HomeMy WebLinkAbout185228 05/11/2010 a- CITY OF CARMEL, INDIANA VENDOR: 085325 Page 1 of 1
0 ONE CIVIC SQUARE STEVE ENGELKING CHECK AMOUNT: $124.96
%a CARMEL, INDIANA 46032 6221 WINFORD DR
w.,_ o ff INDIANAPOLIS IN 46236 CHECK NUMBER: 185228
CHECK DATE: 5111/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4230200 .124.96 OFFICE SUPPLIES
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624 tj
that was easy.
Low prices. Every item. Every day.
10422 Pendleton Pike
LAWRENCE, IN 46236
(317) 826 -0194
SALE 1525130 6 002 55575
1737 05/06/10 05:21
y
YOUR OPINION COUNTS AND WILL BE REVIEWED
BY THIS STORE'S MANAGER!
Please take a short survey
-nd be entered into a monthly drawing
2-9 ,1 for a $5,000 Staples gift card.
NO PURCHASE NECESSARY.
Log on to www.StaplesCares.com
or call 1- 800 881 -1723
r survey code: 0100 2530 6008 8304
See store for rules.
,irvey code expires 05/13/2010.
nuestra encuesta en Espanol en
Tina de Internet o por telefono.
1 ,insiga las reglas en la tienda.
QTY SKU PRICE
REWARDS NUMBER 5128934121
1 HP PHOTOSMART C468
884420459378 69.98
Instant Savings 025569 30.00>
1 HP 60 COLOR INK
883585702558 19.99
1 HP 60XL BLACK INK
883585702572 34.99
SUBTOTAL 124.96
Standard Tax 7.00% 8.75
TOTAL', 1 3 133.71
Cas l 150.00
Cash a 16:29
TOT
i
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
M oc f ur
Total I'
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.
0 ALLOWED 20
5 Gn f IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
D200 Z 9 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
20
n re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund