HomeMy WebLinkAbout240558 12/30/2014 t CITY OF CARMEL, INDIANA VENDOR: 366767
ONE CIVIC SQUARE VAN AUSDALL&FARRAR CHECK AMOUNT: $********78.55*
CARMEL, INDIANA 46032 PO SOX 713683 CHECK NUMBER: 240558
CINCINNATI OH 45271-3683 CHECK DATE: 12/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4230200 67552 78.55 OFFICE SUPPLIES
Vann A adall MAIL REMITTANCE TO: INVOICE
Farrar VAN AUSDALL AND FARRAR,INC.
PO BOX 713683,Cincinnati,OH 45271-3683
X104 Phone(317)634-2913 Fax(317) 638-1843
Email invoice questions to: Invoice No: 67552
billing@vanausdall.com Date:-12/12/2014
Account No: 103781
Bill To: CITY OF CARMEL Ship To: CITY OF CARMEL
Attn: Clerk Treasurer's Office Attn: ANN DAVIS
1 CIVIC SQ 1 CIVIC SQ
CARMEL, IN 46032 CARMEL, IN 46032
7777777,77
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410802 STAPLES-REFILL TYPE K F/AF1035/45 1.0 1.0 0.0 EA $66.27 $66.27
3800
Contract: 16089-02
Equipment:70454
Serial Number:W5421_500535
Model: MPC5502A
Location:Clerk Treasurer's Office
Customer Number:103781 Invoice Number:67552 Subtotal $66.27
Please Include Invoice Number on Remittance Discount $0.00
Freight $12.28
Thank you for your business!
Sales Tax $0.00
Invoice Total $78.55
Balance Due $78.55
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.199
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
0 �/� N
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
IN SUM OF $
t
$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT'
DEPT.# I hereby certify that the attached invoice(s),
pat— 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
,J, 20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund