185569 05/20/2010 CITY OF CARMEL, INDIANA VENDOR: 362032 Page 1 of 1
Q� ONE CIVIC SQUARE PAPER -LITE CHECK AMOUNT: $5,619.00
CARMEL, INDIANA 46032 4252 E WINDSOR LANE
COLUMBUS OH 47201 CHECK NUMBER: 185569
CHECK DATE: 5/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4467099 26905 3938 5,619.00 SCANNERS
PAPER -LITE Invoice
Divsion of Mathes Assoc., Inc
4252 E. Windsor Lane
Columbus, IN 47201 DATE INVOICE
5/3/2010 3938
BILL TO
City of Carmel
Attn: Teresa Anderson
One Civic Square
Carmel, IN 46032
P.O. NO. TERMS DUE DATE
Make Checks Payable 'to Paper -Lite
Division of Mathes Assoc., Inc. 26905 Net 15 5/18/2010
DESCRIPTION QTY RATE AMOUNT
Fujitsu Scanner 6140 3 1,675.00 5,025.00
Advance Exchange Warranty for 2 additional years 6 99.00 594.00
Sales Tax (0.0) $0.00
Payments
Total $0.00
Phone Fax E -mail
I 812 350 -5044 812 378 -9820 nancy @gopaperlite.com Balance Due $5,619.00
f
Prescribed by State Board o[ Accounts ACCOUNTS PAYABLE VOUCHER. City Form No- 201 (Rev. 1895)
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
Pager —Lite Purchase Order No. 26905F
4252 E. Windsor Lane Terms
Columbus, IN 47201 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/3/10 3938 payment for scanners 5,619.00
Total
I hereby certify that the 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
Paper -Lite
IN SUM OF
4252 E. Windsor Lane
Columbus, IN 47201
5,619.00
ON ACCOUNT OF APPROPRIATION FOR
police ge If und
Board Members
DEPT. T. .4 N her certi INVOICE NO. ACCT /TITLE AMOUNT I hb fy that the attached invoice s or
26905E 3938 670 -99 5,619.00 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
May 6 2 10
�I 4a
Signature
Chief of Polira
Cost distribution ledger classification if Title
claim paid motor vehicle.highway fund