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Home My WebLink About216443 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 366094 Page 1 of 1 ` ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOSECK AMOUNT: $539.83 CARMEL, INDIANA 46032 PO BOX 642333 PITTSBURGH PA 15264-2333 CHECK NUMBER: 216443 CHECK DATE: 1/15/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1801 4353004 58226901 539 . 83 90136094394 Please renteinber to reference.-account Schedule#(s)pertaining to your request(s). Phone#: 800452-1623 Fax: 319-841-6324 Correspondence Only:PO BOA 3083 CEDAR R4PIDS L4 52406-3083 KONICA MINOLTA PREMIER FINANCE P.O.BOX 642333 Billing ID Number 90136094394 PITTSBURGH PA 15264-2333 Visit MyAccounts At.,WWW.CONNECTTOMYACCOUNTS.COM Invoice Number 58226901 11213 1 MB 0.404 Invoice Date 01/06/2013 11213 #BWNHXFZ 49 Dare Date: 02/13/2013 #0901 3609 4394 5# CITY OF CARMEL REDEVELOPMENT Ra 30 W MAIN ST Current Items Dare: 539.83 STE 220 CARMEL IN 46032-1938 Total Amount Date: 539.83 II'IIIIIIIII I'III'I'IIIII"IIII'Il"I"III'II'I'I'1'II'II'I"III KMPN P 000 Our Federal Tax Id# 911686094 INVOICE FOR CURRENT ITEMS DUE Account Schedule Due Date Purchase Order Number Line Item Acct/Sched Number Equipment Description Amount Total 7715414-001 KONICA MINOLTA COPIER MODEL: BIZHUB C452 — SERIAL: A.0FN11010435 ALLOWANCE: 5,000 539.83 02/13/2013 MINIMUM CHARGES DUE 539.83 --------------------------------------------------------------------------------------- 1-10DEL: BIZHUB C452 SERIAL: AOP2011010435 CURRENT METER READING NOT PROVIDED! ACCOUNT SCHEDULE 7715414-001 TOTAL 539.83 I ' Please include your Billing ID number on all correspondence. All correspondence should be sent to the correspondence only address,which is indicated on the front of this invoice. Payments: Please detach the remit to portion of this invoice and mail your payment(s) to our payment processing center using the return envelope provided. Please send only the remit to portion with your payment - retain the top portion of the invoice for your records. Sales, Use, Rental Tax (Tax): The sales, use, or rental tax rate is determined by the location of the leased equipment, when applicable. Equipment location changes are subject to approval. Prior to the equipment being moved, the lessor is to be notified. Call the Customer Service number on the front of this invoice for instructions for reporting an equipment location change. If you are sales tax exempt, fax a completed,signed exemption certificate, including your account schedule number,to the fax number on the front of the invoice or mail a copy to the correspondence only address on the front of the invoice,Attention: Sales Tax Exemption. Personal Property Taxes: Personal Property Tax is assessed on leased equipment as required by the local taxing jurisdiction. If the lessor is required to report and pay the tax bill, the lessee will be billed for reimbursement as agreed to in the lease agreement. This may be invoiced separately and/or included in this invoice. If the Lessee paid property taxes directly to the taxing jurisdiction in error,please contact the jurisdiction for instructions to file for a refund and pay the amount on your invoice from the lessor. Taxes are determined by the location of the leased equipment, when applicable. Equipment location changes are subject to approval. Prior to the equipment being moved, the lessor is to be notified. Call the Customer Service number on the front of this invoice for instructions for reporting an equipment location change. Purchase Order Ntu-ntber(s): For your convenience we can display your purchase order number on your invoice. However, the contract terms and conditions are not modified in any way by your purchase order. If you need your purchase order number to appear on the invoice or if you need to update your purchase order information, fax a copy of the purchase order including your account schedule number(s),the purchase order effective and expiration dates to the fax number on the front of the invoice or mail a copy to the correspondence only address referenced on the front of this invoice. Late Charges: To avoid late charges, all payments must be received by the due date. Late charges will be added to your invoice consistent with the terms and conditions of your contract. Insurance: Your contract requires you to provide and maintain insurance coverage against all risks of loss for your equipment, and provide proof of coverage information. Please be sure we are named as LOSS PAYEE and Additional Insured and your account schedule number appears on the certificate and fax a copy to the fax number on the front of the invoice or mail a copy to the correspondence only address. Name Changes: Fax a copy of the amendment that was filed with the secretary of state, including your account schedule number,to the fax number on the front of the invoice or mail a copy to the correspondence only address. Changes are subject to fees. Acceptable Forms of Payment: We will accept payments in the form of company checks, (or personal checks in the case of sole proprietorships), direct debit, or wires only. Cash and cash equivalents are not acceptable forms of payment and such forms of payment may delay processing or be returned. Furthermore, only you or your authorized agent as approved may remit payments on these accounts. Disputed Payments: Without prejudice to any of our rights and remedies under your contract, all written communication concerning disputed amounts, including any check or other payment instrument that (a) indicates that the written payment`constitutes "payment in full" or is tendered as frill satisfaction of a disputed amount or (b) is tendered with other conditions or limitation must be mailed or delivered to us at the correspondence only address and not to the payment address. Prescribed by State Board of Accounts City Forth 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 PI'tKI et Purchase Order No. P. O. BOX 6`42-33] Terms PI I7f�u �'9 PA I S26'� 33� Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) I-6-13 58220901 dal lei -S3°l g� Total 53�,g3 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Koni�e. MII1pIIQ Premier �i r~�n�� IN SUM OF $ "P O• X01( �'�2333 °�tts Lur g& . PA 1,520-15D $ 531.83 ON ACCOUNT OF APPROPRIATION FOR 953 W qo I a p of l3 -2 C / Board Members DEPT INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), 582?-O 43530 539,83 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 203 Signature Executive Director Title Cost distribution ledger classification if Carmel Redevelopment Commission claim paid motor vehicle highway fund