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218123 03/13/2013 - CITY OF CARMEL, INDIANA VENDOR: 366094 Page 1 of 1 ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO'AECK AMOUNT: $582.00 ' CARMEL, INDIANA 46032 PO BOX 642333 PITTSBURGH PA 15264-2333 CHECK NUMBER: 218123 CHECK DATE: 3/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4353004 58457983 291 . 00 COPIER 1091 4353004 58464188 291 . 00 COPIER Please remember to reference Account Schedule#(s)pertaining to pour request(s). Phone#: 800-452-1623 Fax: 319-841-6324 Correspondence Only:PO BOX 3083 CEDAR RAPIDS IA 52406-3083 KONICA MINOLTA BUSINESS SOLUTI P.O.BOX 642333 Billing ID Number 90136136232 PITTSBURGH PA 15264-2333 Visit MyAccounts At.WWW.CONNECTTOMYACCOUNTS.COM Invoice Number 58464188 19562 1 MB 0.405 Invoice Date 02/24/2013 19562 138 Due Dale: 04/09/2013 #BWNHXFZ #0901 3613 6232 0# Current Items Due: 291.00 CARMEL CLAY PARKS&RECREATION 1411 Ell 6TH ST CARMEL IN 46032-3455 Total Amount Due: 291.00 ��I��I�I��IIIII��I�I�IIIIIII��IIIIIII�'I'I��I'll��l�ll��lll' KMPBCH Our Federal Tax Id# 941686094 INVOICE FOR CURRENT ITEMS D UE Account Schedule Due Date Purchase Order Number Line Item Acct/Sched Number Equipment Description Amount Total 7725582-002 0001 KONICA MINOLTA COPIER - — - - - - —"SERIAL NUMBER - AOP1011009747`--" - -- 04/09/2013 PAYMENT/INSTALLMENT DUE 291.00 ACCOUNT SCHEDULE 7725582-002 TOTAL 2291.00 ! MAR 0 4 '4.1413 I Purchase CDPI k' LE11SE (3 BY: D:;._cription I�1Si APR `.O.# PorF 1- 435 3 nLl- r'„diet Line Descr l Puw chaser Date [approval Date 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 Iessor 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 Number(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 full 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. Please remember to reference Account Schedule#(s)pertaining to your request(s). Phone#: 800-452-1623 Fax: 319-841-6324 Correspondence Only:PO BOY3083 CEDAR RAPIDS IA 52406-3083 KONICA MINOLTA BUSINESS SOLUTI P.O.BOX 642333 Billing ID Number 90136136234 PITTSBURGH PA 15264-2333 Visit MyAccounts At.,WWW.CONNECTTOMYACCOUNTS.COM Invoice Number 58457983 19561 1 MB 0.405 Invoice Date 02/24/2013 19561 #BWNHXFZ 138 Due Date: 04/09/2013 #0901 3613 6234 8# Current Items Due: 291.00 CARMEL CLAY PARKS&RECREATION Bw 1411 Ell 6TH ST CARMEL IN 46032-3455 Total Amount Due: 291.00 I'IIIIIIIIIIIIII'llll'1111111111'IIIIIII��Inl�l�lllllllllllll'll KWSCH ow Our Federal Tax Id# 941686094 INVOICE FOR CURRENT ITEMS DUE Account Schedule Due Date Purchase Order Number Line Item AcctlSched Number Equipment Description Amount ' Total 7725582-001 0001 KONICA MINOLTA COPIER - - — - SERIAL'NUMBER - AOP1011009875 --""' - -: -- -- -- - 04/09/2013 PAYMENT/INSTALLMENT DUE 291.00 ACCOUNT SCHEDULE 7725582-001 TOTAL 291.00 Purchase C F E V T_ rD— Descrption /� �• /7/�iC t�3 MAR 0 4 2013 P.O.# PorF G.L.#, ��c�S-�-D� r---/n�3J�_ CXI - i::zV- Budget Une Descr Purchaser Date Approval Data 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 Tag (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 Number(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 full 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. 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. 366094 Konica Minolta Business Solutions Terms P.O. Box 642333 Date Due Pittsburgh, PA 15264-2333 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 2/24/13 58457983 Copier lease AO Apr'13 $ 291.00 2/24/13 58464188 Copier lease MCC East Apr'13 $ 291.00 Total $ 582.00 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 i Voucher No. Warrant No. 366094 Konica Minolta Business Solutions Allowed 20 P.O. Box 642333 Pittsburgh, PA 15264-2333 In Sum of$ $ 582.00 ON ACCOUNT OF APPROPRIATION FOR 101 - General Fund / 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 58457983 4353004 $ 291.00 1 hereby certify that the attached invoice(s), or 1091 58464188 4353004 $ 291.00 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 7-Mar 2013 Signature $ 582.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund