage 4,593 @ 0.01137 NOV 19 2012 Y TOTAL NBR OF UNITS TOTAL AMT 91.45 ... .... ...... .. DETACH HERE AND RETURN WITH REMITTANCE CUST. NO. INVOICE NO. AMOUNT CITY OF CARMEL 148154 / 148154 222138373 91.45 SHARON KIBBE 1 CIVIC SQ DATE ORDER REF. PAYMENT TERMS CARMEL IN 46032 09/01/2012 42397236 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 # 148154 USA INC DEPT. CH 19188 ® PALATINE, IL 60055-9188 AMERICAN � EXPRESS sY'�� '' 0 Invoice Number: 222447249 Please Remit To: K09 ®----— KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 10/01/2012 USA INC Page 1 of 2 DEPT. CH 19188 Subject to E.O.112478 and the regulations I(ONICA 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: CITY OF CARMEL CITY OF CARMEL SHARON KIBBE SHARON KIBBE 1 CIVIC SQ 1 CIVIC SQ CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr Barbara Lamb 42397236 / 05/27/2010 148154 / 148154 Cartons Tot 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 Per Copy Charge - Color 28.91 Copies Overage Charge C353 A02EO 10001347 09/26/2012 37,848 08/27/2012 37,470 Usage 378 Tot Usage 378 Allowance 0 Overage 378 @ 0.07647 7670772802 Per Copy Charge-B&W 23.31 Copies Overage Charge ...... . ........ . . ...... . ..... .. ... .. .. .. Invoice Number: 222447249 Please Remit To: K09 KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 10/01/2012 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 Bil in,g Inquiries Call: 317-870-7000 Action and Equal Opporturnih• CORPORATE DUNS No. 00-170-7322 INVOICE ® FEDERAL DUNS No. 62-657-8041 Bill To: Ship To: CITY OF CARMEL CITY OF CARMEL SHARON KIBBE SHARON KIBBE 1 CIVIC SQ 1 CIVIC SQ CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr Barbara Lamb 42397236 / 05/27/2010 148154 / 148154 Cartons Tot Weight Carrier Shipping Point Terms of Payment — Comments - -- NET 30 DAYS Quantity Quantity Quantity Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount C353 A02EO 10001347 09/26/2012 247,696 08/27/2012 245,646 Usage 2,050 Tot Usage 2,050 Allowance 0 D Overage 2,050 @ D 0.01137 NOVI 9 2Q12 ! Y TOT AL NBR-OF-UNITS TOTAL AMT 52.22 DETACH HERE AND RETURN WITH REMITTANCE CUST. NO. INVOICE NO. AMOUNT CITY OF CARMEL 148154 / 148154 222447249 52.22 SHARON KIBBE DATE ORDER REF. PA N �E MS 1 CIVIC SQ CARMEL IN 46032 10/01/2012 42397236 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 # 148154 USA INC DEPT. CH 19188 q PALATINE, IL 60055-9188 ��RE55 S�J1 @ZT�1 0 Invoice Number: 222747323 Please Remit To: K09 KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 11/01/2012 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 Secretan'of Labor on Affirmative For Billing Inquiries Call: 317-870-7000 Action and Equal Opporturnity CORPORATE DUNS No. 00-170-7322 FEDERAL DUNS No. 62-657-8041 INVOICE Bill To: Ship To: CITY OF CARMEL CITY OF CARMEL SHARON KIBBE SHARON KIBBE 1 CIVIC SQ 1 CIVIC SQ CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr Barbara Lamb 42397236 / 05/27/2010 148154 / 148154 Cartons Tot 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 Per Copy Charge - Color 37.16 Copies Overage Charge C353 A02EO10001347 10/29/2012 38,334 09/26/2012 37,848 D Usage 486 Tot Usage 486 IVl 1 2��2 Allowance 0 Overage 486 @ By -------------- 0.07647 7670772802 Per Copy Charge-B&W C12.83 Copies Overage Charge Invoice Number: 222747323 _ Please Remit To: K09 ' KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 11/01/2012 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. 00-170-7322 INVOICE ® FEDERAL DUNS No. 62-657-8041 Bill To: Ship To: CITY OF CARMEL CITY OF CARMEL SHARON KIBBE SHARON KIBBE 1 CIVIC SQ 1 CIVIC SQ CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr Barbara Lamb 42397236 / 05/27/2010 148154 / 148154 — ---Cartons Tot Wei-ht Carrier Shipping Point -Terms of Payment- Comments -' NET 30 DAYS Quantity Quantity Quantity Ordered Backordered Material Nbr Description Shipped Unit Net Price Amount C353 A02EO10001347 10/29/2012 252,342 09/26/2012 247,696 Usage 4,646 Tot Usage 4,646 Allowance 0 Overage 4,646 Q 0.01137 __, 1,110V 19 Oil i By TOTAL NBR OF UNITS TOTAL AMT 89.99 . ......... . ... ... . ... .. ...... ..... . . ... ...... DETACH HERE AND RETURN WITH REMITTANCE CUST. NO. INVOICE NO. AMOUNT CITY OF CARMEL 148154 / 148154 222747323 89.99 SHARON KIBBE DATE ORDER REF. PAYMENT TERMS 1 CIVIC SQ 11/01/2012 42397236 NET 30 DAYS CARMEL IN 46032 SEND YOUR PAYMENT TO: You may also pay on line at www.MyKMBS.com KONICA MINOLTA BUSINESS SOLUTIONS using your Payer ID # 148154 USA INC DEPT. CH 19188 PALATINE, IL 60055-9188 otvaEa�acsus �tPRE55 i ca ft"Is go VOUCHER NO. WARRANT NO. ALLOWED 20 Konica Minolta Business Solutions USA Inc. IN SUM OF $ Dept. CH 19188 Palatine, IL 60055-9188 $233.66 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1201 222138373 43-515.01 $91.45 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1201 222447249 43-515.01 $52.22 materials or services itemized thereon for 1201 1 222747323 1 43-515.01 1 $89.99 which charge is made were ordered and received except Monday, November 19, 2012 Director, HR 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)) 09/01/12 222138373 $91.45 10/01/12 222447249 $5222 11/01/12 222747323 $89.99 I 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