228060 1/14/2014 CITY OF CARMEL, INDIANA VENDOR: 357004 Page 1 of 1
ONE CIVIC SQUARE KONICA MINOLTA BUSINESS SOLUTIO
CARMEL, INDIANA 46032 DEPT CH 1918aECK AMOUNT: $52.10
PALATINE IL 60055-9188
CHECK NUMBER: 228060
CHECK DATE: 1/14/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4351501 227399312 52 . 10 EQUIPMENT MAINT CONTR
S)s
Invoice Number: 227399312 �---� Please Remit To: K09
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 01/01/2014 ® 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
BShip To:
Bill 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 Dae Account Nbr
Barbara Lamb 42397236 / 05/27/2010 148154 / 148154
`Cartons 1_1 of-villi at _ -"%arrier I Shipping Point I 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 32.88
Copies Overage Charge
C353
A02EO10001347
12/30/2013 47,173
Submitted fitted To 11/26/2013 46,743
Usage 430
JAN 13 2014 Tot Usage 430
Allowance 0
t� A Treasurer Overage 430 @
0.07647
7670772802 Per Copy Charge-B&W 19.22
Copies Overage Charge
Invoice Number: 227399312 _ Please Remit To: K09
KONICA MINOLTA BUSINESS SOLUTIONS
Invoice Date: 01/01/2014 ® 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
BShip To:
Bill To:
CITY OF CARMEL CITY OF CARMEL
SHARON KIBBE SHARON KIBBE
I 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 Terms of Payment comments
NET 30 DAYS
Quantity Quantity Quantity
Ordered BackOrdered Material Nbr Description Shipped Unit Net Price Amount
C353
A02EO10001347
12/30/2013 288,710
11/26/2013 287,020
Usage 1,690
Tot Usage 1,690
Allowance 0
Overage 1,690 @
0.01137
_- -- -TOTAL-NBR OF UNITS- -
TOTAL AMT 52.10
........ ..... . .... .
DETACH HERE AND RETURN WITH REMITTANCE
CUST. N0, INVOICE NO. AMOUNT
CITY OF CARMEL 148154 / 148154 227399312 52.10
SHARON KIBBE DATE ORDER REF. PAYMENT TERMS
1 CIVIC SQ
CARMEL IN 46032 01/01/2014 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
w PALATINE, IL 60055-9188
AMERICAN ®'
' I�ff+RE55 B®i J '' `
VOUCHER NO. WARRANT NO.
ALLOWED 20
Konica Minolta Business Solutions USA Inc.
IN SUM OF $
Dept. CH 19188
Palatine, IL 60055-9188
$52.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1201 I 227399312 I 43-515.01 I $52.10 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
Monday, January 13, 2014
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))
01/01/14 227399312 $52.10
I 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