319339 12/05/17 CAq .
CITY OF CARMEL, INDIANA VENDOR: 361528
{; d ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $***....536.31
CARMEL, INDIANA 46032 DEPT DIET - CHECK NUMBER: 319339
PO BOX 83689 CHECK DATE: 12/05/17
`�.. CHICAGO IL 60696-3689
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
506 4230200 3359967559 536.31 OFFICE SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 361528 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
STAPLES BUSINESS ADVANTAGE IN SUM OF$ CITY OF CARMEL
DEPT DET An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
PO BOX 83689 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CHICAGO, IL 60696-3689
Payee
$536.31
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel City Court 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
3359967559 42-302.00 $536.31 1 hereby certify that the attached invoice(s),or 11/18/17 3359967559 Office Supplies $536.31
1301 506 1301 506
bill(s)is(are)true and correct and that the
matVservicesereon for
whired and
rec
Friday, December 01,2017
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- INVOICE l�A'�� �lJST4 ERS����� .. o � 16.UNI�ARY�I�UOIC
Business Advantage 11/18/17 DET 1061088 8047503164
PLEASE PAY 81� tow"t e ; MOIfN�°AIJ '
12/18/17 Net 30 Days 575.11
IWOICE DETAIL
staples Business Advantage Federal ID #:04-3390816
Bill to Account: 1030382 Ship to Account: 1 CIVIC SQUARE
RECEIVE®
CITY OF CARMEL CLERK-TREASURER OFC CITY OF CARMEL
v
JIM SPELBRING �,ATTN FR '
1 CIVIC SQUARE NOV-1,82017 1 CIVIC SQUARE
3RD FL DELIVER BY 4PM
CARMEL, IN 46032 CITY COURT (2ND FLOOR)
CARMEL, IN 46032
s
Budget Ctr 130 - CITY COURT Invoice Number: 3359967559
Budget Ctr Desc: Order 7187106427-000-001
P 0 Number Ordered By FRAN KNAPP
P 0 Desc Order Date 11/16/17
Release
Release Desc
order order B/O unit ship unit Extended
Line Item Number Description Qty Qty Meas Qty Price Price
1 804574 HP 55A BLACK TONER CART 4 0 EA 4121.81 487.24
3 UNVIO048 STAMP,COPY,RD 2 0 EA 2 10.80 21.60
4 490948 PASTELS 8.5X11 CANARY PAPER RM 2 0 RM 2 4.72 9.44
5 442901 BIC ROUNDSTIC BP MED BLK 60 1 0 BX 1 5.51 5.51
6 370850 PENTEL R.S.V.P. MED BLACK 12 1 0 DZ 1 6.26 6.26
7 370868 PEN BALLPOINT RSVP MED RD DZ 1 0 DZ 1 6.26 6.26
Freight: .00 Tax:( .0000 %) .00 sub-Total: 536.31
Total: 536.31
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customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 1
Make checks payable to sta les Advantage, Dept DET PO Box 83689, Chicago IL 60696-3689