182305 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 00351241 Page 1 of 1
ONE CIVIC SQUARE COMMERCIAL FURNISHINGS
CHECK AMOUNT: $1,013.60
CARMEL, INDIANA 46032 251 E OHIO ST #100
INDIANAPOLIS IN 46204 CHECK NUMBER: 182305
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4463000 19351 26674 968.60 DUAL MONITOR ARMS
1701 4239099 26752 45.00 OTHER MISCELLANOUS
COMMERCIAL FURNISHINGS CORPORATION Invoice
251. E. Ohio Street, Suite 100
Indianapolis, IN 46204 BILLING DATE INVOICE
Phone (317)636 -3690 1/11/2010 26674
Fax (317)632 -5668
BILL TO SHIP TO
Carmel City Hall Human Resources Same
One Civic Square Dept. Community Services
Carmel, IN 46032 Attn: Sue Coy 571 -5850
Attn: Accounts Payable or Jim Spelbring 571 -2465
P.O. NUMBER TERMS REP VIA TAX EXEMPT NO. ORDER DATE
19351 Net 30 days GLM Our Truck 003120155 002 0 12 -10 -09
QUANTITY DESCRIPTION PRICE EACH AMOUNT
For DOCS HR U
FEB 15 2010
By
2 Double monitor arms 417.00 834.00
Freight 14.60 14.60
Installation 120.00 120.00
Subtotal $968.60
Sales Tax (7.0 $0.00
Humanscalel23730
Total $968.60
Payments /Credit $0.00
Balance Due $968.60
FINANCE CHARGE OF 2% PER MONTH, 24% PER YEAR ON PAST DUE INVOICES.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Commercial Furnishings Corporation
IN SUM OF
251 E. Ohio Street, Suite 100
Indianapolis, IN 46204
r
$968.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
19351 26674 44- 630.00 $968.60 1 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
Monday, February 15, 2010
CAL
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/11/10 26674 $968.60
1 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
COMMERCIAL FURNISHINGS CORPORATION Invoice
251 E. Ohio Street, Suite 100
Indianapolis, IN 46204 BILLING DATE INVOICE
Phone (317)636 -3690 2/512010 26752
Fax (317)632 -5668
BILL TO SHIP TO
City of Carmel Same 3rd floor
Office of the Clerk- Treasurer Attn: Diana Cordray
One Civic Square 571 -2414
Carmel, IN 46032 Gary to deliver
Attn: Diana Cordray
P.O. NUMBER TERMS REP VIA TAX EXEMPT NO. ORDER DATE
LOA Net 30 days GLM McDermid 003120155 002 0 1 -28 -10
QUANTITY DESCRIPTION PRICE EACH AMOUNT
1 Hanging frame 16.00 16.00
Freight 29.00 29.00
Subtotal $45.00
Sales Tax (7.0 $0.00
Office Specialty/23800 Total $45.00
Payments /Credit $0.00
Balance Due $45.00
FINANCE CHARGE OF 2% PER MONTH, 24% PER YEAR ON PAST DUE INVOICES.
Prescribed by State Board of Accounts C +ty Form No. 201 (Rev. 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
Purchase Order No.
j
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
r
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT, I hereby certify that the attached invoices 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
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund