323762 04/06/18 CITY OF CARMEL, INDIANA VENDOR: 357200
j; ONE CIVIC SQUARE CANNON IV, INC CHECK AMOUNT: $*******815.07
x ?Q; CARMEL, INDIANA 46032 2846 N'OMAHXSTREET CHECK NUMBER: 323762
v�`roNMESA AZ.85215 CHECK DATE: 04/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4230200 INV1477085 815.07 OFFICE SUPPLIES
:Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
VOUCHER NO. WARRANT NO. .
ALLOWED 20 . .
ACCOUNTS,PAYABLE VOUCHER
en or . .35720b
IN SUM OF,$
CANNON IV;:INC MEL
CITY OF CAR
2845 N,OMAHA STREET 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.
MESA, AZ 85215
Payee .
$815.07 .
ON ACCOUNT OF.APPROPRIATION:FOR Purchase Order#
Terms
ICS.
Date Due
PO# .. : ACCT# .. :. DATE. INVOICE# DESCRIPTION.
DEPT# INVOICE#:: .. Fund#. :AMOUNT Board Members DEPT# FUND#. .. (or note attached invoice(s)or.bill(s)) :AMOUNT
INV1477085 42-302.00 $815.07 I hereby certify that the attached invoice(s),or 3/20/18 INV1477085 $815.07
1115
101
1115 101
bills)is(are)true and correct;and that the
materials or services itemized thereon,for
which'charge is made were ordered and
received except
Wednesday,April 4,:2018
C
Arnone,Janet,
Admin Assistant
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
s o
• audited ame in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle,highway fund. Clerk-Treasurer
77 INVOICE
CannonlV Invoice No: INV1477085
�° 2$45 N. Omaha Street
Date: 3/20/2018
Me
Sir 85215Account No: C4_5712414
1 -
6814 Hillsdale Ct Indianapolis,IN 46250
Bill To: City Of Carmel Ship To: City Of Carmel
One Civic Square ttn•
Carmel, IN 46032 ne `vic quer
USA Carmel, IN 46032
USA
Sales Order No P 0„.-Number Ship Method Payment-Terms Paym ntFDue
'6 KK ` �,o », s,..: ..a,
S0806669 BEST _ __ __ -Net.-30- __ 4/_19/201.8.._,—_
� .A iyt , Remarks w , Sales`ryPerson
Cory Hinthorne .
Item No Descr1pt�on F;Setial pNo Order. Ship Bkd UMC Pace Disc Amount
C5061A HP#90 Inkjet-Cyan,OEM HPRC 1.0 1.0 0.0 EACH $194.60 $194.60
C5063A HP#90 Inkjet-Magenta,OEM HPRC 1.0 1.0 0.0 EACH $194.60 $194.60;
C5055A HP#90 Inkjet Printhead/Cleaner-Cyan, 1.0 1.0 0.0 EACH $206.16 $206:16;
OEM HPRC
C5056A HP#90 Inkjet 1.0 1.0 0.0 EACH $206.16
Printhead/Cleaner-Magenta,OEM HPRC
....• , 1
•
i
I i
?Thank you!We value your business. i. Subtotal 1 $801.52
` Discount $0.00
Freight
Sales Tax $0.00 i
Invoice Total $815.07.
Balance Due $815.07
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