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189951 09/14/2010 f CITY OF CARMEL, INDIANA VENDOR: 244001 Page 1 of 1 0 ONE CIVIC SQUARE PITNEY BOWES CHECK AMOUNT: $110.48 CARMEL, INDIANA 46032 PO BOX 371896 PITTSBURGH PA 15250 -7896 CHECK NUMBER: 189951 CHECK DATE: 9/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4230200 766780 110.48 OFFICE SUPPLIES I 111 L Pitney o-wes Your supplies invoice September 4, 2010 Account name Summary of your invoice City Of Carmel Clerk Treasurers Cost of your supplies $126.98 Billing acct number Discounts $16.50 1603 3269 -88 -3 I................... State tax $0.00 Invoicenumber 766780 Totattax $0.00 Date shipped: Payment due October 4, 2010 $110.48 July 17, 2010 Shipped to: Please see reverse side for details of your invoice charges. City Of Carmel Clerk Treasurers Office ATTENTION! 1 Civic Sq Carmel IN 46032 -2584 The address where you send your payments has changed to: Order number Pitney Bowes Inc 46827338 PO Box 371896 Pittsburgh, PA 15250 -7896 Payment Options Please send your payments to this new address. Manage Your Account Online )-A It's free, secure and available 24/7 Sign up today at www.pb,com /signupformybills Your enrollment account number is; 16 ©33269883 Pay by Phone 1 -BOO- 228 -1071 Pay by Mail Include payment coupon with your check or money order Page 1 of 4 DUNS 00116-1793, TAX ID 06- 0495050 Tear offl:ere N- 000213 Your supplies invoice r Pitney Bowes September 4, 2010 Billing acct number Invoice number 1603- 3269 -88 -3 766780 Details of your new supply charges Charges for Item 1 Item number Item description: DM500/550 Red Ink Cartridge 621 -1 Quantity: 1 0 Install account number Your cost $67.99 v 1534- 9608 -20 -6 Total for item 1 $67.99 0 N n 0 Charges for Item 2 0 0 M Item number Item description: E -Z Seal 64 Ounce Bottle !4 o 608 -0 Quantity: 1 0 Your cost $58.99 0 Discounts $16.50 Total for item 2 $42.49 Total amount due for your order $110.48 including shipping, handling and taxes Page 2 of 4 continued next page 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. I rh �j Payee s Purchase Order No. Terms Date Due I Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) �(0, i 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. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF T 0& vac bclr I� ON ACCOUNT OF APPROPRIATION FOR 07 Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or W --�QZ 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 U 20 IIgnature Cost distribution ledger classification if Title claim paid motor vehicle highway fund