250908 10/21/15 r°�-��AM
�! CITY OF CARMEL, INDIANA VENDOR: 364577
® CHECK AMOUNT: $*******465.31*
�,• ONE CIVIC SQUARE WORKSPACE SOLUTIONS
?�; CARMEL, INDIANA 46032 2208 PRODUCTION RD CHECK NUMBER: 250908
.9M�>O'N�. FORT WAYNE IN 46808 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4463000 50794 465.31 FURNITURE & FIXTURES
For
Ar;&
�� S lu
fioni�-ICE: $0 94
vvDATE; 1�/OB/15
Ph.160-422=8529/.Fax: 260-422-6815
2208 Production Road, Fort-W, I1V-46808 pxos cT#: 6=1�i
v
2 0 6 9
ww.workspacesolutions coin e
PROPOSAZ :
`BILL TO: INSTALL_,A y
CLIENT NL7MBER.:. 006154
CITY OF CARMEL CITY'OF- CARMEL
ONE CIVIC- SQUARE - ONE CIVIC -SQUARE'
CARMEL, IN -4603-2 CARMEL, IN 4603.2
ATTN ACCOUi�"TS ;PAYABLE
CUSTOMER a,/0 . —TERMS 'SALESPERSON
INET -15 Gary MLDermi,d,
TY PRODUCT- DESGRIPT3ON' "SELL;r., EXTENDED
I HpC690K Park Ave 3,6x37 1/8 Operi 465.31
Boo3ccase, Hutch:3.-Shelf,4
Adj•
B'et.dea Edge'.LAM':: Mahogariy
1 T;ARQR Ux1BOs2
I INSTALLATION TO. 00CUR DURING
NOtN,AL,BUSINESS: HOURS ;OF 8.00
A; 4_.00".P':M., MONDAY .-
FRlDAY,.,
•
u
3
SUBTOTAL 4$5..'31
• - •'INS - .. s
FINAL TOTAL, : 515:3,1
PAGE 1r: OF
----
lVolicsqu,ace Soluutzorrm
PROPOSAL: 20698
Ph: 260-422=8529 / Fax: 260 422-6815 DATE: 08/17/15
2208 Production Road, Fort Wayne, IN 46808
-,Ar\x W:WOrksi)aces 0l.Cl tiOnS.COII:I PROJECT#: 6-111
PRU$4SAI -.FSR I?+1ST`AIr-ATS-.—.
i
CITY OF CARMEL CITY OF CARMEL �!
ONE CIVIC SQUARE ONE CIVIC SQUARE
�j CARMEL,, IN, 4-6032 CARMEL, IN 46032
ATTN: ACCOUNTS PAYABLE
"2-200 44 (03 o0 D
SALESPERSON - `7 VALID THRU
Gary McDermid _.. 09/17/15
i
1, HPC690X Park Ave 36x37 1/8 Open 465.31 465.31
Bookcase Hutch 3-Shelf 2 Adj
Shely
Undecided -iso
Undecid d LAMINATE O tion
f
1 LABOR LABOR - •5 .
}I. INSTALLATION TO OCCUR DURING
NORMAL BSUSINESS HOUROF 8:00 J er ew, s t a l l e d
A.M. - 4:00 P.M. , MONDAY - j
FRIDAY.
Ii
I�
II
SUBTOTAL. .:. , : 465.31
INSTALL. . ... . :
i
_AccEP�:rFD,_ev.
DATE-ACCEPTED
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
Workspace Solutions Purchase Order No.
2208 Production Road Terms
Fort Wayne, IN 46808 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
8/17/2015 50794 Bookcase for Jeremy's office $ 465.31
Total $ 465.31
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.
Workspace Solutions ALLOWED 20
2208 Production Road IN SUM OF$
Fort Wayne, IN 46808
$ 465.31
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or
DEPT# INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 50794 2200-4463000 $ 465.31 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
10/19/2015
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund