245162 05/13/15 CITY OF CARMEL, INDIANA VENDOR: 146000
ONE CIVIC SQUARE I C C BUSINESS PRODUCTS CHECK AMOUNT: $*******106.80*
CARMEL, INDIANA 46032 P.O.BOX 26058 CHECK NUMBER: 245162
(9,
INDIANAPOLIS IN 46226-6292 CHECK DATE: 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4230200 S1672290 106.80 OFFICE SUPPLIES
INVOICE Invoice Number: SI-672290
Business Produaff Invoice Date: Due Date
Since 1930 Page: 1 4/30/2015 5/30/2015
ICC Business Products (((��'' 'f� �--Customer Customer ID Contact Salesperson
3164 N. Shadeland Avenue
`= 28220 Dawn Koepper Jim Ray
Indianapolis, IN 46226-0058 ' MAY 2015 :custpnone custFax
317-5734026
Bill Paula Schlemmer Ship Dawn Koepper
To: CARMEL CLAY PARKS AND RECR To: CARMEL CLAY PARKS AND REC
1411 E 116TH ST. 1411 E 116TH ST.
CARMEL, IN 46032 CARMEL, IN 46032
Terms Order Date Order No. Ship Via Budget Code Web Order No. CUS.PO#
NET 30/EMAIL 4/30/2015 SO-641139 142941 XX-2044
Item/Description Order Qty Unitanti Unit Price Total Price
7-02612XNDU HP LJ 1010/1012 HI YLD COMPAT TONER 3.5K PG YLD . 1.00 EA 1.00 64.95 64.95
7-CB436ANDU PREMIUM HP COMP P1505 2000 YLD BLACK TONER 1.00 EA 1.00 41.85 41.85
Website' www.iccbusinessproducts.com Phone: 800-547-2233 Fax: 317-543-5738
PLEASE PAY FROM THIS INVOICE Subtotal: 106.80
MAIL PAYMENT TO: Shipping & Handling: 0.00
P.O. BOX 26058 Order Processing: 0.00
INDIANAPOLIS, IN 46226-6292 Total Sales Tax: 0.00
Net Terms Total: 106.80
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.
146000 1 C C Business Products Terms
P.O. Box 26058
Indianapolis, IN 46226-6292
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/30/15 S1672290 AO Ink toners xx2044 $ 106.80
Total $ 106.80
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
, 20
Clerk-Treasurer
i
Voucher No. Warrant No.
146000 1 C C Business Products Allowed 20
P.O. Box 26058
Indianapolis, IN 46226-6292
In Sum of$
L
$ 106.80
ON ACCOUNT OF APPROPRIATION FOR I
I
101 General Fund
PO#or Board Members
Dept# INVOICE NO. CCT#/TITL AMOUNT
1125 S1672290 4230200 $ 106.80 1 hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
I materials or services itemized thereon for
which charge is made were ordered and
received except
I'
I
I
1 May 7,2015
Signature
$ 106.80 ,'' Accounts Payable Coordinator
Cost distribution ledger classification if %1 Title
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