246502 06/17/15 u'4`p'' CITY OF CARMEL, INDIANA VENDOR: 00351800
`� t` CHECK AMOUNT: $*******305.94*
., �• ONE CIVIC SQUARE QUILL CORP
:9� j=a CARMEL, INDIANA 46032 PO BOX 37600 CHECK NUMBER: 246502
NITON�, PHILADELPHIA PA 1 91 01-0600 CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4230200 4589682 305.94 OFFICE SUPPLIES
QuAlAR
i 3747:
oPledical arts Order Date : 05/26/2015
press. Ship Date : 05/27/2015
InvoiceDate : 05/28/2015
:
P.O. Box 37600 Philadelphia,PA 19101-0600 TIN 36-2952904
Customer Service: 1-800-789-1186
1010
0
0004844 01 SP 0.490 "SNGLP T 140746032 -C01-P04846-1 o
Sold To: Ship To: o
Carmel Fire Department Carmel Fire Department
2 Carmel.Civic Sq 2 Civic Sq o
Carmel IN 46032 Carmel IN 46032 0
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Customer PO : lafollettesally Order# : 80513808 Invoice# : 4589682 Account# : C4262348
Item Number Description Color Qty shipped Price/UM Extended
901-14117 #10 tch-N-Seal wndw env,500/bx 20 $10.19/ C $203.96
901-14148MAP Ins claim env,Blu,S/s,Rt wndw 10 $10.19/ C $101.98
Remember you can check your order status&tracking,print invoices and more in the Manacle My Account section on Quill.com.
Mdse Total: $305.94
Always Expanding Assortment. Tax: $0.00
Everything it takes for your practice. Go to Quill.com/healthcare Freight: Free
—To-help-apply your-payment properly, remember-to include your account#
on your check and remit your payment to the address shown below.
Quill.com covers shipping carrier fees on every order. Amount Due: $305.94
For orders under$45, there is a small handling fee of $5.99 applied. Due Date: 06/27/2015
Customer is responsible for collection fees,court costs and reasonable attorney fees to collect unpaid accounts
Quill-com-
Healthcare @Jedicalarts
press.
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#35027
VOUCHER NO. WARRANT NO.
ALLOWED 20
Quill Corporation
IN SUM OF$
PO Box 37600
Philadelphia, PA 19101-0600
$305.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 4589682 42-302.00 $305.94 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 AN 15 2015
I,
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4589682 $305.94
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