HomeMy WebLinkAbout218122 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
` ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIOSECK AMOUNT: $115.77
CARMEL, INDIANA 46032 DEPT CH 19188
PALATINE IL 60055-9188 CHECK NUMBER: 218122
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4351501 223907287 115 . 77 EQUIPMENT MAINT CONTR
Invoice Number: 223907287 Alk
Please Remit To: K09
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KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 03/01/2013 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 NS No. r00- INVOICE
CORPORATE DUNS No. 00.170-7322
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
02/25/2013 269,793
01/28/2013 267,863
Usage 1,930
Tot Usage 1,930
Allowance 0
Overage 1,930 @
0.01137
TOTAL NGR OF UNITS
TOTAL AMT 115.77
. ... ...... .... .......
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CITY OF CARMEL 148154 / 148154 223907287 115.77
SHARON KIBBE DATE ORDER REF. PAYMENT TERMS
1 CIVIC SQ
CARMEL IN 46032 03/01/2013 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
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Konica Minolta Business Solutions USA Inc.
IN SUM OF $
Dept. CH 19188
Palatine, IL 60055-9188
'i
$115.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1201 I 223907287 I 43-515.01 I $115.77 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
Monday, March 11, 2013
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))
03/01/13 223907287 $115.77
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