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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 �� 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 gnnERlrsw �PRE55 VISA .f O 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