187336 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 146000 Page 1 of 1
0 ONE CIVIC SQUARE I C C BUSINESS PRODUCTS CHECK AMOUNT: $201.52
CARMEL, INDIANA 46032 P.O. Box 26056
6: �c INDIANAPOLIS IN 46226 -6292 CHECK NUMBER: 187336
CHECK DATE: 717/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 SI520681 201.52 OFFICE SUPPLIES
4:
INVOICE Page No. 1
"'Ig Address Shipping Address
5 Robert Robinson
Kok6ert Robinson CITY OF CARMEL POLICE DEPT
CITY OF CARMEL POLICE DEPT 3 CIVIC SQUARE
3 CIVIC SQUARE Bus lne55 Products Carmel, IN 46032
Carmel, IN 46{332
e
Slake 1930
www.iccbpi.com
3164 N. Shadeland Avenue P.O. Box 26058 Indianapolis, Indiana 46226 -6292
317 -547 -9621 800- 547 -2233 0 Fax:317- 543 -5738
Invoice Details Internet Information O D
Posting Date 06/17/10 Internet User ID 237550 Cust. PO No6114I2010 12:16:51 P
Payment Terms NET 60 DAYS Internet User Name Order No. SO- 501128
Credit Card No. Order Comments Order Date 06/14/10
Due By 08/16/10 Shipped Via ICC Delivery
INVOICE KEY
WHITE COPY "ORGINAL "z YELLOW COPY FILE COPY PINK COPY RETURN WITH REMITTANCE'
`QTY ORD QTY SHIP QTY BIO F UOM ITEM NUMBER DESCRIPTION UNIT PRICE AMOUNT
1 1 EA 7- Q7553XNDUMI HP P2015 HI -YLD COMPATIBLE BLACK TONER, 7K 119.95 119.95
1 EA 7- C3903NDUM1 HEWC3903NDU HP LSR TNR 5P 16P PREM COMP. 81.57 81.57
Thank You For Your Order Bob Ray PLEASE PAY FROM THIS INVOICE Subtotal: 201.52
MAIL PAYMENT TO: Shipping Handling: 0.00
P.O. BOX 26058 Order Processing: 0.00
INDIANAPOLIS, IN 46226 -0058 Sales Tax: 0.00
Total: 201.52
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
ICC Business Products Purchase Order No.
P.O. Box 26058 Terms
Indianapolis, IN 46226 --6292 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/17/10 SI520681 payment for toner 201.52
Total
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
VOUQ -HER NO. WARRANT NO.
ALLOWED 20
ICC Business Products IN SUM OF
P.O. Box 26058
Indianapolis, IN 46226 --6292
201.52
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 51520681 302 201.52 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
June 28 20 10
Signature
Chief of Po ice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund