HomeMy WebLinkAbout181534 01/20/2010 CITY OF CARMEL, INDIANA VENDOR: 362529 Page 1 of 1
ONE CIVIC SQUARE DON CLEVELAND CHECK AMOUNT: $54.39
s' CARMEL, INDIANA 46032 141 STONY CREEK OVERLOOK
NOBLESVILLE IN 46060 CHECK NUMBER: 181534
CHECK DATE: 1/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4230200 54.39 OFFICE SUPPLIES
I DONALD H. CLEVELAND
15 42
BARBARA L. CLEVELAND r
141 STONY CREEK OVERLOOK
DATE C _h_C
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1 o C IN 46060
ORDER OF H ,„5 �4 S 1 J 2 ,..2
i ts C` "7 ire 6'A e TCCARS 8 "m=
IS Harris N.A.
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MEMO G f/( /9 7.. 'r "'P
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QTY SKU PRICE
REWARDS NUMBER 5354619123 KIRK HARDWARE, INC.
"A Complete Line of Hardware And Gifts"
1 CANON MP225D PRINT HOUSEWARES GIFTS BRUNING PAINTS
038569108714 52,99N North Side of Public Square Phone 773 -4371
SUBTOTAL 52.99 Noblesville, Indiana 46060
Tax Exempt Number 5000329994 Date j II 1 0 20 I
M Z
TOTAL $52,99
No.
2% per month service charge on all accounts 30 days past due.
Check 52.99
Auth No. 199681 1
TOTAL ITEMS 1 3
4
5
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Prescribed by State Board of Accounts City Form No. 201 (Bev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
06 CIPV��gy� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
l/ /o
j
/2-/D /SYZ C 5 99
Total _5 3,
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in, accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF$
sy 32
ON ACCOUNT OF APPROPRIATION FOR
P2/
Board Members
DEPT. or INVOICE NO. ACCT /TITLE AMOUNT 1 hereby certify that the attached invoice(s), or
U y2 jam) bill(s) is (are) true and correct and that the
x,5 q23(2206 52.9 materials or services itemized thereon for
which charge is made were ordered and
received except
Q uivtx.
Sig ature
Director of Operations
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund