187892 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1
y o r, ONE CIVIC SQUARE INK HEADS CHECK AMOUNT: $1,963.05
ro CARMEL, INDIANA 46032 PO BOX 501574
oN INDIANAPOLIS IN CHECK NUMBER: 187892
CHECK DATE: 7/2112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4230200 4386 253.80 OFFICE SUPPLIES
1091 4230200 4438 1,709.25 OFFICE SUPPLIES
INVOICE
/16/2010 jPage 1 of 1
Invoice 4386
us ACCt. IP I 77d
P -O.
Charge Sale
Ph: (317) 841 -8302
Ink Heads Pax: (317) 841 -8304
PO Box 501574
Indianapolis, IN 46250
s old To: Carmel Clay Parks Recreation hip To: p
1411 E. 116th St. ,SUN 2 1 2010
Carmel IN 46032
B'Y•
ales Person: had Order Date: 6/15/2010 Ship Via:
Part Number Description Ordered Shippe d Price Total
CT HPCB436A HP CB436A 2K 2 2 64.95 129.90
CT HPQ2613A HP Q2613A wlc 2.5K 2 2 61.95 12190
wlchip
E LA 1;!�D
urc
Approval a e
arms: NET 10
Sub Total $253.80
Contact: Sales Tax 7% $0.00
Serar Gerske n
(317) 573 -4026 T otal otal $253.80
Signed: Date:
INVOICE 6!29/2010 IPage 1 of 1
Invoice 443 8
ust. Acct.
P.O. Re q.
Charge Sale
Ph: (317) 841 -8302
Ink Heads Fax: (317) 841 -8304
PO Box 501574
Indianapolis, IN46250
S old To: Carmel Clay Parks Recreation hip To:
1411 E. 116th St.
Carmel IN 46032
S ales Person: Chad Order Date: 6/28/2010 Ship Via:
Part Number IDescription Ordered Shi ed Price Total
Deliver this order to Monon Community Center Attn: Mandy
CT HPCB436A HP C6436A 2K 6 6 64.95 389.70
CT HPC9720A HP C9720A BK 9K 1 1 129.95 129.95
CT HPC9721A HP C9721A C 8K 1 1 139.95 139.95
CT HPC9722A HP C9722A Y 81K 1 1 139.95 139.95
CT HPC9723A HP C9723A M 8K 2 2 139.95 279.90
CT HPQ5950A HP 4700 BK 11K 2 2 147.951 295.90
CT HPQ5951A HP 4700 C 10K 1 1 166.95 166.95
CT HP05952A HP 4700 Y 10K 335, A 1 1 166.95 166.95
K Sub Total $1,709.25
Sales Tax 7% $0.00
.1 Total $4 5 6 9'.
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
6/16110 4386 Ink Cartridges 23683 253.80
6129110 4438 Toner cartridges 23707 1,709.25
Total 1,963.05
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
Voucher No. Warrant No.
364115 Ink Heads Allowed 20
P.O. Box 501574
Indianapolis, IN 46250
In Sum of
1,963.05
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 1 109 Monon Center
PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members
Dept
1125 4386 4230200 253.80 1 hereby certify that the attached invoice(s), or
1091 4438 4230200 1,709.25 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
15 -Jul 2010
Signature
1,963.05 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund