227416 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO_CHECK AMOUNT: $464.04
CARMEL, INDIANA 46032 DEPT CH 19188
-�° PALATINE IL 60055-9188 CHECK NUMBER: 227416
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4353004 227093709 464 . 04 COPIER
Invoice Number: 227093709 !- Please Remit To: K09
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 12/09/2013 ® USA INC
Page I of 2 DEPT. CH 19188
Subject to E.O.112478 and the regulations KO N I CA MI N OLTA 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
I
FEDERAL DUNS No. 62-657-8041
Bill To: Ship To:
CITY OF CARMEL CLERK TREASURER CITY OF CARMEL CLERK TREASURER
1 CIVIC SQ TREASURER JEAN BELCHER
OFC 1 CIVIC SQ TREASURER
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
Diana Cordray 42411997 / 08/17/2010 263622 / 261654
�:artons - Tot e, ei`ht Carrier Shi in Point Terms of Pa ment Comments
NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
7670882802 Per Copy Charge - Color 154.99
Copies Overage Charge
C451
AOOKO 1 0008945
12/08/2013 43,382
05/30/2013 42,240
Usage 1,142
Tot Usage 1,142
Allowance 0
Overage 1,142 @
0.13572
7670772802 Per Copy Charge-B&W 309.05
Copies Base Charge
Invoice Number: 227093709 Adik— Please Remit To: K09
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 12/09/2013 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 Opporturnitp
CORPORATE DUNS No. 00-170-7322 INVOICE
FEDERAL DUNS No. 62-657-8041
Bill To: Ship To:
CITY OF CARMEL CLERK TREASURER CITY OF CARMEL CLERK TREASURER
1 CIVIC SQ TREASURER JEAN BELCHER
OFC 1 CIVIC SQ TREASURER
CARMEL IN 46032 CARMEL IN 46032
Purchase Order Nbr Delivery Nbr Sales Order Nbr Date Account Nbr
Diana Cordray 42411997 / 08/17/2010 263622 / 261654
Cartons Tot Weight Carrier Shipping Point Terms of Payment I Comments
NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
C451
A00KO10008945
12/08/2013 180,433
05/30/2013 178,213
Usage 2,220
Tot Usage 2,220
Allowance 18,000
Overage 0 @
0.01720
- - - TOTAL i BR-OF UNITS
TOTAL AMT 464.04
.... ..... ...... ... ... ...... ......... .... ......... ...........
DETACH HERE AND RETURN WITH REMITTANCE
CUST. NO. INVOICE NO. AMOUNT
CITY OF CARMEL CLERK TREASURER 263622 / 261654 227093709 464.04
1 CIVIC SQ TREASURER DATE ORDER REF. PAYMENT TERMS
OFC
CARMEL IN 46032 12/09/2013 42411997 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 # 263622 USA INC
DEPT. CH 19188
PALATINE, IL 60055-91.88
AMERItfiN '��
EXPRESS � �
0
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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.
Payees
%' I• U V Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
d.
Total
I 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
O� IN SUM OF $
w�-
ON ACCOUNT OF APPROPRIATION FOR
l
00
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
o D 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund