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300239 07/12/16
CITY OF CARMEL, INDIANA VENDOR: 361528 •;3 ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $*******594.13* 9 ?q; CARMEL, INDIANA 46032 DEPT DET CHECK NUMBER: 300239 MUTON�o. PO BOX 83689 CHECK DATE: 07/12/16 CHI ICAGO IL 60696-3689 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4230200 3305270621 22.53 OFFICE SUPPLIES 1120 4230200 3305901750 4.00 OFFICE SUPPLIES 1120 4355100 3305901750 115.04 PROMOTIONAL FUNDS 506 4230200 3306525220 452.56 OFFICE SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) STAPLES BUSINESS ADVANTAGE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER DEPT DET IN SUM OF$ CITY OF CARMEL PO BOX 83689 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CHICAGO, IL 60696-3689 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $119.04 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 8039776101 42-302.00 $4.00 1 hereby certify that the attached invoice(s),or 7/1/16 8039776101 $4.00 1120 101 1120 101 8039776101 43-551.00 $115.04 bill(s)is(are)true and correct and that the 7/1/16 8039776101 $115.04 1120 1 1 101 1 materials or services itemized thereon for 1120 101 which charge is made were ordered and -- — received except Friday,July 01, 2016 David Haboush Fire Chief 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— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer STAPLES INVOIgA,D' E CUST.O_MER' �` h�`� ,� SUMMARY INVOICE: Business Advantage 6/18/16 DET 1061088 8039776101 1?LEAS PAY BY TER�!1S n ,^xr AMOUNT DUE 7/18/16 Net 30 Days 119.04 IWOICEDETAiL Staples Business Advantage I Federal ID #:04-3390816 Bill to Account: 1030382 Ship to Account: 2 CIVIC SQUARE CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: LARA MULPAGANO 1 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46032 DELIVER BY 4PM CARMEL, IN 46032 Budget Ctr 120 - FIRE DEPARTMENT Invoice Number: 3305901750 0 Budget Ctr Desc: Order 7157696450-000-001 P O Number ordered By LARA MULPAGANO P 0 Desc Order Date 6/13/16 Release Release Desc order order B/o Unit ship Unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 1 472506 STAPLES JMB PPR CLP 1000CT 2 0 PK 2 .51 1.02 2 657463 FOLGERS CLASSIC REGULAR COFFE 4 0 CT 4 28.76 115.04 3 163832 STPLS PERF PAD JR LGL5X8 CANAR 1 0 DZ 1 2.98 2.98 Freight: .00 Tax:( .0000 %) .00 sub-Total: 119.04 Total: 119.04 i i I N T O O C7 O O I (b O O O d O A r i N m Customer service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 1 Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696-3689 VOUCHER NO. WARRANT NO. �y� �j _ ALLOWED 20 rAI' L� S V �r G IN SUM OF $ De-:�PT �ET. I Z7 ON ACCOUNT OF APPROPRIATION FOR C,5 tee.r Board Members — Po#or——INVOICE-NO—ACCT#/TITLE AMOUNT DEPT.# I-hereby-certify that the-attached-invoiee(s)—- © 3 d or bill(s) is (are) true and correct and that J�oZo2 `7� 3D •� 5 lO the materials or services itemized thereon for which charge is made were ordered and received except / 20 Sign ture Title Cost distribution ledger classification if claim paid motor vehicle highway fund I STAPLES AW :0"AT'A Business Advantage 6/25%16 DET 1061088 8039867420 4uRLfASEaRYlY �"'_i�s;il�? `lM��f� 4�h�'&iri'fa� a AMQCIIU ,tDUEY1 u� rf� 7/25%16 Net 30 Days 517.60 I"010E DETAIL _ Staples Business Advantage Federal ID #:04-3390816 Bill to Account: 1030382 Ship to Account: 1 CIVIC SQUARE CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: FRAN KNAPP 1 CIVIC SQUARE 1 CIVIC SQUARE CARMEL, IN 46032 DELIVER BY 4PM CITY COURT (2ND FLOOR) CARMEL, IN 46032 Budget Ctr : 130 - CITY CouRT Invoice Number: 3306525220 Budget Ctr Desc: I Order : 7158173297-000-001 P O Number Ordered By FRAN KNAPP P0 Desc I order Date 6/22/16 Release Release Desc order order B/o Unit ship unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 1 534081 G FIB PAD LTR 8.5X11.75 12PCK 1 0 DZ 1 22.49 22.49 2 905203 SEB 9 IN PLATE 250/PK I 2 0 PK 2 18.65 37.30 3 905192 SEB 12 OZ BOWL 125/PK 1 0 PK 1 5.78 5.78 4 491722 STAPLES CUTLRY COMBO 30OCT 2 0 PK 2 6.85 13.70 6 1004267 SUSTAINABLE EARTH SEB128R 1 0 EA 1 46.82 46.82 7 804574 HP 55A BLACK TONER CART 2 0 EA 2 120.70 241.40 8 645929 MAXWELL HOUSE ORIGINAL 30.60Z. 1 0 EA 1 8.99 8.99 10 503707 HP 13A BLACK TONER CART 1 0 EA, 1 72.58 72.58 11 SWI54032 PAD,F/FINGER,RUBR,SZ 12 1 .0 DZ 1 3.50 3.50 Freight: .00 Tax:( 0000 %) .00 sub-Total: 452.56 Total: 452.56 . ......................... .... ..... ................ ......... ... . . m b I 0 m 0 0 b co 00 Customer service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 1 Make checks ayable to sta les Advantage, Dept DET Po Box 83689, Chicago IL 60696-3689 To reach Customer Service, REFER TO THIS ORDER NO. FOR ALL INQUIRIES please di a 8 7 7 -7 7 5 5. >»»:<:ii::»::....: ...: ::::::::::::••::::::....::............:»:.:.:.....:::.:.::::::::::::::::::. s»: :>;»»»»>:»;::;::::;:::>«:»:.» ( ) 8 2 6 .......�''t)'�'1'.f?Ad�t2;•;;: 0001061088 6/22/16 7158173297-000001 - :::.>. :...............''.. 'u:' `.'... N.'�'Fi. ......:::..:_:.....:....:...::......::::::::: TS .�h.: �.••. Ip �'`i�'.: ':::: ::EE ':E MAKE M OI a HAPPEN ::::::::::.:::::::::::::.::::::::::::::::..................:..:.:.:::.............................:..:.:.:..::... :::::::::::::.::.::::::.:::::::::::::::::. Staples Business Advantage SHIPPING LOCATION:London MCC FC CARRIER ROUTE:IND/COU /21 CITY OF CARMEL H: FRAN KNAPP iO CITY OF CARMEL-NJPA TOTAL PACKAGES: MULTI 1 CIVIC SQUARE B. 1 CIVIC SQUARE DELIVER BY 4PM CARMEL, IN 46032 CITY COURT (2ND FLOOR) {j': `' CARMEL, IN 46032 Contact: (317) 571-2408 - FRAN KNAPP PAGE: 1 SPECIAL INSTRUCTIONS DELIVER BY 4PM ..... ..... ii:: iiii: ;:;: ................... .. ............................................................................................................................................................................... ........... . ... :;:i:::;::d::: i3G::i::;s::;:::i::::::i::i:;::iii:i::t:;ii::;::i::is 2:iiiiiii::ii:::i::Yiiiii`::i::::iiiii'<';:<:::i::i?i::::::::::i: ::%;;:::::i R.....................57.................. ....................................................:.........:...:..................... .4°::.;;:.>:.>;:.;:.»:.::.:;•.. ;::C f.:.:.::.::.::::..::::::.::.::.::.::.::::::::::::::::.:;::.:.;:.;:. ...: :;:>:;;:::::i::i::i::i::i::;::;::;;::::::i:::;:::isr,::i::i::;::;::i::i::;:::::;::i::i::i;::;;::;:r,::;::i:::::::.::.;::::::::::::::i::i:>':::;:::::::::::::::.:i:>:::i::::::::::::i::i::i::i:::a;:::::i::is>::>;:::i::i::;:i::;:;....... .... ....... ..... ..B.4k:. :::::>:;;«•::;i•;:.»::;;;:<.;:»;:•;:.;>:•;:•:<•;:•>:.::.::::;.;>:.;::.;:.;::. >:.>:.;:............ ..................Pi `RIF.E1i72�•>:.>::::.;:.:3V. ffi2.si:.>:.>:.>:.::.::.::.::.::.::.:.::.::.::......:................:......::::.i:;.>. 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A :...:...............:....................................................... ......................�...... ............................. ......... ..:.... ::.:.........::...........:.......:............................................................... 1 534081 G FIB PAD LTR 8.5X11.75 12PCK /20020 DZ 1 1 0 2 905203 SEB 9 IN PLATE 250/PK /SEB40135-CC PK 2 2 0 3 905192 SEB 12 OZ BOWL 125/PK /SEB40133-CC PK 1 1 0 4 491722 STAPLES CUTLRY COMBO 30OCT /27370/BPR22755 PK 2 2 0 5 CWNCU2436EK MAT,CUSHION-STEP,2X3,BKMB /12345 EA 1 0 1 We are shipping this item direct to you from our supplier. 6 1004267 SUSTAINABLE EARTH SEB128R /SEB128R EA 1 1 0 7 804574 HP 55A BLACK TONER CART /CE255A EA 2 2 0 Material Safety Data Sheets (MSDS) may be found by visiting http://sds.Etarles.com/-nsds/804574.pdf 8 645929 MAXWELL HOUSE ORIGINAL 30.60Z./GEN04648 EA 1 1 9 845658 GLISTEN DISH SOAP 1GAL /BPR850001-C EA 1 0 1 Material Safety Data Sheets (MSDS) may be found by visiting http://sds.., tarles.com/-nsds/845658.pdf We will ship the balance of your order as soon as possible. 10 503707 HP 13A BLACK TONER CART /Q2613A EA 1 1 0 Material Safety Data Sheets (MSDS) may be found by visiting http://sds. to les.com/.msds/503707.pdf 11 SWI54032 PAD,F/FINGER,RUBR,SZ 12 /7918477 DZ 1 1 0 MPKEmO�HnPPFN Check your order status online by News selecting My Order Status from the & Previews My Orders drop down. 001 Thank You For Your Order! Staples, Inc. VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF$ Q© fox �36$1 CN' Ca o $ ON ACCOUNT OF APPROPRIATION FOR-` Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), �"(o t �o3a6go �Z3oZoo Zx•53 or bill(s) is (are) true and correct and that © ice the materials or services itemized thereon ley for which charge is made were ordered and received except 20/6 i atur C7 Cost distribution ledger classification if itle claim paid motor vehicle highway fund STAPLES Business Advantage 6/11/16 DET 1061088 8039680090 PL S P Y A E�1�S-"" �� A 7/11/16 Net 30 Days 22.53 I"OICE DETAIL Staples Business Advantage Federal ID #:04-3390816 8111 to Account: 1030352 Ship to Account: 1 CIVIC 3RD FL 0 CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: PATRICIA BROWN - 1 CIVIC SQUARE 1 CIVIC SQUARE CARMEL, IN 46032 3RD FL/DELIVER BY 4PM CARMEL, IN 46032 s 0 Budget Ctr 170 - CLERK TREASURER Invoice Number: 3305270621 Budget Ctr Desc: order 7156843895-000-001 P 0 Number ordered By PATRICIA BROWN P o Desc order Date 5/26/16 Release Release Desc order order B/o unit ship unit Extended Line Item Number Description Qty Qty Meas Qty Price Price 1 556360 OUST SELF INK STAMPI5/16X2-I31N 1 0 EA 1 22.53 22.53 Freight: .00 Tax:( .0000 %) .00 sub-Total: 22.53 Total: 22.53 Backorder of 7156843895 ..................... ..........._. ...... _....... _..._.. ... .... ............ - .- ....... ......... 0 0 0 0 0 N O f7 O d 4 O coO N customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 1 Make checks payable to Staples Advantage, Dept DET Po Box 83689, Chicago IL 60696-3689