190030 09/14/2010 ^a. CITY OF CARMEL, INDIANA VENDOR: 00350674 Page 1 of 1
ONE CIVIC SQUARE ULINE CHECK AMOUNT: $138.56
CARMEL, INDIANA 46032 2200 SOUTH LAKESIDE DR
WAUKEGAN IL 60085 CHECK NUMBER: 190030
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 33966683 138.56 OTHER MISCELLANOUS
r INVOICE NO.
1-800-295-5510 33966683
www.uline.com
2200 S. Lakeside Drive Waukegan, IL 60085 INV®CE
SHIPPING SUPPLY SPECIALISTS ULINE FED ID 36- 3684738
THANK YOU FOR YOUR ORDER. ULINE CUSTOMER SINCE 2003
YOUR ORDER 37209042
SOLD TO: SHIP TO:
MDG2000016947 1 MB 0.382 03
CARMEL CITY OF
CARMEL CITY OF POLICE DEPT
POLICE DEPT 3 CIVIC SQ
3 CIVIC SQ CARMEL IN 46032 -7570
CARMEL IN 46032 -7570
U -100
14733.96 R OBERT UPS GROUND 8!24/10 8/24/10 NET 30 DAYS 8124/10
1 CT 1 S -7067 WHITE PAPER CD ENVELOPE 1M /CT 59.00 59.00
1 CT 1 S -7764 PAPER CD SLEEVE W /WINDOW 1600/CT 69.00 69.00
OR A B ROBERT ROBINSON SUB -TOTAL SALES TAX FRT /HNDLING AMOUNT DUE
INTERNET !IL 128.00 .00 10.56 138.56
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Uline Purchase Order No.
ATTIC;: Acounts Receivable
2200 S. lakeside Drive Terms
Waukegan, III 60085
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/24/10 33966683 pa ent for lab supplies 138.56
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.
2a
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Uline
ATTN: Accounts Receivable IN SUM OF
2200 S. Lakeside Drive
Waukegan, IL 60085
138.56
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 33966683 390 -99 138.56 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
August 31 20 10
&��11,4v Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund