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215083 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1 ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOI&ECK AMOUNT: $364.56 CARMEL, INDIANA 46032 DEPT CH 19188 o� PALATINE IL 60055-9188 CHECK NUMBER: 215083 CHECK DATE: 12/412012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4353004 222679686 364 . 56 COPIER Invoice Number: 222679686 — Please Remit to: 17 ® KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 10/31/2012 USA INC Page 2 of 2 DEPT. CH 19188 Subject to E.O.112478 and the regulations KONICA MINOLTA PALATINE, IL 60055-9188 or 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. 62-657-8041 Bill To: Ship To: CARMEL CLAY PARKS AND RECREATION CARMEL CLAY PARKS AND RECREATION 1411 E 116TH ST 1195 CENTRAL PARK DR W CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr Director 42477397 / 02/08/2012 818502 / 1163688 Cartons-- i of Weight Carrier Shipping Point Terms of Payment Comments NET 30 DAYS Quantity Quantity Quantity Ordered Backordered Material Nbr Description Shipped Unit Net Price Amount C550 AOOJ010007453 10/31/2012 571,714 07/31/2012 559,098 OV 0 9 2012 Usage 12,616 Tot Usage 12,616 Allowance 15,000 Overage 0 @ Pur hase 0.01200 Des ription CO NER 713!. !p/Si/l2 GG WEST P.O # P or G.L.# 1t)4/- X135300 Bud et LOPIM Lin escr Pur haser ate - 5/L App oval Date TOTAL NIB1; OF UNITS TOTAL AMT 364.56 Invoice NurnVer: 222679686 Please Remit To: 17 e� ® KONICA MINOLTA BUSINESS SOLUTIONS Invoice Date: 10/31/2012 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 Affirma[ire For Billing Inquiries Call: 317-870-7000 Action and Equal NS No. r00- INVOICE CORPORATE DUNS 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 1195 CENTRAL PARK DR W CARMEL IN 46032 CARMEL IN 46032 Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr Director 42477397 / 02/08/2012 818502 / 1163688 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 Quarterly -all Color 154.56 Copies Overage Charge C550 AOOJOI0007453 10/31/2012 154,560 07/31/2012 153,272 Usage 1,288 Tot Usage 1,288 Allowance 0 Overage 1,288 @ 0.12000 7670771802 Quarterly- B&W Copies 210.00 ✓ 15k Base Charge ..... ...... ........ ... .......... ... ..... .... ............................ .... DETACH HERE AND RETURN WITH REMITTANCE CUST. NO. INVOICE NO. AMOUNT CARMEL CLAY PARKS AND RECREATION 818502 / 1163688 222679686 364.56 1411 E 116TH ST CARMEL IN 46032 DATE ORDER REF. PAYMENT TERMS 10/31/2012 42477397 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 0Y'�➢H IS PALATINE, IL 60055-9188 AMERIC{W VISA OGRESS O^ 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 10131112 222679686 Copier charges 7/31 - 10/31/12 MCC West $ 364.56 'Total $ 364.56 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 i Voucher No. Warrant No. 357004 Konica Minolta Business Solutions USA Inc. Allowed 20 Dept. CH 19188 Palatine, IL 60055-9188 In Sum of$ $ 364.56 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 222679686 4353004 $ 364.56 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 29-Nov 2012 Signature $ 364.56 _ Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund