224563 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO_CHECK AMOUNT: $82.09
�4 CARMEL, INDIANA 46032 DEPT CH 19188
PALATINE IL 60055-9188 CHECK NUMBER: 224563
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4351501 225935706 82 . 09 EQUIPMENT MAINT CONTR
Invoice Number: 225935706 . Please Remit To: K09
�� --- KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 09/01/2013 ® USA INC
Page 1 of 2
DEPT. CH 19188
Subject to E.O.112478 and the regulations
<ONICA MINOLTA PALATINE, IL 60055-9188
of the Secretary of Labor on Affirmative For Billing Inquiries Call: 317-870-7000
Action and Equal Opporturnity
CORPORATE DUNS No. 00.170.7322 INVOICE
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 `rot Wei ht Carrier Shipping Point Terms of Payment Comments
NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670882802 Per Copy Charge - Color 24.85
Copies Overage Charge
C353
A02EO10001347
08/31/2013 44,919
08/01/2013 44,594
Usage 325
Tot Usage 325
Allowance 0 D
Overage 325 @ EP 2 3 2013
0.07647
7670772802 Per Copy Charge-B&W By 57.24
Copies Overage Charge
Invoice Number: 225935706 _ _ Please Remit To: K09
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 09/01/2013 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 Opporturnity
CORPORATE DUNS No. 00-170-7322 INVOICE
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 I Carrier Shipping Point I Terms of Payment Comments
NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
C353
A02EO10001347
08/31/2013 283,068
08/01/2013 278,034
Usage 5,034
Tot Usage 5,034
Allowance 0
Overage 5,034 @
0.01137
TOTAL NBR OF UNITS
TOTAL AMT C82
........ ..... ... ... .. . .. ........ ...... ........
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CITY OF CARMEL 148154 / 148154 225935706 82.09
SHARON KIBBE
1 CIVIC SQ DATE ORDER REF. PAYMENT TERMS
CARMEL IN 46032 09/01/2013 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
ANfERICAN VISA
EXPRESS '
VOUCHER NO. WARRANT NO.
ALLOWED 20
Konica Minolta Business Solutions USA Inc.
IN SUM OF $
Dept. CH 19188
Palatine, IL 60055-9188
$82.09
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1201 I 225935706 I 43-515.01 I $82.09 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
Monda September 23, 2013
r
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))
09/01/13 225935706 $82.09
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