240991 01/13/15 i;,•cyvb
CITY OF CARMEL, INDIANA VENDOR: 00351160
ONE CIVIC SQUARE FEDEX KINKO'S-COPY CHARGES CHECK AMOUNT: $'*""*125.00"
r� CARMEL, INDIANA 46032 PO BOX 672085 CHECK NUMBER: 240991
DALLAS TX 75267-2085 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 070400012260 125.00 OTHER EXPENSES
INVOICE
Official Bill of Sale
Terms Net 30 Days
Please Reference Invoice# Below
INVOICE#: 070400012260
Please remit payment to: GTN#:
FedEx Office Receipt#: 0704002 Reg: BF73 Page: 1
Customer Administrative Services Account#: 0000386806 Card #: 0050
P.O. Box 672085 Customer#: City Of Carmel
Auth User: Water
Dallas, TX 75267-2085 Reference: 0000386060050-Lewis, Teresa
Tax Exempt#:
Date: 12/15/14 10:21 AM Co-Worker:
Qty/List Disc. Price Amount
Questions?Please call:
500 FS B&W S/S Carbonless
800.488.3705 1.00 0.7500 0.250 125.00
Discount Total $375.00
User/Requestor Information
Signee: Teresa Lewis
Signee Phone: 317.571.2477
SUBTOTAL $125.00
TAX $0.00
Electronically Reproduced TOTAL $125.00
Copy of Original
Thank you for choosing FedEx Office
Carmel IN Carmel Dr 317.818.1600
530 E Carmel Dr
Visit our website at Carmel, IN 46032-2814
fedex.com
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
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
Mo. Day Yr. Signature, Title
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.
Mo. Day Yr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ACCT.
CARMEL, INDIANA No.
dx Favor Of
ro 6ol- 6720-5
0011 -) TY � X0$5
Total Amount of Voucher $
Deductions
000 &')
S od
J _720 .0$
Amount of Warrant $ ov
Month of Yr
t.
VOUCHER RECORD ANo.
Collection System
Pumping
Treatment&Disposal
Customer Accounts
Administrative&General
Reclaimed Water Treatment
Reclaimed Water Distribution
Total
Allowed
Board Members
Filed
BOYCE FORMS•SYSTEMS 1-800-382-8702 325