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237182 09/16/14 CITY OF CARMEL, INDIANA VENDOR: 361528 d ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $******"93.67* :. =q CARMEL, INDIANA 46032 DEPT DET CHECK NUMBER: 237182 PO BOX 83689 CHECK DATE: 09/16/14 CHICAGO IL 60696-3689 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4239099 3241152783 93.67 OTHER MISCELLANOUS INV©ICE DATE 00*0 TFT7w 000000 TNV.OICE i 8/30/14 DET 1061088 8031160450 P.[EASE, OWN, AY BY "CE12M5 AMOUNT DUE 9/29/14 Net 30 Days 107.57 DW010E DETAIL staples Advantage Federal ID #:04-3390816 Bill to Account: 1030362 Ship to Account: 1 CIVIC SQUARE CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: JEFF BARNES 1 CIVIC SQUARE 1 CIVIC SQUARE = CARMEL, IN 46032 DELIVER BY 4PM _ CARMEL, IN 46032 _ Budget ctr 1205-DOA Invoice Number: 3241152783 Budget ctr Desc: order 7123257053-000-001 P 0 Number 2340 Ordered By JEFF BARNES P 0 Desc Order Date 8/29/14 Release Release Desc order order B/o unit ship unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 1 325129 TZE-B41 18MM BLK ON FL ORANGE 2 EA 2 26.49 52.98 2 917871 BROTHER TZE-5641 18MM BK ON YL 1 EA 1 18.70 18.70 3 917900 BROTHER TZE-441 18MM BK ON RED 1 EA 1 21.99 21.99 Freight: .00 Tax:( .0000 %) .00 sub-Total: 93.67 Total: 93.67 Submitted To SEP 2 2 2014 Clerk Trea$urer m 0 0 0 v 0 0 0 m N C7 O O O 3 N a n r Customer Service inquiries # 877-826-7755 invoice Payment inquiries 888-753-4104 Page: 1 Make checks payable to staples Advantage, Dept DET Po Box 83689, Chicago IL 60696-3689 VOUCHER NO. WARRANT NO. ALLOWED 20 Staples Advantage IN SUM OF $ Dept DET PO Box 83689 Chicago, IL 60696-3689 $93.67 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205_ 3241152783 42-390.99 $93.67 I 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, September 15, 2014 n � Director, Administration 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)) 08/30/14 3241152783 $93.67 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