246786 06/30/15 ,Coq.
`+' '' CITY OF CARMEL, INDIANA VENDOR: 00351160
`} ONE CIVIC SQUARE FEDEX KINKO'S-COPY CHARGES CHECK AMOUNT: $********38.25*
y. �Q. CARMEL, INDIANA 46032 PO BOX 672085 CHECK NUMBER: 246786
M��r`ori`�°' DALLAS TX 75267-2085 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 070400012533 38.25 OTHER MISCELLANOUS
INVOICE
Official Bill of Sale
Terms Net 30 Days
Please Reference Invoice#Below
INVOICE#: 070400012533
Please remit payment to: GTN#:
FedEx Office Receipt#: 0704002 Reg: LM13 Page: 1
Customer Administrative Services Account#: 0000386806 Card#: 0041
P.O. Box 672085 Customer#: City Of Carmel
Auth User: Clerk-Treasurer's Office
Dallas, TX 75267-2085 Reference: Ann Davis 317-571-2414 Treasur
Tax Exempt#:
Date: 04/15/15 01:13 PM Co-Worker:
Qty/List Disc. Price Amount
Questions?Please call.
9 LF Mounting Basic per
800.488.3705 5.00 0.7500 4.250 38.25
Discount Total $6.75
User/Requestor Information
Signee: Ann Davis
Signee Phone: 317.571.2414
SUBTOTAL $38.25
TAX $0.00
TOTAL $38.25
Electronically Reproduced
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 ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.199M
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))
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
[ �
gUA 14t&-,
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
X110 5 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
0
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund