185807 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1
ONE CIVIC SQUARE INK HEADS CHECK AMOUNT: $1,577.10
ra CARMEL, INDIANA 46032 PO BOX 501574
INDIANAPOLIS IN CHECK NUMBER: 185807
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4230200 4253 1,512.15 OFFICE SUPPLIES
1125 4230200 4258 64.95 OFFICE SUPPLIES
INVOICE
5/12/2010 IPage l' of 1
Invoice 4258
us ACCt.
P.O.
Charge Sale
Ph: (317) 841 -8302
Ink Heads Fax: (317) 841 -8304
PO' Box 501574
Indianapolis,, IN 46250
s old To: Carmel Clay Parks Recreation hip To:
1411 E. 116th St.
Carmel IN 46032 L� a3
ales Person: Chad order Date: 5/12/2010 Ship via:
Part Number Description Ordered Shipped Price Total
CT HPCB436A HP CB436A 2K 1 1 64.95 64.95
erms: NET 10 Sub Total $64.95
Sales Tax 7% $0.00
Contact: Total $64.95
Serar Gerske Paid $0,00
(317) 573 -4026 Bala.nCe._$64..9.5
f
r
Signed Dater I
INVOICE
5!1212010 jPage 1 of 1
Invoice k253
Gust. ACM
r
P.O. 123474
Charge Sale
Ph: (317) 841 -8302
Ink Heads Fax: (317) 841 -8304
PO Box 501574
Indianapolis, IN 46250
old To: Carmel Clay Parks Recreation hip To:
1411 E. 116th St.
Carmel IN 46032
ales Person: had Order Date: 5111/2010 Ship Via:
Part Number IDescription Ordered Shipped Price Total
CT HPC3903A HP C3903A 4K 2 2j 45.95 91.90
CT HPQ5949A HP Q5949A 2.5K 4 4 55.95 223.80
CT HPCB436A HP CB436A 2K 4 4 64.95 259.80
CT HPQ5942A HP Q5942A w/c 10K 2 2 109.95 219.90
wlchip
CT HPQ5950A HP 4700 BK 11K 1 1 147.951 147.95
CT HPQ5951A HP 4700 C 10K 1 1 166.95 166.95
CT HP05952A HP 4700 Y 10K 1 1 166.95 166.95
CT HPQ5953A HP 4700 M 10K 1 1 166.95 166.95
CT CNFX8 CN FX8 /S35 3.5K 1 1 67.95 67.95
Purchase
Description
P.O. 7 f P r F
81 id-
App I M1 Da
Line escx
erns: NET 10 Sub Total $1
Sales Tax 7% $0.00
Contact: Total $1,512.15
Serar Gerske Laid $0.00
(317) 5734026 Balance $1
Signed: Date:
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.
364115 Ink Heads Terms
P.O. Box 501574
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/12110 4258 Ink Cartridges 64.95
5112110 4253 Ink Cartridges 23474 1,512.15
Total 1,577.10
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- 14 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
364115 Ink Heads Allowed 20
P.O. Box 501574
Indianapolis, IN 46250
In Sum of
1,577.10
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 109 Monon Center
PO# or INVOICE NO. A CCT #/TITLE AMOUNT Board Members
Dept
1125 4258 4230200 64.95 1 hereby certify that the attached invoice(s), or
1091 4253 4230200 1 ,512.15 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 -May 2010
Signature
1,577.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund