KONICA MINOLTA PREMIER FINANCE- 002689- 2/16/2012 CARMEL REDEVELOPMENT COMMISSION 002689
Konica Minolta Premier Finance Check: 2689
PO Box 642333 Date: 2/16/2012
Pittsburgh, PA 15264-2333 Vendor: KONPFIN
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Pal(
56433504 572.99 572.99 0.00 0.00 572.9
copy machine lease
56702593 572.99 572.99 0.00 0.00 572.9
copy machine lease
1,145.98 1,145.98. 0.00 0.00. 1,145.91
`* THEiKEY TO DOCUMEtif fi# 14kra,HEAtttrer ATED�TMUMB PRINT ADDITistrA L SECUR{TY FEATURE NCLUIM SEE BACK FOR'DET it
at`,°',40 Carmel Redevelopment Commission
P< ~ 30 West Main Street 4 REGIONS 002689
F . 2o-1a2in4o
• Suite 220
AcICIEL-4 Carmel, IN 46032
2689-
. DATE AMOUNT.
***********
2/16/2012 1,145:98
PAY THE SUM OF.ONE THOUSAND ONE HUNDRED FORTY FIVE DOLLARS AND 98 CENTS `************
TO THE
ORDER _
OF "
Konica Minolta Premier Finance
PO Box 642333 �p SENg.1
Pittsburgh, PA 15264-2333 r
POO2689116 I:07400121, 3D: 0087504LLL1i1
CARMEL REDEVELOPMENT COMMISSION 002689
Konica Minolta Premier Finance Check: 2689
PO Box 642333 Date: 2/16/2012
Pittsburgh, PA 15264-2333 Vendor: KONPFIN
Prior
Invoice P.O. Num_ Invoice Amt Balance Retention Discount Amt. Paid
56433504 572.99 572.99 0.00 0.00 572.99
copy machine lease
56702593 572.99 572.99 0.00 0.00 572.99
copy machine lease
1,145.98 1,145.98 0.00 0.00 1,145.98
-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 1-37228 '`
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
•
KONICA MINOLTA PREMIER FINANCE CEDAR RAPIDS 14 52406-3083
, P.O.BOX 642333 Billing ID Number 90136094394
PITTSBURGH PA 15264-2333 g
Invoice Number 56702593
18551 1 MB 0.390 Invoice Date 01/08/2012
18551
#BWNHXFZ as 02/13/2012
#0901 3609 4394 5# Due Date:
CITY OF CARMEL REDEVELOPMENT 7°+:,
30 W MAIN ST y` - Current Items Due: 572.99
STE 220
CARMEL IN 46032-1938 Total Amount Due: 1,180.86
iIiiiill'I'Inuil.ll1ililll,il1ll.l.111ll'I1I'ilulu1lm milli KMPNAP
000
INVOICE FOR CURRENT ITEMS DUE Our Federal Tax ID# 941686094
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: A0P2011010435
ALLOW NC•E: 5,000 516.25
02/13/201' MINIMUM CHARGES DUE 528.18
12/13/2011 LATE CHARGES DUE 44.81
MUTER.-ID : 1 DESC :B&W
MODEL: BIEHUE C452 SERIAL: A0P2011010435
ENDING READING : 12/24/2011 2=,546 USAGE • 1,773 Y°1/
•
BEGINNING READING: 09/24/2011 20,768 ALLOWANCE: 15,000
ECESS CHARGES DUE: 0 @ 0.000000= 0.00
PETER-ID . 2 DESC :COLOR
MODEL: BIZHUB 0452 SERIAL: A0P2011010435
ENDING READING : 12/24;2011 21,477 USAGE 1,257
BEGINNING READING: 09/24/201] 20,220 ALLOWANCE: 4,500
• E}.LESS CHARGES DUE: 0 @ 0.000000= 0.00
DUE UPON RECEIPT
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 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.
INVOICE FOR CURRENT ITEMS DUE Billing ID Number: 90136094394
CITY OF CARMEL REDEVELOPMENT
Account;Schedule Due Date Purchase Order Number Line Item Acct/Sched
Number Equipment Description Amount Total
ACCOUNT SCHEDULE 7715414-001 TOTAL 572.99
•
2
18551
STATEMENT OF PREVIOUSLY BILLED ITEMS • Billing ID Number: 90136094394
CITY OF CARIIEL REDEVELOPMENT
Account Schedule Due Date Invoice NumberlDescription Invoice Line Item Acct!Sched
Number Date Amount Total
5643=50=1/I IINIMUi4 CHARGES DUE 11/04/2011 518.25
10/13/2011 56435504/LATE CHARGES DUE 11/06/2011 44.81
09/13/2011 56308430/LATE CHARGES DUE 10/09/2011 44.61
ACCOUNT SCHEDULE 7715414-001 TOTAL 607.87
3
18551
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
KONICA MINOLTA PREMIER FINANCE
CEDAR RAPIDS IA 52406-3083-3083
P.O.BOX 642333 Billing ID Number 90136094394
PITTSBURGH PA 15264-2333
Invoice Number 56433504
24646 1 MB 0.390 Invoice Date 11/06/2011
24646
#BWNHXFZ 117 Due Date: 12/13/2011
#0901 3609 4394 5#
CITY OF CARMEL REDEVELOPMENT 7 4" Current Items Due:
30 W MAIN ST ! X72 9)
STE 220
CARMEL IN 46032-1938 Total Amount Due: 1,382.57
'III'I I I I I I I I'I I I I I I I I I I I I I I I I I I I I I'I I I I I I I'I I I'I I I I I I I'111 I I"I I HMPNAP
INVOICE FOR CURRENT ITEMS DUE Our Federal Tax ID# 941686094
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: A0P2011010435
ALLOWANCE: 5,000 518.25
12/13/2011 MINIMUM CHARGES DUE 528.18
10/13/2011 LATE CHARGES DUE 44.81
ACCOUNT SCHEDULE 7715414-001 TOTAL 572.99
010(./
To ensure proper credit, detach and Billing ID Number 90136094394
return this portion with your payment.
Please include)lour billing ID number Invoice Number 56433504
on your check.
Due Date: 12/13/2011
CITY OF CARMEL REDEVELOPMENT Current Items Due: 572.99
30W MAIN ST
STE 220 Total Amount Due: 1,382.57
CARMEL IN 46032-1938
HMPNAP
Make Checks Payable and Remit to:
111111.1.I11,I,I,II111111 111IiI.i1111111111111..II..,II,,IIIII
KONICA MINOLTA PREMIER FINANCE
P.O.BOX 642333
PITTSBURGH PA 15264-2333
690136094394564335040000005729900000138257564335043814
24646
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 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.
STATEMENT OF PREVIOUSLY BILLED ITEMS Billing ID Number: 90136094394
CITY OF CARMEL REDEVELOPMENT
Accouu4 Schedule Due Date Invoice Number/Description Invoice Line Item AcctlSched
Number Date Amount Total
11/13/2011 56308430/MINIMUM CHARGES DUE 10/09/2011 518.25
56308430/EXCESS USAGE CHARGE 10/09/2011 246.52
09/13/2011 56308430/LATE CHARGES DUE 10/09/2011 44.81
• ACCOUNT SCHEDULE 7715414-001 TOTAL 809.58
2
24646
Prescribed by State Board of Accounts City Form No.201)Bev 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
/ 6),-/,/,v /�-,a Purchase Order No.
/ 'ox )'(233 3 Terms
19/71-7.4e., 73/9 75-26% 3 3 3 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
%/--6-1( 5-61/3`.35-vg C j.:1; 3-7z
j- 56762553 Cop,o/ 572 .9
Total / :IY5.,.
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct .• avee--• me in accordance
with IC 5-11-10-1.6. �j•• •
, 20 I -
- •-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
/r 7L
1d - 34- 64e ,� 3 .3 IN SUM OF $
' / h/f2; ,
•
$ 1 - 9
ON ACCOUNT OF APPROPRIATION FOR
42e7
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT hereby certify invoice(s),DEPT.# I hereb certif that the attached invoices , or
�)e 56`K 55-0'7 F553 OdY bill(s) is (are) true and correct and that the
902. 56 7 e l 593 8 3c a ' S72.$1 materials or services itemized thereon for
which charge is made were ordered and
received except
( - 3G' 20 /2-
is ature
Executive Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund Carmel Redevelopment Commission