188530 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1
ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE
O CARMEL, INDIANA 46032 CHECK AMOUNT: $162.46
r DEPT DIET 2368
PO BOX 83689 CHECK NUMBER: 188530
ON
CHICAGO IL 60696 -3689
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4230200 3138679963 62.47 OFFICE SUPPLIES
1095 4238000 3139186836 99.99 SMALL TOOLS MINOR E
INVO ICE' DATE CUSTOMER SUMMARY? INVOICE:
7/03/10 DET 1045462 8015876129
8102110 Net 30 Days 62.4
I (DICE DETAIL
Staples Business Advantage, 500 Staples Drive, Framingham, MA 01702 Federal ID #:04- 2896127
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
PAULA SCHLEMMER ATTN: SERRA GARSKE
1411 E 116TH ST 1411 E 116TH ST
CARMEL, IN 46032 ADMINISTRATION OFFICE
CARMEL, IN 46032
Bill to Account: 1018527 Ship to Account: CARMEL
Budget Ctr: Invoice Number_ 3138679963
P 0 Number: 1125 100 010 4230200 Release: Order: 7063903278 000 001
Ordered by: SERRA GARSKE Job: Order Date: 6/28/10
e r r r wo Unit gyp. rn x e
I`Line -Stem: Number Qty Qt y Meas Qt zPrice Price
1 SEL44169 MAILER BUBBLE CDR JL SELF SEAL 1 CT 1 24.63 24.63
2 163873 PAD RULED PERE 5X8 WE 1 DZ 1 2.99 2.99
3 492072 SPLS 8.5X11 30% REC COPY CS 1 CT 1 34.85 34.85
Freight:., auc: ota
Total:
62.47
Purchase
Description GFC :f) L P P U ES
P.O. P or F
G.L.
Line Descr C7'FC.. L,PPL [?'5
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 DIET PO Box 83689, Chicago IL 60696 -3689
IN11010EzDATE CUSTOMER.SUMMARf.INVOICE.
7 10 10 DET 1045462 8015941588
PLEASE PAY:.,;By-
a 8 9 10 Net 30 Days 99 99
11 W 10E DETAIL
Staples Advantage Federal ID #:04- 3390816
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
PAULA SCHLEMMER ATTN: MICHELLE COMPTON
1411 E 116TH ST 1235 CENTRAL PARK DR EAST
CARMEL, IN 46032 MONON CENTER
CARMEL, IN 46032
Bill to Account: 1018527 Ship to Account: MONON CENTER
Budget Ctr: Invoice Number: 3139186836
P 0 Number: 1095 -1- 4238000 Release: Order: 7064140417 000 001
Ordered by: SERRA GARSKE Job: Order Date: 7/07/10
r r
Ur der ni Ship Unit x e
a-
iine -Item Number Description, Qt Qty �Ma�s;- qt 'Price ?ricer
1 807360 SHARP XE -A106 REGISTER 1 EA 1 99.99 99.99
Freight--: ax o a
Total: 99.99
vole
•�'�e
p er, N- %l p 1
P.O. PorFUL 2010
o.L c�ooc�
PUMhaW Date
APPrOV Date
Customer Service inquiries 800 693 -8080 Invoice Payment Inquiries 888 753 4104 Page: 1
Make checks payable to Staples Advantage, Dept DIET PO Box 83689, Chicago IL 60696 -3689
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
7!3!10 3138679963 Office supplies 62.47
7110110 3139186836 Cash register 99.99
Total 162.46
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
Voucher No. Warrant No.
361528 Staples Business Advantage Allowed 20
Dept DIET 2368
P.O! Box 83689
Chicago, IL 60696 -3689 In Sum of
'162.46
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 3138679963 4230200 62.47 1 hereby certify that the attached invoice(s), or
1095 71 3139186836 4238000 99.99 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
29 -Jul 2010
Signature
162.46 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund