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180971 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1 ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $56.40 CARMEL INDIANA 46032 DEPT DET 2368 PO BOX 83689 CHECK NUMBER: 180971 CHICAGO IL 60696 -3689 CHECK DATE: 12130/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4230200 3128251419 56.40 OFFICE SUPPLIES INVOICE DAT1 CUSTOMER SUMMARY :INVOICE: SP* C 11/28/09 `7 DET 1045462 8014090548 M pL ASS: MY BY `.TERMS; A >DU V 12/28/09 Net 30 Days 56.40 INVOICE DETAIL Staples Business Advantage, 500 Staples Drive, Framingham, MA 01702 Federal ID #:04- 2896127 CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION PAULA SCHLEMMER ATTN: MANDY SPADY 1411 E 116TH ST 1235 CENTRAL PARK DR EAST CARMEL, IN 46032 MONON CENTER CARMEL, IN 46032 EEiEE Bill to Account: 1018527 Ship to Account: MONON CENTER Budget Ctr: Invoice_ Number: 31282514"19^"`7 P O Number Release: Order: 7057745284 000 001 Ordered by: MANDY SPADY Job: Order Date: 11/24/09 Order Order B/O Unit Ship Unit Extended Line Item Number Description Qty Qty Meas. Qty Price Price 1 520064 BINDER VIEW 1 WE 24 EA 24 2.35 56.40 Freight: _00. Tax:( _0000 .00 Sub Total: 56.40 Total: (7 4017--7 97.„ VIREW/Pr. DEC 0 7 2009 Purchase BY: Description P.O.# PorF (3.L Bud et Une Desor Purchaser Date Approval Date Customer Service inquiries if 800 693 -8080 Invoice Payment Inquiries 888 753 -4104 Page: 1 Make checks payable to Staples Business Advantage, Dept DET PO Box 83689, Chicago IL 60696-3689 0013506 0038722 0000004 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 Purchase Order No. 361528 Staples Business Advantage Terms Dept DET 2368 P.O. Box 83689 Chicago, 1L 60696 -3689 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 11/28/09 3128251419 Office supplies MC 56.40 Total 56.40 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. 361528 Staples Business Advantage Allowed 20 Dept DET 2368 P.O. Box 83689 Chicago, IL 60696 -3689 In Sum of 56.40 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or Board Members INVOICE NO ACCT #(TITLE AMOUNT Dept 1047 3128251419 4230200_ 56.40 I hereby certify that the attached invoice(s), or 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 23 -Dec 2009 Signature 56.40 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund