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249067 08/26/15 4. CITY OF CARMEL, INDIANA VENDOR: 00350674 ® <I ONE CIVIC SQUARE ULINE CHECK AMOUNT: $*******120.26* CARMEL, INDIANA 46032 PO SOX 88741 CHECK NUMBER: 249067 °M�raN�.� CHICAGO IL 60680-1741 CHECK DATE: 08/26/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4230200 69805759 120.26 OFFICE SUPPLIES INVOICE NO. 1-800-295-5510 69805759 ** uline.com EM13 PO Box 88741 •Chicago IL 60680-1741 INVOICE SHIPPING SUPPLY SPECIALISTS ULINE FED ID#:36-3684738 THANK YOU FOR YOUR ORDER. ULINE CUSTOMER SINCE 2003 YOUR ORDER## 73925496 SOLD TO: SHIP TO: MDG2014 00008925 1 AB 0416 1473396 CARMEL CITY OF CARMEL CITY OF POLICE DEPT POLICE DEPT 3 CIVIC SQ 3 CIVIC SQ CARMEL IN 46032-7570 CARMEL IN 46032-7570 U 100-9-2013 PURCHASE ORDER NO. Moll 1473396 BLAINE UPS GROUND 8/13/15 8/13/15 NET 30 DAYS 8/13/15 p -- - - 727�.20 ITEM NUMBER 20 EA S-4650 22X10X9 BOX 20/240 1.361 CT S-7764 PAPER CD SLEEVE W/WINDOW 1600/CT 69.00 ORDER PLACED BY: BLAINE MALLABER SUB TOTAL SALES TAX FRT/HNDLING AMOUNT DUE INTERNET /1 96.20 .00 24.06 120.26 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)) 08/13/15 69805759 lab supplies $120.26 1 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. ALLOWED 20 Uline IN SUM OF $ PO Box 88741 Chicago, IL 60680-1741 $120.26 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 69805759 I 42-302.00 I $120.26 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 Thursday, August 20, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund