239801 12/03/14 CITY OF CARMEL, INDIANA VENDOR: 361528
l ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $********94.64*
CARMEL, INDIANA 46032 DEPT DET CHECK NUMBER: 239801
Fsq�roN- PO BOX 83689 CHECK DATE: 12/03/14
CHICAGO IL 60696-3689
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4230200 3248722606 94.64 OFFICE SUPPLIES
INVOICE DATE<Y_ CUSTOMER SUMMAk(;I VgICE
� * 11/15/14 DET 1061088 8032158092
PLEASE PqY"BY, TERMS "` AMOUNT
12/15/14 Net 30~Days 94.64
INVOICE DETAIL
staples Advantage Federal ID #:04-3390816
Bill to Account: 1030382 Ship to Account: 1 CIVIC SQUARE
CITY OF CARMEL-NJPA CITY OF CARMEL
JIM SPELBRING ATTN: ANN DAVIS
1 CIVIC SQUARE 1 CIVIC SQUARE
CARMEL, IN 46032 DELIVER BY 4PM �
CARMEL, IN 46032
0
0
Budget ctr 140 - COMMON COUNCIL Invoice Number: 3248722606
Budget Ctr Desc: Order 7127209024-0007001
P 0 Number Ordered By ANN DAVIS
P 0 Desc Order Date 11/13/14
Release
Release Desc
order order B/O unit ship unit Extended
Line Item Number Description Qty Qty Meas Qty Price Price
1 465930 AVY INK/LSR 30UP 50 FILE FLDR 1 BX 1 28.49 28.49
2 493183 FOLDER HANG 100%RECY 1/5 ASST .1 BX 1 16.99 16.99
3 237628 MEMO SLIPS 4X6 WHT.500SHT 2 PK 2 .57 1.14
4 867590 RIBN UNIVS CALCULATOR-EPC ECR 1 EA 1 .89 .89
5 756077 FLAGGED-TIP ANGLE BRM ALUM 1 EA 1 19.30 19.30
6 039809 RUBBERMAID DUSTPAN 81N 1 EA 1 3.58 3.58
7 466146 FILE QUICKVUE GRAD LTR A-Z 1 EA 1 10.38 10.38
8 803614 SLIDING COVER EXP FILE BLK LTR 1 EA 1 10.88 10.88
9 163873 STPLS PERF PAD 7R LGL 12PK WH 1 DZ 1 2.99 2.99
-- Freight:- -- - :00`—Tax:"(-- .0000-° - .00 - - --- —Sub-Total: - - 94.64
Total: 94.64
m
n
N
r
m
O
O
I
O
O
N
m
f7
M
O_
QQ
R
customer serviceinquiries 11877-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 1
Make checks pa able to stn les Advantage, Dept DET PO Box 83689, Chicago IL 60696-3689
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))
`'�
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
s IN SUM OF $
0"�tYo I
�,� V lV l5/r✓"�U
I
I
ON ACCOUNT OF APPROPRIATION FOR
yea �
Board Members
i
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
3W972rMob 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
Age
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund