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186722 06/23/2010 e CITY OF CARMEL, INDIANA VENDOR: 362611 Page 1 of 1 ONE CIVIC SQUARE AMERICAN BUSINESS MACHINES CHECK AMOUNT: $271.70 CARMEL INDIANA 46032 5144 MADISON AVENUE INDIANAPOLIS IN 46227 CHECK NUMBER: 186722 CHECK DATE: 6/2312010 DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION 1115 4230200 21474 271.70 OFFICE SUPPLIES American Business Machines, Inc. INVOICE 5144 Madison Ave. #12 Indianapolis, IN 46227 P: 317- 783 -5639 F: 317 -783 -9795 Invoice No: 21474 Date: 6/18/2010 Account No: ABC -CCO3 Bill To: CARMEL CLAY COMMUNICATIONS ship To: CARMEL CLAY COMMUNICATIONS 31 FIRST AVENUE NW 31 FIRST AVENUE NW CARMEL, IN 46032 CARMEL, IN 46032 Sales Order No P. O. Number Ship Method Payment Terms Payment Due 5013289 JANET 571 -2586 UPS GROUND NET 10 DAYS 7/3/2010 Remarks Sales Person HOUSE ACCOUNT Item No Description Serial No Order Ship BkO UM Price Disc Amount TS300 TONER MURATEC F -300 /F -315 2.0 2.0 0.0 EA $130.00 $260.00 Contract: CF2124ABC -02 Equipment /SN: 90025013/90025013 Model: F -300 THANK YOU FOR YOUR ORDER!! ALL EQUIPMENT REMAIN PROPERTY OF AMERICAN BUSINESS Subtotal $260.00 MACHINES, INC. UNTIL PAID IN FULL. Discount $0.00 Freight $11.70 Sales Tax $0.00 Invoice Total $271.70 Balance Due $271.70 Paqe 1 of 1 VOUCHER NO. WARRANT NO. ALLOWED 20 American Business Machines IN SUM OF 5144 Madison Avenue Indianapolis, IN 46227 $271.70 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# I Dept. INVOICE NO. I ACCT# /TITLE AMOUNT Board Members 1115 21474 42- 302.00 $271.70 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, June 21, 2010 Director 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)) 06/18/10 I 21474 1 $271.70 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