190483 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1
ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE
CARMEL, INDIANA 46032 DEPT DET2368 CHECK AMOUNT: $50.10
PO BOX 83689 CHECK NUMBER: 190483
CHICAGO IL 60696 -3689
CHECK DATE: 9129/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4230200 3142137810 50.10 OFFICE SUPPLIES
IIt1VOICE `DATE .CUS:TOMER SUMMARY fIVVOICE;:
9/11/10 DET 1045462 8016462028
10/11/10 Net 30 Days 50.10
I W CE DETAIL
Staples Advantage Federal ID #:04- 3390816
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: 3142137810
P 0 Number: 1125 100 010 4230200 Release: Order: 7066028213 000 001
Ordered by: SERRA GARSKE Job: Order Date: 9/08/10
r r r n ip ni x e
Li ne I teen Number Descr i `t i orti r
Qt Qt -Mess Qt Price. Prig`
1 807699 KLEENEX TISSUES 3 BOX BUNDLE 2 PK 2 5.99 11.98
2 127035 SPLS 8.5X14 COPY RM 4 RM 4 9.53 38.12
rei ax_
Total 50_10
rm
Uzi J.1s
SEF 17 2010
BY:
Purchase
Description CFE LE l r
P.O.# PorF
1
Budget
Line Descr
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
0004167 0041918- 0000004
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.
36152.8 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
9111110 3142137810 Office supplies AO 50.10
Total 50.10
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.
361528 Staples Business Advantage Allowed 20
Dept DET 2368
P.O. Box 83689
Chicago, IL 60696 -3689 In Sum of
50.10
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 3142137810 4230200 50.10 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
23-Sep 2010
Signature
50.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund