322256 02/27/18 CITY OF CARMEL, INDIANA VENDOR: 371592
'i ONE CIVIC SQUARE AMAZON CAPITAL SERVICES CHECK AMOUNT: $""'"'52 52'
CARMEL, INDIANA 46032 Po Box 035184 CHECK NUMBER: 322256
SEATTLE WA 98124-5184 CHECK DATE: 02/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4230200 1FHC3G1V6R7Y 52.52 OFFICE SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 371592 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
AMAZON CAPITAL SERVICES IN SUM OF$ CITY OF CARMEL
PO BOX 035184 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.
SEATTLE, WA 98124-5184
Payee
$52.52
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course 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
1 FHC-3G1 V-6R7Y 42-302.00 $52.52 1 hereby certify that the attached invoice(s),or 2/16/18 1 FHC-3G1 V-6R7Y Office Supplies $52.52
1207 101 1207 101
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
Monday, February 19,2018
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
amazonbusiness Invoice
For customer support and disputes,visit www.amazon.com/contact-us.
Invoice Date 16-Feb-2018
Invoice Summary Payment due by March 18, 2018 Invoice# 1FHC-3G1V-6R7Y
m.. _ _.__ _ _.•....____n _. ___� _ ,._._ __,....w......_....__._ __...w........ Account# AlPUBUF913SWOD
Item Subtotal $ 52.52 Order# 114-7458380-5269808
Shipping&Handling $ 0.00 Payment Terms Net 30
Promos&Discounts $ 0.00
Sales Tax $ 0.00 Bill To
Brookshire Golf Club
Amount Due $ 52.52 USD Pam Lister
12120 Brookshire Parkway
Carmel,IN 46033
Order Information
Ship To
Ordered By Pamela Lister Brookshire Golf Club
12120 Brookshire Parkway
Remit To Carmel,IN 46033
Account Name:Amazon Capital Services, Inc. Sales Tax based on Ship To address
Bank Name:Wells Fargo Bank
ACH Routing#(ABA): 121000248
Bank Account#(DDA):4122416308
SWIFT Code:WFBIUS6S
Mail Check Payments To
Amazon Capital Services
PO Box 035184
Seattle,WA 98124-5184
Include Amazon invoice number(s)in the descriptive field of your electronic funds transfer payment.
Email ar-businessinvoicing@amazon.com with questions regarding payments or invoices,or to submit your remittance detail.
Accounts Receivable can also be reached at 1-888-283-2209.
Invoice Details
Description Qty Unit Price Item Subtotal
Konica Bizhub C451 Waste Toner Bottle Yield 57,000, 1 $52.52 $52
ASIN;:13002FYSKVU4 Sold by.-Networking Hardwares LLC
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