HomeMy WebLinkAbout189296 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 364486 Page 1 of 1
ONE CIVIC SQUARE COPIER LOGISTICS SPECIALISTS
CARMEL, INDIANA 46032 291 US HIGHWAY 22 #13 CHECK AMOUNT: $455.00
M1 *,fo BLDG CHECK NUMBER: 189296
LEBANON NJ 08833
CHECK DATE: 8/3112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1192 4342100 100607 455.00 POSTAGE
Copier L: gist r:s Specialists INVO
...Results,,nriven 100607
Bldg 3 Suite 13 �ti� L
291 US Highway 22 SALES ORDER
Lebanon, NJ 08833 100607 -00
866- 674 -5600
Page 1 of 1
Federal ID: 26- 0007393
BILL TO: SHIPPED TO:
City Of Carmel Repo Depot
One Civic Square 6439 Nw 72nd Street
Carmel, IN 46032 Miami, FL 33166
INV ICE DATE ACCO
7/28/2010 6089626 T EQUIPMENT FINANCI� TBD CIT -SE
f2C� 'rl,D2 n
cr. �t {•1F' °S...1 On s a t 1, �n "i'; ,`e: Sr:a.N �'t, w<. y:.l
1.00 1.0020572979 IKONICA MINOLTA BIZHUB PRO C500 0.0% $455.00 I $455.00
i
65LE010 930.0014964 000 3}a jj 1e i s sal:
t "Z �S
:li ,t.� 1 tis .L. Y?. Sx.t�} ir` r
1.00 1 -00 1 Lessee and Insurance Charge Diff 0.0% $0.00 $0.00 EE
I
S BTCT♦ t $45s
FREIGHT: $0 -00
0.00% TAX: $0.00
OTHER TAX: $0.00
OTHER: $0.00
TOTAL $455.00
AMOUNT DUE $455.0
CC Type: CC CC Exp: Check
Amount Enclosed:
Thank You For Your Payment!
INDIANA RETAIL TAX EXEMPT
C it)7
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 1
35- 60000972 C J 4
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, t
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIF
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENC
PURCHASE ORDnIDI ATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
I v 10
(fo J.bgt5, S S�VG#61 ro -LI-el i s�rLr o--►,S
VENDOR 1I5 441.)6y TO IP
/t)J o8833
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To: JJ1 *4 -7' s�`� 6
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10 I t D
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCDUNT AMOUNT
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY ERTIFY THAT THERE IS AN 111#13LIGATED BALANCE IN
SHIP REPAID. THIS A PRIATION,StaFICIENT TOP PF FOR THE ABOVE 0 ER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPL' MENT THERETO,
1 CLERK TREASURER
)OCUMENT CONTROL NO VENDOR COPY
IN CASE OF NEED CONTACT' i NOT NEGOTIABLE
P.O. Box 80520 AREA CODE (260) 429 -3801
delivers Fort Wayne, IN 46898 -0520 EZEM M14IM10199 CONTRACT
www.slidelivers.com US DOT 1278850 MC 497943 NUMBER NB862 ;I.00
BOOKER CODE/ TOTAL ESTIMATED' AGREED SERV. DATES
TARIFFl69C71ON ASSIST CODE ESTIMATOR CHARGES FOR SHIPMENT VEHICLE NO. OR PERIOD OF TIME ACTUAL PICKUP DATE
°4
.4 I' QQ��L r? 9 qA `J ,,}l DEL PUID
00 d ,,v 4 5 4yY 7
S F I T r:�t4 (A4 0 11! s tE VJ
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H R .SHIPPER r E..? Y O Cf" p R MG IEt..: -$T ,11 1L (31-VU ...._SP
y 1 r� NOTIFY! t r p C C 1 '7 l y t�
P M CITY /ST_ -!••i f'�t l.' i..�..._.__ 'I- i1�.._Z ,4 PHONE_...,.,,_,tr .i. 7'1::: w1't t`R 1'-",..__�- '47 :t ►T ".I. �_'C �LJ
COUNTY r� (y q p ��'J
Cam` SHLPPER.._._ r"*'- d- 4� L}--- F. �W-€,..... �w`? m)- 67--!_"......_ �ST._�,...�,k.,Att- ,4— 6.1 -.1T
H T .i;7 .1, r"T C7 PHONE NOTIFY/
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ID CITY /5T _.3...[ 7I zip ..._PHONE..........
P COUNTY
low,
=JE HARGES STATED HEREIN ARE ESTIMATES ONLY. ACTUAL CHARGES ARE BASED UPON
APPLICABLE TARIFF.
B T _NAME.___ _.C_CGi _I L4 1 {a �s -=�AIZ �.___Ll:. =__t4W.`t'__.22 kf!_DG_._.._ 3 ._9T :1._
L I r..` 141_! tAV1 !1%1 ki l c f d:; S A (Ai '7
SPECIAL INSTRUCTIONS BILLING INSTRUCTIONS: Charges payable by certified check or cashier's check WEIGHT ORIG EWEI H
(per tariff) made payable to STI at
PC F.I T 0 Origin Before delivery Carrier shall bill above parry GROSS
I l f�t }I:: dl 930-00 TARE
K GI) M I N OLTA B:I:wal -i1.IS F� FM t.; k' 00 5 1 tst5I,J 41:1.4 #0i_p NET
a.. Shipper: The tare weight of the vehicle (Including the shipments on board) must
t' I` \11 Ar C f+ L.( 1 1 be entered on the line prior to loading your shipment on the vehicle.
1 "3 W
1•' n I:'. f S;} li P A t 4 K l 1 {.r .I. N Iiv I„. 00 {3I:'. t� Shipment consists solely of containers or machinery and shipper certifies the tolal
t �I l.r i? T C A L..1... 1"I I'4 S:l L f I J 1F 1;,.I... �1 weight of the shipment to be: �'r �1 pounds.
COUNT I :I hd`£, AT F�I.ts Tl}$' {t 'I i 1114i- 4:iil 1' 1 :fi41 A i 4�ghipperSignafureX
A.
.I. G I I4I F'r.0 yy la ��r l`. rL I ff P f ry y g 1 y t A te--- SHIPPER'S SIGNATURE FOR SPECIAL SERVICES
A N Y t"' R 0•f B L c 3 W .1. 1 I"1 A d) .f. 1' I" I;:. 1 1;.. I� t S f 1 f U aS 1� CALL �`f 0j 0 .X by shi pe r. Deliver on or before
service ordered
t AND l p ,q, by shi
r: r CS 2 e) ,1. 8 a t�i I'} 1 .I: 1 ft:t 1" 1'E I 1 1;;, F� r�t T 1] A N .D 1' "r A C E:. t'! A Selected delivery date service ordered by shipper
R1:,1:'. OR Gt.:ADY MUST F ILL. D I.1 'i THVEMTORY LX Deliver on or before
1 H MAKE.*, MI,1DIn.1_ AND S EI-ZIAL, I'`ll.li``IBI: J DATE AGREED WEIGHT
C, I l IS i'1 A R G4: I.- E t-.I D A y i Ni r X i 2 ;3 J j 1.1. 1::. X� 2117 1 3 Shipment completely occupied a
cu. tt. vehicle
MAIL. x'11_1. edit ^,(�fil'�h1'1 :Ci�:1:e�tt "31F:1:144fx C:ili'i V
Exclusive use of a cu. ft. vehicle
ordered
X Space occupied cu. ft.
DATE PTS ID /INITIALS LOCATION TIME (0 71bsdcu. ft.)
VALUATION STATEMENT
This shipment is released to Carrier upon the terms and conditions and limitation
of liability contained in the applicable tariff, unless otherwise noted hereon by an
authorized Carrier representative. If the shipper desires to increase Caller's liability,
the shipper must contact the Carrier representative that registered the shipment
with Carrier and obtain Carrier's approval for such Increased liability. CARRIER'S
DRIVER IS NOT AUTHORIZED TO CHANGE THE TERMS AND CONDITIONS,
ORIG: Arrive: Depart: Van Crew( Initials r INCLUDING WITHOUT LIMITATION CARRIER'S LIABILITY, APPLICABLE TO THE
REST Arrive: Depart: Van Crew( Initials SHIPMENT Carrier shall have no liability above the released value contained In the
tariff It Carrier has not agreed In advance to such Increased Ilability and,the shipper
ORIG. NAME PHONE If DATE has not paid the Increased rate applicable thereto.
DEST. NAME PHONE DATE
BKKR- PHONE DATE
TOTAL PIECE COUNT PER ATTACHED MUST BE COMPLETED BY FIRST PICKUP
DESCRIPTIVE INVENTORY IS: i AGENT OR HAULER
CONSIGNEE
AUTHORIZED Y 2 f rsy
p Y PIECE COUNT t PICK UP CODE 0 DELIVERY ACKNOWLEDGEMENT: All listed services were rendered and the
HAULED BY tar I" 1 T 1' R •r N IL E t'1 I I T 1'' 9 R QA, dArE CONTRACT NO property described has been received in apparent good condition except as noted
on othor shipping documents.
vh or s•torr} i 1 J M F S f S 01.,) R DATE 0 )y 1!i i ;i (0 PAYMENT RECEIVED
locafiord&• dote LJ [r I I.J
HAULED BY zna
CONSIGNEE PRINTED NAME ACTUAL DELIVERY DATE
vN or set off coDE ev NET WEIGHT MILES RATE CHARGES CODE
location code DATE AMOUNT ,fit, fi
HAULED BY 3rd CODE DATE 6 2 0 13.9-
vv., .1 off
location &code DATE CK e
BANK
HAULED BY 4th CODE NAME
vry or sat off BANK OTHER ACCESSORIALS -LIST TYPE CITY,
location code DATE JADDRESS
tamer tom.
delivery by CODE
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r
11 IIIkklI!I I I I {I{ f IIrIr TOTAL CHARGES
Elll��ll�l �IE I� III III CHARGES PAYABLE IN U.S. CURRENCY
OR ITS EQUIVALENT
L
SHIPPER'S COPY Give to shipper at origin after loading
i
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IMPORTANT NOTICE r
This bill of lading. together with the rules, regulations, rates and charges contained in Carrier's current rate documents, schedules and tariffs (collectively "tariffs") which ai
expressly by this reference incorporated herein, governs the transportation services performed by Carrier in interstate and intrastate commerce, the terms are agree
to by the shipper. The tariffs are maintained at Carrier's headquarters in Fort Wayne, Indiana. The specific tariff applicable to this shipment is indicated on the ac�:-•:hereo
Carrier shall provide to the shipper, upon its request, a written or electronic copy of the applicable tariff. Carrier has established its rates and charges based upon the fmill
of liability for the property as set forth in the applicable tariff. Shipper may request from Carrier a greater value for the property; as provided on the face hereof, and the rate
and charges for the transportation services shall be adjusted in accordance with Carrier's applicable tariff. The terms and conditions of any other bill of lading or decumer
submitted to Carrier shall not govern Carrier's services hereunder, and the acceptance or execution of any such document by Carrier's driver shall not modify or amend tl)
terms and conditions of this bill of lading or Carrier's tariffs. The shipper may not vary Carrier's terms and conditions of carriage, except as specifically outlined herein, and ar,
writing, typing or printing on the face hereof made by the shipper, or the shipper's agent or representative, shall be null and void to the extent inconsistent, additional
different terms or conditions ?rc contained thereon or therein. Carrier's drivers do not have authority to modify Carrier's terms and conditions or to accept on Carrier's beha 49
any terms or conditions Inconsistent. additional or different from those set forth herein or in the tariff.
I
CONTRACT TERMS AND CONDITIONS OF BILL OF LADING
Carrier's services are governed by and subject to all of the rules, regulations, rates and charges set forth in Carrier's currently applicable tariffs {as defined above) maintain
at Carriers headquarters at the address set forth on the face hereof, including without limitation the following terms and conditions:
SECTION t. Carrier, or the party in possession of any of the property herein described, shall be liable as required by law for any toss of or damage to such property fro
external causes. subject to Carrier's maximum liability as set forth in the applicable tariff or as agreed to by Carrier's authorized representative. The agreed value or release
value is Carrier's maximum liability, regardless whether loss or damage, including injury or delay, occurred due to Carrier's negligence, and applies to any claim resultin
from the performance or nonperformance of any services for which Carrier has contracted to perform. Additionally, Carrier shall have no liability for toss. damage or dela
caused by or resulting from: .1
a) an act, omission or order of the shipper, Ono
b) insects, maths, verrnin or ordinary wear and tear,
c) defect or inherent vice of the article, including susceptih /lily to damage because of atmospheric conditions such as temperature and humidity or changes therei
d) a (1) hostile or warlike action in time of peace or war, including action in hindering, combating or defending against an actual, impending or expected attack (,I
by any government or sovereign power, or by any authority maintaining or using military, naval or air forces; (B) by military, naval or air forces or (C) by an age
of such government, power, authority or forces, (2j any weapon of war employing atomic fission or radioactive force whether in time of peace or war insurrectia
rebsalion• revolution, civil rear, usurped power or action taken by governmental authority in hindering, combating or defending against such an occurrence;
seizure or destruction under quarantine or customs regulations; (5) confiscation by order of any government or public authority; or (6) risk of contraband ar illed
transportation or trade.
e) strikes, lockouts, labor disturbances, riots, civil commotions or the acts of any person or persons taking part in any such occurrence or disorder, t
f) highway Obstruction, faulty or impassable highways, lack of capacity of any highway, bridge or ferry, breakdown or mechanical defect of vehicles or equipmei v�
or from any cause other than the negligence of Carrier,
g) any face majeure, Act of God, war, insurrection, acts of terrorism, whether within or outside of the US, riot, civil disturbance, strike, picketing or other lab
disturhance would (1) subject operations to unreasonable risk of loss or damage to life or property or (2) unreasonably jeopardize the ability of the carrier
render linehaut or pickup or delivery or any other service from or to or at other points or locations, or i
h) any damage due to improper shipper packing, bracing or preparation.
I`
Carrie. will repair damaged items if possible, subject to the applicable limitation of liability. If repair is not possible, Carrier will, at its option, either replace an item with W
kind and duality or pay the lesser of the depreciated value of the item or the released value, which is based upon the weight of the item, set forth in the applicable tariff,I
the shipper ties requested a value for the shipment in excess of the released value and Carrier has agreed to such increased value, payment by Carrier for loss or damag r
(it Carrier cannot or does rot repair or replace the item) shall be based upon the depreciated value of the item. Carrier shall have no liability for any indirect, incidents
special, consequential a exemplary damages or test profits, even if Carrier has been advised of the possibility of such damages, a
g
SECTION 2. Carrier shall not be bound to transport by any particular schedule, means, vehicles or other than with reasonable dispatch. Carrier shall have the right to forwal
the propony by any carrier or route between the point of shipment and the point of destination.
o u
SECTION 3. The shipper, upon tender of the shipment to Carrier, and the consignee, upon acceptance of delivery of the shipment from Carrier, shall be liable. jointly an Q
severally for any and all charges payable on account of the shipment in accordance with the applicable tariffs, including without limitation sums advanced or disbursed
Carrier on account of such shipment and any costs of collection including reasonable legal costs and attorneys' fees. No offset is permitted against the charges for any clair o
filed by the shipper or the consignee, and full payment must be made regardless of any right to file a claim against Carrier. The prevailing party in any action between th S
parties relating to the shipment tendered to Carrier hereunder shall be entitled to its legal casts and reasonable attorneys' fees. The extension of credit to either the shipper e
consignee: for charges shall not thereby discharge the obligation of the other party to pay such charges in the event the party to whom credit has been extended shall fail 1
pay such charges. Payment shall be made in the lawful currency of the United States. The shipper shall indemnify Carrier against loss, damage or delay caused by inclusi
in the shipment of explosives or dangerous articles or goods.
SECTION 4. If for any reason other than the fault of Carrier, delivery cannct be made at the address shown on the face hereof or at any changed address of which Coati�e¢
has been notified, Carrier, at its option, may cause the articles contained in the shipment to be stored in a warehouse selected by it at the point of delivery or at any othi¢
available point, and held there without liability on the part of Carrier, at the cost of the owner and /or shipper, and subject to a lien for. all accrued tariffs and other lawfi
charges, including storage charges.
SECTION S. Carrier shall have a general lien upon any and all property now or hereafter delivered to or deposited with Carrier for aft charges for the transportation, storag
preservation of the property, and the performance of other services. Such lien shall include money advanced, interest, insurance, labor, weighing, coopering, wrapping an
ofhcr charges in relation to the property or any part thereof; shall include all charges and expenses for notice and advertisement of sale and for sale of the property whet
there has been a default in satisfying Carrier's lien; and shall include ail court costs and reasonable attorneys' fees in collecting such charges, enforcing its lien or defendin
itself in the event that Carrier is made a par€y to any litigation concerning the property while the same is in its possession.
SECTION 6. If the shipment is refused by the consignee at destination, or if the shipper, consignee or owner of property fails to receive or claim it within fifteen (15) day
afte, written notice by mail addressed, to the shipper and consignee at the address as shown on the face hereof, or if the shipper fails or refuses to pay the charges i t
accordance with the Carriers applicahle tariff, Carrier may sell the property at its option, either a) upon notice in the manner authorized by law or b) at public auction to III
highest bidder for cash at a public safe to be held at a time and place named b Carrier, thirty (30) days notice of which sale shalt have been given e
in writing to the shipp
and consignee and there shall have beers published at least once a week for two consecutive weeks in a newspaper of general circulation at or near the place of sale,
notice thereof containing a description of the property as described in the bill of lading, and the names of the consignor and consignee. The proceeds of any sale shall b
applied toward payment of the charges applicable to the shipment and coward expenses of the notice, advertising and sale, and of storing, caring for and maintaining 114
property prior to sale, and all costs and expenses covered by Carrier's lien and the balance, if any, shall be paid to the owner of the property. Any perishable articles containa
in the shipment may be sold alt public or private sale without such notices if in the opinion of Carrier such action is necessary to prevent deterioration or further deterioratioi
Nothing contained in this section shall be construed to abridge the right of Carrier at its option to sell the property under such circumstances and in such manner as may In
authorized by law. I i
SECTION 7. As a condition precedent to recovery, a claim for any loss or damage, injury or delay must.be filed in writing with Carrier within nine (9) months after deliver
to the consignee as shown on the face hereof, or in the case of failure to make a delivery, then within nine (9) months after a reasonable time for delivery has elapsed an
suit roust be instituted against Carrier within two (2) years and one (1) day from the date when notice in writing is given by Carrier to the claimant that Carrier has disallowe
the claim or any part or parts thereof specified in the notice. Where a claim is not filed or suit is not instituted thereon in accordance with the foregoing provisions. Carriii
shall not be liable and such a claim shall not be paid.
SECTION 8. The shipper represents and warrants that it is lawfully possessed of the property and has the authority to transport or store the property in accordance with th
terms hereof. The shipper shall indemnify and hold Carrier harmless in the event Carrier is made a party to any litigation by reason of having the properly or any portia 4'
thereof transported or stored and to pay all legal costs and attorneys' fees incurred in connection therewith. Carrier's lien shall secure all costs and expenses in additia
to its transportation and/or storage charges.
5:02
t
PAGE NO. NO. OF PAGES
VISUAL COPIER/SORTER INVENTORY delivers
www.stidelivers.com
FIRST HAULER �b� G HAULf DE t TiiAILE{t CONTRACT
SHIPPER'S NAME Z 16 MAKE f
ORIGIN LOADING ADDRESS CITY STATE' t MODEL
DESTINATION SERIAL
DESCRIPTIVE SYMBOLS EXCEPTION SYMBOLS LOCATION SYMBOLS
CP PackedByCarrier DBS DisassembledByShipper BE —Bent D— Dented M— Marred SO— Soiled 'I. Arm 5. Left, 9.Sidc
BR Broken F —Faded R Rubbed T —Tom 2. Bottom 6. Leg 10. Top
PBS PackerlBy MCU Mechanical Condition
Shipper Unknown BU —Burned G —Gouged RU— Rusted W —Badl Y Worn 3. Comer 7. Rear 11. Veneer
CH Chipped L —Loose SC— Scratched Z— Cracked 4. Front 8. Right 12. Edge
CD Carrier CU Contents and Conditions 13. Center
Disassembled Unknown NOTE: The omission of these symbols indicates good condition-for normal wear
ITEM a �k EXCEPTIONS (IF ANY)
NO. INVENTORY TRACKING NUMBERS ITEM DESCRIPTION AND. CONDITION t; AT DESTINATION
rn
pef Pe-4 -L nr W1,e eA
►Mf�� L C��/
ORIGIN CONDITION INDICATE CHANGES (IF ANY)
AT DESTINATION
i
REAR FRONT
REAR FRONT
REAR
t RIGHT SIDE LEFT SIDE REAR
When necessary (IraW In appropriate configuration RIGHT SIDE LEFT SIDE
WHEELED SORTERS FINISHERS MUST BE
G DETACHED BY SHIPPER
CONTRACTOR, CARRIER ORA F HORIZ DAGENT(DRIVER) DATE CONTRACTOR, CARRIER OR AUTHORIZED AGENT (DRIVER) DATE
(Signature)
(Signature)
SHIPPER OR AUTHORIZED GENT DATE SHIPPER OR AUTHORIZED AGENT DATE
li
(Signal
u
(Signature)
STI -821 (1/08) ORIGIN CUSTOMER
(Dist copies #2 Origin Customer; #3 Delivery Customer; 44 Delivery Van Operator) I IIII III II I'llll III II III
3`9 S`9 .'9 i A J
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I 411 44sIt S1 n9594114 +1 }iii f?ih hti,7i411 1i'l'1
p A't7,5�}$.?4°r •j t ?$}?$�t•$5"r�4q.34
,4, 5: il ia. iai. ilsS- Yi l: 4.;' S. 4lbf#_ 4,} �s? ii lit7la.5ttii i Y4:tilt.f i ti, tii44i. $I ;.f
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Copier Logistics Specialists
IN SUM OF
s
291 US Highway 22, Ste. 13, Bldg. 3
Lebanon, NJ 08833
$455.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 100607 43- 421.00 $455.00 I 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
Friday, August 27, 2010
Dir, or, DOC
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/28/10 100607 Shipping Konica Minolta $455.00
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