225878 11/05/2013 „M CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO_Ci-IECK AMOUNT: $478.02
CARMEL, INDIANA 46032 DEPT CH 19188
p��o PALATINE IL 60055-9188 CHECK NUMBER: 225878
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 226399143 478 . 02 OTHER EXPENSES
I ��
Invoice Number: 226399143 ® Please Remit To: K09
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 10/09/2013 USA INC
Page 1 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 WATER DISTRIBUTION
SHARON KIBBE 3450 W 131ST ST
1 CIVIC SQ CARMEL IN 46074
CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
42419865 / 10/06/2010 148154 / 295718
Cartons Tot "Wei ht Carrier —Shipping Poi"NET ms of Payment Comments
30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670881802 Quarterly Service/Supply 352.72
- Color Copies Base
Charge
C550
A00J 010002479
10/01/2013 126,701
07/09/2013 123,736
Usage 2,965
Tot Usage 2,965
Allowance 3,000
Overage 0 @
0.11785
17670772802 I Quarterly Per Copy I 125.301
- - Charge-B&W Copies
Overage Charge
Invoice Number: 226399143 Please Remit To: K09
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 10/09/2013 ® 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 WATER DISTRIBUTION
SHARON KIBBE 3450 W 131ST ST
1 CIVIC SQ CARMEL IN 46074
CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
42419865 / 10/06/2010 148154 / 295718
'Cartons Tot'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
C550
AOOJOI0002479
10/01/2013 266,534
07/09/2013 258,382
Usage 8,152
Tot Usage 8,152
Allowance 0
Overage 8,152 @
0.01537
I
TOTAL NBR OF UNIYS
TOTAL AMT 478.02
............................................... .. ... ................................ .. ................. ............. ...
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CITY OF CARMEL 148154 / 295718 226399143 478.02
SHARON KIBBE DATE ORDER REF. PAYMENT TERMS
1 CIVIC SQ
CARMEL IN 46032 10/09/2013 42419865 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
m
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354781
KONICA MINOLTA BUSINESS SOLUTIONS Purchase Order No.
DEPT CH19188 Terms
PALATINE, IL 60055-9188 Due Date 10/28/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/28/201: 226399143 $478.02
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
Date Officer
i
VOUCHER # 133137 WARRANT # ALLOWED
354781 IN SUM OF $
KONICA MINOLTA BUSINESS SOLUTI(
DEPT CH 19188
PALATINE, IL 60055-9188
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
226399143 01-6360-06 $478.02
Voucher Total $478.02
Cost distribution ledger classification if
claim paid under vehicle highway fund -