187039 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1
ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE
CARMEL, INDIANA 46032 DEPT DET2368 CHECK AMOUNT: $42.17
PO BOX 83689 CHECK NUMBER: 187039
CHICAGO IL 60696 -3689
CHECK DATE: 6/2312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4230200 3137097062 42.17 OFFICE SUPPLIES
IfVVdICE DATE:::: CUSTOMER SUMMARWANVOTCE
5/29/10 DET 1045462 8015596878
6/28/10 Net 30 Days 42.17
11WOICE DETAIL
Staples Business Advantage, 500 Staples Drive, Framingham, MA 01702 Federal ID #:04- 2896127
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
PAULA SCHLEMMER \w11 ATTN: SERRA GARSKE
1411 E 116TH ST 11 1411 E 116TH ST
CARMEL, IN 46032 D �6W L�l ADMINISTRATION OFFICE
CARMEL, IN 46032
Bill to Account: 1018527 Ship to Account: CARMEL
Budget Ctr: Invoice Number: 3137097062
P 0 Number 1125 100 010 4230200 Release: Order: 7063047026 000 001
Ordered by: SERRA GARSKE Job: Order Date: 5/26/10
r r Order U nit Ship, Unit 'Exte
Line Item Number Descrip oty. Oty Meas Qty. Price- Price
1 610400 SPLS POSTCARD MATTEWHITE 20OCT 1 BX 1 12.19 12.19
2 479876 SPLS 3 1/3X4 LSR /IJ LBL 100SH 1 PK 1 14.99 14.99
3 479880 SPLS 1X2 5(8 LSHIIJ LBL 100SH 1 PK 1 14.99 14.99
F reight: ax: Sub
Total: 42.17
Purchase
Description _()FF C� 1pEjjE�� AQ
P.O.# PorF
G.L.
Budget
Line Descr
Purchaser Date
approval Date
Customer Service inquiries 800 -693 -8080 Invoice Payment Inquiries 888- 753 -4104 Page: 1
Make checks payable to Staples Business Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689
0009208 0052665- 0000004
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.
361528 Staples Business Advantage Terms
Dept DET 2368
P.O. Box 83689
Chicago, IL 60696 -3689
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5129110 3137097062 Office supplies AO 42.17
Total 42.17
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
361528 Staples Business Advantage Allowed 20
Dept DIET 2368
P.O. Box 83689
Chicago, IL 60696 -3689 In Sum of
42.17-
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1125 3137097062 4230200 42.17 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
17 -Jun 2010
Signature
42.17 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund