189007 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1
ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE
CARMEL, INDIANA 46032 DEPT DET 2368 CHECK AMOUNT: $75.69
PO BOX 83689
u CHECK NUMBER: 189007
CHICAGO IL 60696 -3689
CHECK DATE: 8/1812010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4230200 3139445157 75.69 OFFICE SUPPLIES
aNV:OICE DATE "CUSTOMER SLIMMARYiINVOICE'
7/17/10 DET 1045462 8015993771
8 16/10 Net 30 Days 75.69
EW01 CE DETAIL
Staples Advantage Federal ID #:04- 3390816
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
PAULA SCHLEMMER ATTN: SERRA GARSKE
1411 E 1i6TH ST 1411 E 116TH ST
CARMEL, IN 46032 A ADMINISTRATION OFFICE
(I a. CARMEL, IN 46032
JU L ?OPp
Bill to Account: 1018527 By. e Ship to Account: CARMEL
Budget Ctr: a Invoice Number: 3139445157
P 0 Number: 1125 100 010 4230200 Release: Order: 7064312335 000 001
Ordered by: SERRA GARSKE Job: Order Date: 7/13/10
F-D—rder Order Unit Ship n1 x e
Line Item Number Description Qty Qty Meas Qty. Price Price
1 492072 SPLS 8.5X11 30% REG COPY CS 2 CT 2 34.85 69.70
2 370868 PEN BALLPOINT R.S -V_P. MED RD 1 DZ 1 5.99 5.99
Freight. ax: -00 Sub-Total
Total 75.69
Purchase
Description S FFIC LI) PPL9 ES
P.O. P or F
G.L.#
Li g
Line Descr C L) PPLJ E�
Purchaser Date
Approval Date
Customer Service inquiries 800 693 8080 Invoice Payment Inquiries 888 753 4104 Page: 1
Make checks payable to Staples Advantage, Dept DET 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
7/17/10 3139445157 Office supplies 75.69
Total 75.69
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
"A
Voucher No. Warrant No.
361528 Staples Business Advantage Allowed 20
Dept DET 2368
P.O. Box 83689
Chicago, IL 60696 -3689 In Sum of
75.69
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #MTE_E AMOUNT Board Members
Dept
1125 3139445157 4230200 75.69 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
12 -Aug 2010
Signature
75.69 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund