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219394 04/24/2013 q,f CITY OF CARMEL, INDIANA VENDOR: 366094 Page 1 of 1 ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO CARMEL, INDIANA 46032 PO BOX 642333ECK AMOUNT: $396.29 PITTSBURGH PA 15264-2333 CHECK NUMBER: 219394 CHECK DATE: 4/2412013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1801 4353004 58682162 396 .29 COPIER Please remember to reference Account Schedule#(s)pertaining to your request(s). Phone#: 800-452-1623 Fax: 319-841-6324 Correspondence Only:PO BOX 3083 CEDAR RAPIDS IA 52406-3083 KONICA MINOLTA PREMIER FINANCE P.O.BOX 642333 Billing ID Number 90136094394 PITTSBURGH PA 15264-2333 Visit MyAccountsAC WWW.CONNECTTOMYACCOUNTS.COM Invoice Number 58682162 23921 1 AB 0.384 Invoice Date 04/07/2013 23921 #BWNHXFZ 116 Due Date: 05/13/2013 #0901 3609 4394 5# CITY OF CARMEL REDEVELOPMENT 30 W MAIN ST Current Items Due: 396.29 ' STE 220 CARMEL IN 46032-1938 Total Amount Due: 396.29 IIII��II�IIIIII'IIIIIIIIII1111"'IIIIIII"III'III'I11111'IIIIIII' kMPRAP No Our Federal Tax Id# 941686094 INVOICE FOR CURRENT ITEMS DUE Account Schedule Due Date Purchase Omer Number Llne Item Acet/Sched Number Equipment Description Amount Total 7715414-001 KONICA MINOLTA COPIER - --- ' MODEL: BIZHUB C452 - SERIAL: AOP2011010435 - _ -- ALLOWANCE: 5,000 563.77 05/13/2013 MINIMUM CHARGES DUE 396.29 ---------------------------------------------------------7----------------------------- I�ETER-ID : 1 DESC :B&W MODEL: BIZHUB C452 SERIAL: AOP2011010435 --------------------------------------------------------------------------------------- ENDING READING : 03/24/2013 73,445 USAGE 9,439 BEGINNING READING: 12/24/2012 64,006 ALLOWANCE: 15,000 EXCESS CHARGES DUE: 0 @ 0.000000= 0.00 --------------------------------------------------------------------------------------- METER-ID : 2 DESC :COLOR MODEL: BIZHUB C452 SERIAL: AOP2011010435 --------------------------------------------------------------------------------------- ENDING READING : 03/24/2013 54,180 USAGE 4,084 BEGINNING READING: 12/24/2012 50,096 ALLOWANCE: 4,500 EXCESS CHARGES DUE: 0 @ 0.000000= 0.00 --------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------- ACCOUNT SCHEDULE 7715414-001 TOTAL 396.29 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 a the tax bill the lessee will be billed for reimbursement as agreed to in the lease agreement. �1 P pay � �' 9' 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. MEN= .f' 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 KN11 (� fAp(�� eml @r �1n�AlP Purchase Order No 1 r l3 B,�( 6`T Z 3)-3 Terms r P�1�sbur9ti , .P/� 1526 {— 2333 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) P7_13 s8 6 P.162- e 3 r Total 3,9 6,2-9 1 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 ni An Ud PrPm�e� "'- Fluw IN SUM OF $ POf Qn� ��f2333 �f�{sdur�l► , �'� ./52 jy— 2 333 $ 39 6, 2� ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), 80 SA 821 6L X353 pp 96 2 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 ,�, I -11- 2013 Signature Executive Director Title Cost distribution ledger classification if Carmel Redevelopment Commission claim paid motor vehicle highway fund