HomeMy WebLinkAbout240120 12/09/2014 CITY OF CARMEL, INDIANA VENDOR: 361528
® �l ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $*****4,241.73*
CARMEL, INDIANA 46032 DEPT DET CHECK NUMBER: 240120
PO BOX 83689 CHECK DATE: 12/09/14
CHICAGO IL 60696-3689
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4230200 3248228906 156.45 OFFICE SUPPLIES
1091 4230200 3248228908 220.19 OFFICE SUPPLIES
1093 4238900 3248228910 873.18 OTHER MAINT SUPPLIES
1125 4236500 3248228911 1,336.50 SALT & CALCIUM
1081 4239039 3248722612 202.94 GENERAL PROGRAM SUPPL
1091 4230200 3248722613 -23.39 OFFICE SUPPLIES
1091 4230200 3248722614 138.95 OFFICE SUPPLIES
1125 4230200 3248722615 145.16 OFFICE SUPPLIES
1110 4230200 32499 8032241985 1,191.75 ACRYLIC SIGN HOLDER
INVOICE,�ATE CUSTOMER SUMMARY':INVOICE'
11/22/14 DET 1060817 8032241985
PLEASE PAY BY TERMS ' , AMOUNT QUE
12/22/14 Net 30 Days 1191.75
INVOICE DETAIL =
Staples Advantage Federal ID #:04-3390816 C
Bill to Account: 1065204 Ship to Account: 710016630001
CITY OF CARMEL POLICE CARMEL POLICE DEPARTMENT
-ATTN: ACCOUNTS PAYABLE ATTN: BMALLABER®CARME L.IN.GOV
3 CIVIC SQ 3 CIVIC SQ
CARMEL, IN 46032 CARMEL, IN 46032
Budget Ctr 1001 Invoice Number: 3249316579
Budget Ctr Desc: order 129555311-000-001
P O Number 1001 Ordered By BMALLABERWARME L.IN.GOV
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 083636 11" X 8 1/2" STANDOFF ACRYLIC 25 EA 25 47.67 1191.75
Freight: .00 Tax:( .0000 %) .00 sub-Total: 1191.75
Total: 1191.75
Backorder of 0129555311
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Customer Serviceinquiries # 17-826-7755 Invoice Payment Inquiries 888-7S3-4104 Page: 1
Make checks ayable to Staple's' Advantage, Dept DET PO Box 83689, Chicago IL 60696-3689
ity
®,JLr�° C����� INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32499
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
..,CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
14F3�3t�0��
Stagplor,A-Yantage rarmel i- ofice epaltmen
D@pt DET SHIP 3 CIVIC Square
VENDOR
P.O. Box OWI TO Caimel, IN 46032
Chicago, IL 6%-3683
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42x2.00
26 Each I V x S'l2° acrylic sign holder 083636 $47.67 $1,161.75
Sub Total: $1,191.76
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Send Invoice To:
Carmel Police Department
Attn: Pat Young
3 Chic Square
Camel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMQUNT
vannei FoRe Dept. = � PAYMENT
1 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFYTHA21,ERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRI TIOWMFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /' ��•.SI
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL No- 32499 A•P•V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
1.
ON ACCOUNT OF APPROPRIATION FOR
1
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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
i
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Staples Advantage
IN SUM OF $
Dept DET
P.O. Box 83689
I I
Chicago, IL 60696-3689
$1,191.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
732/499Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
8032241985 42-302.00 $1,191.75
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
j( Friday, December 05, 2014
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Chief of Police
j Title
Cost distribution ledger classification if {;
claim paid motor vehicle highway fund
i,
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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
I
Purchase Order No.
Terms
Date Due
ri
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
12/22/14 8032241985 Sign Holders $1,191.75
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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
0.
. TJE� IN�IOICE DATE CUSTQMER SUMMARY`INVOICE
11/08/14 DET 1061088 8032066624
NOV 20 2014
PLEASE PAY`BY 1, TERMS }AMOUNT QUE
BY: Net 30Days2586.32
I"OICEDETuL
staples Advantage Federal ID #:04-3390816
Bill to Account: 1030597 Ship to Account: 1235 CNTRL PK E
CARMEL CLAY PARRS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER - ATTN: ANNE MARIE BESSLER _
1411 E 116TH ST 1235 CENTRAL PARK DR R
CARMEL, IN 46032 DLV BEFORE 4PM
CARMEL, IN 46032 _
Budget Ctr 1091-4230200 MCC ADMINISTRATION Invoice Number: 3248228908
Budget Ctr Desc: Gid order :-7126776966-000=001
P 0 Number XX-1338 O FC sV►r4e Ordered By ANNE MARIE, BESSLER
P 0 Desc order Date 11/06/14
Release �O�O
Release Desc ( I Ti+ 0
order order B/o unit ship unit Extended
Line Item Number Description Qty Qty Meas Qty Price Price
1 213386 2015 MNTH ATAGLNC DESKPD 22X17 6 EA 6 14.69 88.14
2 071483 15 AAG MTH FASHION DSKPD 22X17 1 EA 1 13.08 13.08
3 413379 PEN GEL 12PK.7MM RETRACT BLUE 1 DZ 1 3.52 3.52
4 433263 PILOT VRAZOR LIQ INK AST 8 1 PK 1 10.71 10.71
5 071479 15 AAG 9TH WALL 2 LRG 22X29 1 EA 1 23.39 23.39
6 503525 PACKAGING TAPE HAND DISPENSER 1 EA 1 10.46 10.46
7 167031 STAPLES TANK HIGHLTR YELLOW DZ 2 DZ 2 1.83 3.66
8 483535 SBL TP 3/4X1296 6PK 1 PK 1 3.75 3.75
9 135848 STAPLES 8.5X11 COPY CS 1 CT 1 39.60 39.60
10 215097 - 2015 DURAFLEX DAILY PLAN BLK 1 EA 1 9.33 9.33
11 071472 15 AAG QN DSK CAL 22X17 1 EA 1 14.55 14.55
Freight: .00 Tax:( .0000 %) .00 Sub-Total: 220.19
Total: 220.19
- - - -... -- -...-...._..._.. ---- --------------------- --------------- ---------------------- -f -----------------------------------_ -----------------------------....------------------------..........----- - -
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Customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4104 Page- 1
Make checks a able to Staples Advantage, De t DET PO Box 83689, Chica o IL 60696-3689
INVOICE DATE
F7 � . CUSTOMER.1.
$
VM
MA-
R'-
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E
11/08/14 DET 1061088 8032066624NOV 20 2014
., 0SEi* " TERMS AMOUNT
BY: DUE
�
Net 30 Days 2586.32
INVOICE DETAIL
Staples Advantage Federal ID #:04-3390816
Bill to Account: 1030597 Ship to Account: 1235 CNTRL PK E
CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: LINDA ACOSTA
1411 E 116TH ST 1235 CENTRAL PARK DR E
CARMEL, IN 46032 DLV BEFORE 4PM
CARMEL, IN 46032
Budget Ctr 1081-99-4230200 ESE ADMINISTRATION Invoice Number: 3248228906
Budget Ctr Desc: order 7126797051-000-001
P 0 Number xx-1329 DPW,' :5 L)MI E5 ordered By DAWN KOEPPER
P 0 Desc Order Date 11/05/14
Release Ory
Release Desc
Forder order B/O unit ship unit Extended
order
Item Number Description Qty Qty Meas Qty Price Price
1 726597 REINFORCD HANGFLDR STD GRN LTR I BX 1 13.29 13.29
2 716522 SPLS 1SUB 8X10.5 QUAD 4SQ/IN I EA 1 2.45 2.45
3 395791 SPLS SUCTION CUPS/HOOKS 2 PK 2 5.59 11.18
4 162107 AVERY BIGTAB WRITEONDIVIDERS 8 75 ST 75 1.58 118.50
5 951059 CLAW STAPLE REMOVER 2 EA 2 .89 1.78
6 481034 SHARPIE 12CT ASST OF PERM MARK 1 PK 1 9.25 9.25
Freight: .00 Tax:( .0000 %) .00 Sub-Total: 156.4
Total: 156.45q5
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ --------------------- ------------------------------------------------------------------------------------------------------------------------
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Customer Sinquiries 11 177-826-7755 Invoice Payment inquiries 888-7S3-4104 Page: 1
Make check: pay"
able
toStaples Advantage, Dept DET Po Box 83689, Chicago IL 60696-3689
���� T�,� INVOICE DATE :CUSTOMER. SUM_ MARY�INVOICE'
y 11/08/14 DET 1061088 8032066624
NOV �,® 2014
RL'EASE PAY BY TERMS, 5 AMOUNT,DUE
BY: Net 30 Days 2586.32
INVOICE DETAIL _
staples Advantage Federal ID #:04-3390816
Bill to Account: 1030597 Ship to Account: 1235 CNTRL PK E
CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: JIM RANSFORD _
1411 E 116TH ST 1235 CENTRAL PARK DR E
CARMEL, IN 46032 DLV BEFORE 4PM
CARMEL, IN 46032
Budget Ctr 1091-4230200 MCC ADMINISTRATION Invoice Number: 3248228910
Budget Ctr Desc: Order 7126768733-000-001
P O Number 37765 I c e M UIT Ordered By DAWN KOEPPER
P 0 Desc Order Date 11/05/14
Release jVV-!� r Q CV
Release Desc (f
order order B/o unit ship unit Extended .
Line Item Number Description Qty Qty Meas Qty Price Price
1 822663 ICE MELT BLEND GRN SCAPES 50LB 98 EA 98 8.91 873.18
Freight: .00 Tax:( .0000 %) .00 sub-Total: 873.18
Total: 873.18
--• ---- - -..... - --- ------ --------- ----------------------- - - ------- -------------------- --- ........ ............ .......... ....... ...............
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Customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 1
Make checks pa able to Sta les Advantage, Dept DET PO Box 83689, Chicago IL 60696-3689
L INV_61d BATE' ,-.CUSTOMER - r , SUMMARX`_INVOICE'
71o'
vNTD 11/08/14 DET 1061088 8032066624
NM � ZO14 PLEASE PAY_BY TERMS a•_ Y AMOUNT DUE
Net 30 Days 2586.32
I DETAIL _
staples Advantage Federal ID #:04-3390816
Bill to Account: 1030597 Ship to Account: 1427 E 116TH ST
CARMEL CLAY PARRS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: DAWN KOEPPER _
1411 E 116TH ST 1427 E 116TH ST
CARMEL, IN 46032 CARMEL, IN 46032
Budget Ctr 1125-100-410-4230200 PARKS PLANNING Invoice Number: 3248228911
Budget ctr Desc: = Order 7126869157-000-001
P 0 Number 37783 SCE AAEV— Ordered By DAWN KOEPPER
P 0 Desc Order Date 11/06/14
Release
Release Desc OS
order order B/o unit ship unit Extended
Line Item Number Description Qty Qty Meas Qty Price Price
1 822663 ICE MELT BLEND GRN SCAPES 50LB 150 EA 150 8.91 1336.50
Freight: .00 Tax:( .0000 %) .00 Sub-Total: 1336.50
Total: 1336.50
--------- - ......--.. . ...-- .....--- ------- ------------------------------------------- ---- ------- ------ --- - - - -- --
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Customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 1
Make checks ayable to Sta les Advantage, Dept DET PO Box 83689, Chica o IL 60696-3689
=BY:
INVOICE SUM11/15/14 DET 1061088 8032158097
AMOUNT'12/15/14 Net 30 Days 463.66
IWOICE DETAIL
staples Advantage Federal ID #:04-3390816
Bill to Account: 1030597 Ship to Account: PRAIRIETRC ELEM
CARMEL CLAY PARKS AND RECREATION PRAIRIE TRACE ELMENTARY SCHOOL
PAULA SCHLEMMER - ATTN: MEGAN STORMS
1411 E 116TH ST 14200 N RIVER RD
CARMEL, IN 46032 MEAGAN DECKER
CARMEL, IN 46033 s
Budget Ctr 1081-7-4230200 PRAIRIE TRACE ELEMENTARY Invoice Number: 3248722612
Budget Ctr Desc:_ order 7127048679-000-.001 _
P 0 Number )0-1358 Ordered By DAWN KOEPPER
P 0 Desc ��� order Date : 11/11/14
Release �y
Release Desc
order order B/o unit ship unit Extended
Line Item Number Description Qty Qty Meas Qty Price Price
1 891404 HP CE322A YELLOW TONER 1 EA 1 64.98 64.98
2 891406 HP CE320A BLACK TONER 1 ' EA 1 67.89 67.89
3 891405 HP CE321A CYAN TONER 1 EA 1 64.98 64.98
4 495367 BIC VELOCITY RET BLACK 1 DZ 1 5.09 5.09
Freight: .00 Tax:( .0000 %) .00 sub-Total: 202.94
Total: 202.94
--- ......... ......................... - ----. --- -- . -_. ------ -- . --- -. .........._.. ....................................
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Customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-7S3-4104 Page: 1
Make checks payable to staples Advanta e, Det DET Po Box 83689, Chicago IL 60696-3689
I
+°K�' `���. � INVOICE D';ATE CUSTOMER SUMMARY:INVOIGE'
y 11/15/14 DET 1061088 8032158097
MEN-
NOV 2 5 2014 PLEASE PAY BY TERMSt k, AMOUNT'DUE
12/15/14 Net 30 Days 463.66
BY:
INVOICEDETAm
Staples Advantage Federal ID #:04-3390816 -
Bill to Account: 1030597 Ship to Account: 1235 CNTRL PK E
-
CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: ANNE MARIE BESSLER
-
1411 E 116TH ST 1235 CENTRAL PARK DR E -
CARMEL, IN 46032 DLV BEFORE 4PM
CARMEL, IN 46032
-
-
Budget Ctr 1091-4230200 MCC ADMINISTRATION Invoice Number: 3248722613
Budget Ctr Desc: Order 7126776966-001-001
P 0 Number XX-1338 Ordered By DAWN KOEPPER
P 0 Desc Order Date 11/12/14
Release
Release Desc
order order B/o unit Ship Unit Extended
Line Item Number Description Qty Qty Meas Qty Price Price
5 071479 REFUND ITEM 15 AAG MTH WALL 2 1 EA 1 23.39- 23.39-
Freight .00 Tax:( .0000 %) .00 Sub-Total: .00
Total: 23.39- 1
*****Credit for Invoice# 3248228908*****
01 t boo
_.__....... _ .................................................. ..... ........... -
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Customer Service inquiries # 877-826-7755 Invoice Payment In 888-753-4104 Page: 1
Make checks ayable to staples Advantage, Dept DET PO Box 83689, Chicago IL 60696-3689
VOICE'
INVOICE:DATE CUSTTIN 7
OMERa SUMMARY IN
11/15/14 DET 1061088 8032158097
NOV 2.5 2014 PLEASE PAY B"1 .;TERMS: } . AMOUNT DUE
12/15/14 Net 30 Days 463.66
1"OICED.EzuL
staples Advantage Federal ID #:04-3390816
Bill to Account: 1030597 Ship to Account: 1235 CNTRL PK 8
CARMEL CLAY PARRS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: ANNE MARIE BESSLER
1411 E 116TH ST 1235 CENTRAL PARK DR E
CARMEL, IN 46032 DLV BEFORE 4PM
CARMEL, IN 46032
Budget Ctr 1091-4230200 MCC ADMINISTRATION Invoice Number: 3248722614
Budget_Ctr Desc: Order 7127262213-000-002
P 0 Number XX-1383 Ordered By ANNE MARIE BESSLER
P 0 DescI O� Order Date 11/14/14
Release LL23020D
' Release Desc �-1t ✓ L
order order B/o unit ship unit Extended
Line Item Number Description Qty Qty Meas Qty Price Price
2 618804 CUBICLE HOOK TRANSLUCENT ASST 1 PK 1 2.50 2.50
3 356697 DUST OFF 7 OZ. 12 PK 1 PK 1 70.56 70.56
4 135848 STAPLES 8.5X11 COPY CS 1 CT 1 39.60 39.60
5 086798 2015 MNTH ATAGLNC WALL 15X12 2 EA 2 7.99 15.98
6 649280 TAPE DOUBLE -SIDED W/DISPENSER 1 PK 1 5.19 5.19
7 125369 SHARPIE MARKER FINE RED DZ 1 DZ 1 5.12 5.12
Freight: .00 Tax:( .0000 %) .00 Sub-Total: 138.95
Total: 138.95
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Customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-7S3-4104 Page: 1
Make checks a able to staples Advantage, Dept DET PO Box 83689, Chicago IL 60696-3689
EINOV
"j, � INVO11/15/14 DET 1061088 8032158097
25 2014 PLEASE PAY BY TERMS _ AMOUNI',:DUE
12/15/14 Net 30 Days 463.66
INVOIC DEMUL
staples Advantage Federal ID #:04-3390816
8111 to Account: 1030597 Ship to Account: 1411 E 116TH ST
CARMEL CLAY PARES AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: DAWN KOEPPER
1411 E 116TH ST 1411 E 116TH ST
CARMEL, IN 46032 CARMEL, IN 46032
Budget Ctr 1125-100-010-4230200 ADMINISTRATION Invoice Number: 3248722615
Budget.Ctr_Desc: order 7127219106-000-001 _.
P O Number XX-1375 ordered By : DAWN KOEPPER
P o Desc Order Date 11/13/14
Release ��a5•�•�. �a3oa�
Release Desc
order order B/o unit ship Unit Extended
Line Item Number Description Qty Qty Meas Qty Price Price
1 135848 STAPLES 8.5X11 COPY CS 3 CT 3 39.60 118.80
2 132605 UNIBALL ROLLER MICRO PT BLU DZ 1 DZ 1 11.89 11.89
3 132563 PEN ROLLER UNIMICRO .2MM RD 1 DZ 1 7.37 7.37
4 512685 POST-IT 2X2 CUBE 3PK 1 PK 1 7.10 7.10
Freight: .00 Tax:( .0000 %) .00 sub-Total: 145.16
Total: 145.16
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Customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 1
Make checks a able to St les Advantage, Dept DET PO Box 83689, chica o IL 60696-3689
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
361528 Staples Business Advantage Terms
Dept DET 2368
i
P.O. Box 83689
Chicago, IL 60696-3689
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/8/14 3248228908 Office supplies xx1338 . $ 220.19
11/8/14 3248228906 Office supplies xx1329 $ 156.45
- - 11/811-4- '-`32482289.10 Ice-melt - - - 37765 $- - 873.18
11/8/14 3248228911 Ice melt 37783 $ 1,336.50
11/15/14 3248722612 Program supplies xx1358 $ 202.94
11/15/14 _ 3248722613 Credit for return xx1338 $ (23.39)
11/15/14 3248722614 Office supplies xx1383 $ 138.95
11/15/14 3248722615 Office supplies xx1375 $ 145.16
Total $ 3,049.98
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
Voucher No. Warrant No.
361528 Staples Business Advantage Allowed 20
Dept DET 2368
P.O. Box 83689
Chicago, IL 60696-3689 In Sum of$
r
$ 3,049.98
ON ACCOUNT OF APPROPRIATION FOR if}
101 General/108 ESE/109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT - Board Members
Dept#
1091 3248228908 4230200 $ 220.19 1 hereby certify that the attached invoice(s), or
1081-99 3248228906 4230200 $ 156.45 bill(s)is(are)true and correct and that the
1093 3248228910 4238900_ $ 873.18 "materials or services itemized thereon for
1125 3248228911 4236500 $ 1,336.50 which charge is made were ordered and
1081-7 3248722612 4239039 $ 202.94 received except
1091 3248722613 4230200 $ (23.39)
1091 - 3248722614 4230200 $ 138.95 ;
1125 3248722615 4230200 . $. 145.16
3-Dec 2014
Signature
$ 3,049.98 Accounts Payable Coordinator,
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund