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241147 1 /13/2015 CITY OF CARMEL, INDIANA VENDOR: 361528 it ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $**--694.70' *"`*'694.70" CARMEL, INDIANA 46032 DEPT DET CHECK NUMBER: 241 147 •Mii6ri.i�, PO BOX 83689 CHECK DATE: 01/13/15 CHICAGO IL 60696-3689 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 3251991050 26.69 GENERAL PROGRAM SUPPL 1081 4239039 3251991051 27.29 GENERAL PROGRAM SUPPL 1081 4230200 3251991052 13.17 OFFICE SUPPLIES 1081 4230200 3251991053 4.38 OFFICE SUPPLIES 1081 4230200 3251991054 10.49 OFFICE SUPPLIES 1081 4230200 3251991055 4.13 OFFICE SUPPLIES 1091 4230200 3251991056 226.51 OFFICE SUPPLIES 1091 4230200 3251991057 19.95 OFFICE SUPPLIES 1081 4239039 3252324668 6.99 GENERAL PROGRAM SUPPL 1091 4230200 3252324669 74.50 OFFICE SUPPLIES 1091 4230200 3252324670 56.50 OFFICE SUPPLIES 1091 4230200 3252324671 224.10 OFFICE SUPPLIES SUMMARICE T 12/20/14 DET 1061088 8032586380 JAN 0 2 2015 IT BY: 1/19/15 Net 30 Days 332.61 I ®ICE DETUL Staples Advantage Federal ID #:04-3390816 Bill to Account: 1030597 Ship to Account: COLLEGEWDS ELEM CARMEL CLAY PARKS AND RECREATION COLLEGE WOODS ELEMENTARY SCHOOL PAULA SCHLEMMER ATTN: TAMES DOWELL 1411 E 116TH ST 12415 SHELBORNE RD CARMEL, IN 46032 TAMES DOWELL CARMEL, IN 46032 ame Budget Ctr 1081-1-4230200 CARMEL ELEMENTARY invoice Number: 3251991050 Budget Ctr Desc: order : 1128226016-000-003 P 0 Number 37860 Ordered By DAWN KOEPPER P 0 Desc order Date 12/04/14 Release 10yl_3_# 5qop Release Desc order order B/O Unit ship Unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 4 108759 WRAP AROUND THE EAR HEADSETS 1 EA 1 26.69 26.69 Freight: .00 Tax:( .0000 %) .00 Sub-Total: 26.69 Total: 26.69 Backorder of 7128226016 --- ......... 9 rn 9 01 Customer Serviceinquiries 877-826-7755 invoice Pa t j2:,u.irj!S 888-753-4104 Page: 11 Make checks payable staples Advantage, Dept DE P0 Box 836rg!nCh 60696-3689 JAN 0 2 2015 12/20/14 DET 1061088 8032586380 BY; PLEi45EPAY�,B,Y+}�ITER„N15 �rt AMOUNT DUE *,77 . 1/19/15 Net 30 Days 332.61 1"010EDET,uL -_ staples Advantage Federal ID #:04-3390816 Bill to Account; 1030597 Ship to Account: COLLEGE'WDS ELEM CARMEL CLAY PARKS AND RECREATION COLLEGE WOODS ELEMENTARY SCHOOL PAULA SCHLEMMER ATTN: JAMES DOWELL 1411 E 116TH ST 12415 SHELBORNE RD CARMEL, IN 46032 JAMES DOWELL CARMEL, IN 46032 Budget Ctr 1081-1-4230200 CARMEL ELEMENTARY invoice Number: 3251991051 Budget Ctr Desc: order 7128226016-000-004 P 0 Number 37860 ordered By DAWN KOEPPER P0 Desc Order Date 12/04/14 Release Release Desc order order B/O unit ship Unit Extended Line item Number Description Qty Qty Meas Qty Price Price 5 MTR56517 D-RING EARPIECE WITH IN-LINE P 1 EA 1 27.29 27.29 Freight: .00 Tax:( .0000 %) .00 sub-Total: 27.29 Total: 27.29 Backorder of 7128226016 .............. ... ............... .................. . 9 RN 01 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 1-1 C—P-1-N FiF F JAN 0 2 2015 12/20/14 DET 1061068 8032586380 P B 7Y: 1/19/15 Net 30 Days 332.61 ®I Ce DETAIL staples Advantage Federal ID #:04-3390816 Bill to Account: 1030597 Ship to Account: W CLAY ELEM CARMEL CLAY PARKS AND RECREATION WEST CLAY ELEMENTARY SCHOOL PAULA SCHLEMMER ATTN: JENNIFER HAMMONS 1411 E 116TH ST 3495 W 126 ST CARMEL, IN 46032 JENNIFER HAMMONS CARMEL, IN 46032 Budget Ctr 1081-10-4230200 WEST CLAY ELEMENTARY Invoice Number: 3251991052 Budget Ctr Desc: order 7128667377-000-002 P 0 Number XX-1519 Ordered By DAWN KOEPPER P 0 Desc order Date 12/12/14 Release Release Desc order order B/O Unit ship unit Extended Line Item Number Description Qty Qty Meas Qty Price Pi-ice 4 1110739 GEOMETRY TEMPLATE 3 EA 3 4.39 13.17 Freight: .00 Tax:( .0000 %) .00 sub-Total: 13.17 Total: 13.17 Backorder of 7128667377 ................ .... ... ... ................................. .............. ................ .. .... ... ......... 9 N 6 9 00 Customer Service inquiries ri # 877-826-7755 Invoice.Pa t qu ries 888-7S3-4104 Page: 1 36r Make checks'payable to Staples Advantage, Dept DET PO Box 9!n Chicago IL 60696-3689 t I ` TT.M7 - '� "' §iA '12/20/14 DET 10�61088 8032586380 JAN 0 .2' 2015 B Y 1/19/15 Net 30 Days 332.61 1AVOICE DEMUL staples Advantage Federal zo #:04-33908I8 nizz to u"="=t. 1030597 ouir to ^"c""nt. zz,, cmToc PK o ==^ CARMEL ccAr p^000 AND oocao^Tzom czr, OF CARMEL eanuv oco:mymsu vrrm. Lzmo^ ACooru 1411 E 116za or zz`, CENTRAL p^ao no o cxxmuL' zm46032 DLV aox000 ^vmCARMEL, ..�� cu ��' IN ^oo,x | Budget Ctr . 1081'99-4230200 ,sc ^omzwz,rx^rzow Invoice Number: 3251991053 ouuoec Cz, ue,c: order 7125053770'000-002 ---- p o wv*uer xx-1202 ordered By � v^ww xos,pcx , o oesc � Order Date � 10/03/1* x"m""" log/ ma n° ' - -' ' order order B/O unit ship unit Extended Line IteM Number Description Qty Qty Meas Qty Price Price 2 119487 AWESOME WORDS STICKERS 2 EA 2 2.19 4.38 Total: 4.38 Backorder of 7125053770 F--�--- -- - ----.------ ---- -- ----�- --' '--| � | cus omgrcs:rvi c nquir 877-826-7755 Invoice Payment Inquiries 888-7S3-4104 Page: 1 Makte c e k pay:b!e to lZasples Advantage, Dept DET PO Box 83689, chicago IL 60696-3689 IV. 8032586380 AN 0 2 Z015 12/20/14 DET 1061088 7, '.1tt M04 M 11q) 1/19/15 Net 30 Days 332.61 I ICE DETmL Staples Advantage Federal ID #:04-3390816 Bill to Account; 1030597 Ship to Account: 1235 CNTRL PK 8 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: 3251991054 Budget Ctr Desc: Order 7128664767-000-001 P 0 Number 37889 ordered By DAWN KOEPPER P 0 Desc order Date 12/12/14 Release Release Desc order order B/O unit ship unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 1 1308483 KEB15I EARBUD TEAL 1 EA 1 10.49 10.49 Freight: .00 Tax:( .0000 %) .00 Sub-Total: 10.49 Total: 10.49 Backorder of 7128664767 ........................ ..................................................... .... ....... .... ................................... .................... 9 0 9 Customer Service ce inquiries # 877-826-7755 invoice Payment inquiries Page: i ag 288-7S3-4104 Make checks payable to Staples Advantage, Dept DET PO Box 83689 Ch 0696-3689 12/20/14 DET 10610lP88 8032586380 JAIN 0 2 ?015 -w- - "' LBY- 1/19/15 Net 30 Days 332.61 IWOICE DEMUL Staples Advantage Federal ID #:04-3390816 my 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 1081-99-423020 ADMINISTRATION invoice Number: 3251991055 Budget Ctr De c: order 7128664767-000-004 P 0 Number :C37889 ordered By DAWN KOEPPER P 0 Desc Order Date 12/12/14 Release Release Desc order order B/O unit ship unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 12 567885 C60 TAPE DISPENSER SILVER 1 EA 1 4.13 4.13 Freight: .00 Tax:( .0000 %) .00 sub-Total: 4.13 Total: 4.13 O O9 O O U� O O O 9 O O Customer service inquiries # 877-826-7755 Invoice Payment ,?n ries 888-753-4104 Page: 1 Make checks payable to.staples Advantage, Dept DaT PO Box 8 CM22,ul IL 60696-3689 71 A t,IN n 0 7 12/20/14 DET 1061088 8032586380 JAN 0 2 2015 1 BY: 1/19/15 Net 30 i Days 332.61 I I I I 1h70ICE 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: 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 CC ADMINISTRATION Invoice Number: 3251991056 10 Budget Ctr De c: order 7128736022-000-001 P 0 Number xx-1521 ordered By ANNE MARIE BESSLER P0 Desc Order Date 12/15/14 Release Release Desc order Order B/O unit ship Unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 1 116657 3-TAB FLDR LTR MANILA 100 1 BX 1 3.91 3.91 3 815955 ONYX TRIPLE LETTER SIZE RACK 4 EA 4 34.43 137.72 4 751160 LYSOL SPRAY CRISP LINEN 19 OZ 3 EA 3 6.52 19.56 5 609764 MARKER DRYERASE FINEPOINT ASST 1 PK 1 5.29 5.29 6 926017 MNTH ATAGLNC ERAS WALL 18X24 2 EA 2 15.47 30.94 7 330931 LOGITECH K270 WIRELESS KB I EA 1 29.09_ 29.09 Freight: .00 Tax:( .0000 %) .00 sub-Total: 226.51 Total: 226.51 ............- O O 9 rn 9 O O Customer service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 1 Make checks payable to staples Advantage, Dept DET P0 Box 83689, Chicago 1, 60696-3689 06;6 3689 ;7N 0 2 2 O�115 12/20/14 DET 1061088 8032586380 JAN 0 2 2015 01M.1010,110i,�A_ -, "114 R ."(11 IN BY;__ 1/19/15 Net 30 Days 332.61 I lh7OICE 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: ANNE MARIE BESSLER 1411 E 116TH ST 1235 CENTRAL PARK DR E CARMEL, IN 46032 DLV BEFORE 4PM CARMEL, IN 46032 Budget Ctr 1091-.12302)00NIC ADMINISTRATION Invoice Number: 3251991057 Budget Ctr De c: order 7128736022-000-002 P 0 Number :Cxx-1521 ordered By ANNE MARIE BESSLER P 0 Desc order Date 12/15/14 Release Release Desc order order B/O unit ship unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 2 784551 LOGITECH M325 BLACK 1 EA 1 19.95 19.95 Freight: .00 Tax:( .0000 %) .00 sub-Total: 19.95 Total: 19.95 ................................................- .......... ........... O u� rn 9 O O Customer Service inquiriesPage: i to :77�!1.6 Invoice Payment Inquiries 208:;1!1-4104 Make checks payable ptle "j;;!! Dept DET PO Box 83689, chic 3689 '6�TOM INVOid_bAT C SU MARYJNVQICE� JAN 0 9 2015 12/27/14 DET 1061088 8032642 405 PLEA: ' , � "I . UE'� B jBY'-_. 1/26/15 Net 30 Days 362.09 I" ICE DETAIL Staples Advantage Federal ID #:04-3390816 Bill to Account: 1030597 Ship to Account: WOODBRK ELEM CARMEL CLAY PARKS AND RECREATION WOODBROOK SCHOOL PAULA SCHLEMMER ATTN: NIKEESHA PITTMAN 1411 E 116TH ST 4311 E 116 ST CARMEL, IN 46032 NIKEESHA PITTMAN CARMEL, IN 46033 Budget Ctr 1081-11-4230200 WOODBROOK ELEMENTARY Invoice Number: 3252324668 Budget Ctr Desc: - order 7128594465-000-002 P 0 Number xx-1507 ordered By DAWN KOEPPER P0 Desc Order Date 12/11/14 Release Release Desc order Order 8/0 unit ship unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 3 1112807 PAPER STACK 6x6IN GLITZY 1 EA 1 6.99 6.99 Freight: .00 Tax:( .0000 %) .00 sub-Total: 6.99 Total: 6.99 Backorder of 7128594465 9 O O O 9 Customer service inquiries 1.!77-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 1 Make checks payableAdvantage, Dept DET PO Box 83689, Chicago IL 60696-3689 1 TIR-P! INVOICEDATE C6 g9fk-VA M UM ' -, JAN 02 2015 12/27/14 DET 1061088 8032642405 PLEASErPAY ByA TERMS OP OT U— 1/26/15 Net 30 Days 362.09 IWOICE 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: ANNE MARIE BESSLER 1411 E 116TH ST 1235 CENTRAL PARK DR E CARMEL, IN 46032 DLV BEFORE 4PM CARMEL, IN 46032 Budget Ctr 1091-4210200 CC ADMINISTRATION Invoice Number: 3252324669 1091 Budget Ctr De c: or-der 7128369456-000-003 P 0 Number :0xx-1486 ordered By ANNE MARIE HESSLER P0 Desc order Date 12/09/14 Release Release Desc order order B/O unit ship unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 6 610270 X-STAMPER 11N X 21N 2 EA 2 37.25 74.50 Freight: .00 Tax:( .0000 %) .00 sub-Total: 74.50 Total: 74:501 Backorder of 7128369456 ---------- - ................ ---------------- .......... .............. 9 O O O O O9 O 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 1 INVOICE,`DATE'. CU,STOMER,. ,.' `y: SUMMARY.INVOICE:" JAN 0 2 2015 12/27/14 DET 1061088 8032642405 P.LEASE PAY.BY TERMS.;; -- .". ',_ AMOUNT:DU_E BY':--- 1/26/15 Net 30 Days 362.09 I"010E DETAIL Staples Advantage Federal ID #:04-3390816 Bill to Account: 1030597 Ship to Account: 1235 CNTRL PK E CARMEL CLAY PARES AND RECREATION CITY OF CARMEL PAULA SCHLE14MER ATTN: ANNE MARIE BESSLER 1411 E 116TH ST 1235 CENTRAL PARR DR E CARMEL, IN 46032 DLV BEFORE 4PM CARMEL, IN 46032 v Budget Ctr 1091-4230200 MCC DMINISTRATION Invoice Number: 3252324670 Budget ctr Des order 7128369456-000-004 P 0 Number xX-1486 Ordered By ANNE MARIE BESSLER P 0 Desc order Date 12/09/14 Release Release Desc orderorder B/D Unit ship Unit Extended Line Item Numbe Description Qty Qty Meas Qty Price Price 7 610273 X-STAMPER PKT STAMP 9/161NX21N 2 EA 2 28.25 56.50 Freight: .00 Tax:( .0000 %) .00 sub-Total: 56.50 Total: 56.50 Backorder of 7128369456 ----- ---..... ...--- .. ... _.._._ .. - - - ---------------------------- ............ ........... -.-------------------------------------- rn v n 0 N O N O O O d N d O M O_ 6 O O N O n 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, Chicago IL 60696-3689 INY� #'bATE �jd bi' 1. Oto M 12/27/14 DET 1061088 8032642405 PLEASE PAY4Y. 0 JAN 0 2015 - ­ .14. �1_11'­M 611T �� , "4r, -- I"_"' Ai p TERMS i�911_ 1/26/15 Net 30 Days 362.09 !BY:- i IWOICE 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: 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 DMINISTRATION Invoice Number: 3252324671 Budget Ctr De c: order 7129179326-000-001 P 0 Number xx-1545 ordered By ANNE MARIE BESSLER P 0 Desc order Date 12/23/14 Release Release Desc :n, order order B/O unit ship Unit Extended Line Item Numbe Description Qty Qty Meas Qty Price Price 1 123679 BIC ROUND STIC FN BLUE DZ 12 DZ 12 .73 8.76 2 079511 TAPE 45013 BLACK ON WHITE 3 EA 3 15.83 47.49 3 116764 STAB HANG FLDR LTR STDGRN 25 1 BX 1 12.49 12.49 4 380435 SPLS 21N HNG TAB CLR 50 1 PK 1 1.54 1.54 5 117762 SPLS 21N TAB INSERTS WHT 100 1 PK 1 .42 .42 6 490887 8.5X11 WHITE CARD STOCK 250 1 PK 1 9.31 9.31 7 490948 PASTELS 8.5x11 CANARY PAPER RM 1 RM 1 5.14 5.14 8 507027 MAGNETIC LABEL HOLDERS BLACK 1 PK 1 20.15 20.15 9 135848 STAPLES 8.5X11 COPY CS 3 CT 3 39.60 118.80 Freight: .00 Tax:( .0000 %) .00 sub-Total: 224.10 Total: 224.10 ................................................... ...................... ........................................... 9 O O customer service inquiries 7�826-7755 Invoice Payment Inquiries 888-753-4104 Page: 1 Make checks payable to Pl.:7A vantage, Dept DET Po Box 83689, Chicago 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 Advantage Terms Dept DET PO Box 83689 Chicago, IL 60696-3689 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 12/27/14 3252324671 Office supplies xx1545 $ 224.10 Total Is 224.10 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. 361528 Staples Advantage Allowed 20 Dept DET PO Box 83689 Chicago, IL 60696-3689 In Sum of$ Page # 2 of 2 ON ACCOUNT OF APPROPRIATION FOR 108 ESE/ 109 Monon Center I=o#or Board Members INVOICE NO. CCT#/TITL AMOUNT Dept# 1091 3252324671 4230200 $ 224.10 1 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 January 8, 2015 Signature $ 224.10 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 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 Advantage Terms Dept DET PO Box 83689 Chicago, IL 60696-3689 Invoice Invoice Description Date Number (or note attached invoice's)or bill's)) PO# Amount 12/20/14 3251991050 Program supplies 37860 $ 26.69 12/20/14 3251991051 Program supplies 37860 $ 27.29 12/20/14 3251991052 Office supplies XX1519 $ 13.17 12/20/14 3251991053 Office supplies XX1202 $ 4.38 12/20/14 3251991054 Office supplies 37889 $ 10.49 12/20/14 3251991055 Office supplies 37889 $ 4.13 12/20/14 3251991056 Office supplies XX1521 $ 226.51 12/20/14 3251991057 Office supplies -XX1521 $ 19.95 12/27/14 3252324668 Program supplies xx1507 $ 6.99 12/27/14 3252324669 Office supplies xx1486 $ 74.50 12/27/143252324670 Office supplies xx1486 1 $ 56.50 Total I $ 470.60 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 Advantage Allowed 20 Dept DET PO Box 83689 Chicago, IL 60696-3689 In Sum of$ TOTAL OF $ 694.70 2 PAGES ON ACCOUNT OF APPROPRIATION FOR 108 ESE/ 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-3 3251991050 4239039 $ 26.69 1 hereby certify that the attached invoice(s), or 1081-3 3251991051 4239039 $ 27.29 bill(s) is(are)true and correct and that the 1081-10 3251991052 4230200 $ 13.17 materials or services itemized thereon for 1081-99 3251991053 4230200 $ 4.38 which charge is made were ordered and 1081-99 3251991054 4230200 $ 10.49 received except 1081-99 3251991055 4230200 $ 4.13 1091 3251991056 4230200 $ 226.51 1091 3251991057 4230200 $ 19.95 1081-11 3252324668 4239039 $ 6.99 1091 3252324669 4230200 $ 74.50 January 8, 2015 1091 3252324670 4230200 $ 56.50 Total from Page#2 $ 224.10 Signature $ 694.70 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund