191374 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1
ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $1,420.62
s CARMEL, INDIANA 46032 DEPT DET 2368
v o PO BOX 83689 CHECK NUMBER: 191374
CHICAGO IL 60696 -3689
CHECK DATE: 10127/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4230200 3143211648 356.40 OFFICE SUPPLIES
1120 4230200 3143211649 -37.92 OFFICE SUPPLIES
1120 4230200 3143211650 356.40 OFFICE SUPPLIES
1120 4230200 3143211651 318.48 OFFICE SUPPLIES
102 4463000 3143211652 876.00 FURNITURE FIXTURES
102 4463000 3143211653 876.00 FURNITURE FIXTURES
102 4463000 3143211654 876.00 FURNITURE FIXTURES
1120 4230200 3143211655 41.83 OFFICE SUPPLIES
1120 4230200 3143211656 146.39 OFFICE SUPPLIES
IN V. ICE:DATE U TOMER UMMARY: >:INV 1 E':
10 02 10 DET 1060272 8016660724
WWW PLEA E<PAY BY >TERM' AMOUNT »DUE
11/01/10 Net 30 Days 1,420.62
hwolCE
Staples Advantage Federal ID N =04- 3390816
CITY OF CARMEL FIRE DEPARTMENT
SALLY LAFOLLETTE
2 CIVIC SO
CARMEL, IN 46032
Bill to Account: 1029524
Remittance Page of Summary Invoice
Customer Service inquiries 800 693 -8080 Invoice Payment Inquiries 888- 753 -4104
Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689
#N1/ I E IJATE CUSTOMEIR :SUMMARY:: 'I NU ICE
10 02 10 DET 1060272 8016660724
o PLEASE .PAY BY TERM .S:i. AMOUNT :DUE
11/01/10 Net 30 Days 1,420.62
riworcE summARY
Staples Advantage Federal ID #:04 3390816
CITY OF CARMEL FIRE DEPARTMENT'
SALLY LAFOLLETTE
2 CIVIC SO
CARMEL, IN 46032
Bill to Account: 1029524
BUDGET.CENTER PURCHASE ORDER RELEASE ORDER NUMBER INVOICE NET TAX MISC FREIGHT TOTAL
0098027545- 000 -001 3143211648 356.40 .00 .00 356.40
0098027545- 002 -001 3143211649 37.92CR .00 .00 27 92C
0098027545- 003 -001 3143211650 356.40 .00 .00 356,40
0098027545- 004 -001 3143211651 318.48CR .00 .00 318.48CR
0098050414- 000 -001 3143211652 876.00 .00 .00 876.00
0098050414 001 -001 3143211653 876.0008 .00 .00 876 OOCR
0098090378- 000 -001 3143211654 876.00 .00 .00 876.00
7066534625- 000 -001 3143211655 41.83 .00 .00 41.83
7066534625 -000 -002 3143211656 146.39 .00 .00 146.39
SUBTOTAL 1420.62 .00 .00 1420.62
O AL
1420.62 -00 -00
For billing inquiries call 888 753 -4104 For order inquiries call 800 693 -8080 Page: 1
Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689
0016524- 0001460- 0000003
INVOICE DATE CUSTOMER. SUMMARY.
Iff DICE:
10 02/10 DIET 1060272 8016660724
A
11 01 10 Net 30 Days 1,420.62
IWOl CiJED DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL FIRE DEPARTMENT CITY OF CARMEL FIRE DEPARTMENT
SALLY LAFOLLETTE ATTN: SALLY LAFOLLETE
2 CIVIC SO 2 CIVIC SQ
CARMEL, IN 46032 CARMEL, IN 46032
Bill to Account: 1029524 Ship to Account: CARMEL
Budget Ctr: Invoice Number: 3143211648
P 0 Number: Release: Order: 98027545 000 001
Ordered by: SALLY LAFOLLETE Job: Order Date: 9/08/10
r r Order ni ip n Extended
Line Item Number Description Qty Qty Meas Qty Price Price
1 413371 BUS CARD PAGES UNTABBED 10 PK 1 PK 1 2.99 2.99
2 153858 TAB DIVID 5TAB INDX INSRT CL 2 ST 2 .99 1.98
3 153874 TAB DIVID STAB INDX INSRT CL 2 ST 2 1.19 2.38
4 618852 CURVEDESKTOPCOPYHOLDR 2 EA 2 18.96 37.92
5 392466 BROTHER TN -430 BLACK TONER 1 EA 1 48.30 48.30
6 516331 HP LASERJET 02612A CART 2 EA 2 59.95 119.90
7 573983 HP 94 BLACK INK 6 EA 6 19.74 118.44
8 792737 141N BROWN ELECTRIC WALL CLOCK 1 EA 1 24.49 24.49
Freight: 7 00 lax:(. Sub-Total
Total: 356.4Q
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
0016525 0001460- 0000004
INVOICE DATE ?CUSTOMER SUMMARY::: INVOICE:
10 02 10 OFT 1060272 8016660724
11 01 10 Net 30 Days 1,420.62
IWOI CE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL FIRE DEPARTMENT CITY OF CARMEL FIRE DEPARTMENT
SALLY LAFOLLETTE ATTN: SALLY LAFOLLETE
2 CIVIC SO 2 CIVIC SO
CARMEL, IN 46032 CARMEL, IN 46032
Bill to Account: 1029524 Ship to Account: CARMEL
Budget Ctr: Invoice Number: 3143211650
P 0 Number: Release: Order: 98027545 003 001
Ordered by: DAVE HARRIS Job: Order Date: 9/09/10
r r Order Unit Ship Unit Extended
Line .Item Number Description Oty Qty Meas 'Oty Price Price
9 413371 BUS CARD PAGES UNTABBED 10 PK 1 PK 1 2.99 2.99
11 153858 TAB DIVID STAB INDX iNSRT CL 2 ST 2 .99 1.98
13 153874 TAB DIVID BTAB INDX INSRT CL 2 ST 2 1.19 2.38
15 392466 BROTHER TN -430 BLACK TONER 1 EA 1 48.30 48 -30
17 516331 HP LASERJET 02612A CART 2 EA 2 59.95 119.90
19 573983 HP 94 BLACK INK 6 EA 6 19.74 118.44
21 792737 14IN BROWN ELECTRIC WALL CLOC 1 EA 1 24.49 24.49
23 618859 HP 88 BLACK INK 2 EA 2 18.96 37.92
Freight: ax: a a
Total: 356.40'
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
0016527- 0001460 0000006
INVOICE <DATE CUSTOMER::;: SUMMARY '1NVOICE
10 0 5 2/10 DET 1060272 8016660724
o A
AMOUNT.: DUE7777
11/01/10 Net 30 Days 1,420.62
IIWOI CE DETAIL
Staples Advantage Federal ID #:04 3390816
CITY OF CARMEL FIRE DEPARTMENT CITY OF CARMEL FIRE DEPARTMENT
SALLY LAFOLLETTE ATTN: SALLY LAFOLLETTE
2 CIVIC SQ 2 CIVIC SQ
CARMEL, IN 46032 CARMEL, IN 46032
Bill to Account: 1029524 Ship to Account: CARMEL
Budget Ctr: Invoice Number: 3143211656
P 0 Number: Release: Order: 7066534625 000 -002
Ordered by: SALLY LAFOLLETTE Job: Order Date: 9/23/10
Order Order m t Ship Unit LxtefR9EFj
Line -Item Number. Description Oty Oty Meas Qty Price Price
2 792737 141N BROWN ELECTRIC WALL CLOCK 4 EA 4 34.07 136.28
3 216283 DISPENSER CLIP LRG MAG 216283 3 EA 3 3.37 10.11
rei ax,:. 0000 00 Sub-Total:
Total: 146.39
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
0016533- 0001460- 0000012
INVOICE DATE 'CUSTOMER{ SUMMARY] :INVOICE
10/02/10 DET 1060272 8016660724
PLEASr-.: PAY TERM
11 01 10 Net 30 Days 1,420.62
Il"W0ICE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL FIRE DEPARTMENT CITY OF CARMEL FIRE DEPARTMENT
SALLY LAFOLLETTE ATTN: SALLY LAFOLLETTE
2 CIVIC S4 2 CIVIC SO
CARMEL, IN 46032 CARMEL, IN 46032
Bill to Account. 1029524 Ship to Account: CARMEL
Budget Ctr: Invoice Number: 3143211655
P 0 Number: Release: Order: 7066534625 -000 -001
Ordered by: SALLY LAFOLLETTE Job: Order Date: 9/23/10
r r Order 1370 Tm f Ship Unit Exten(Jed
Line Item Number Description Qty Qty Meas Oty Price Price
1 815955 ONYX TRIPLE LETTER SIZE RACK 1 EA 1 41 -83 41 -83
2 792737 141N BROWN ELECTRIC WALL CLOCK 4 4 EA 34.07 00
3 216283 DISPENSER CLIP LRG MAG 216283 3 3 EA 3.37 .00
Freight-, ax: -Fotail 41.8
Total: 41-83
Balance to follow
Customer Service inquiries 800 693 8080 Invoice Payment Inquiries 888 753 -4104 Page: 1
Make checks payable to Staples Advantage, Dept DIET PO Box 83689, Chicago IL 60696 3689
0016532 0001460- 0000011
INVOICEm.DATE GUSTOMER SUMMARY`.:INVOIGE
10 02 10 DIET 1060272 8016660724
A
M0UNT .DLJE....
11 01 10 Net 30 Days 1,420.62
INVOICE ,DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL FIRE DEPARTMENT CITY OF CARMEL FIRE DEPARTMENT
SALLY LAFOLLETTE ATTN: SALLY LAFOLLETE
2 CIVIC SO 2 CIVIC SO
CARMEL, IN 46032 CARMEL, IN 46032
Bill to Account: 1029524 Ship to Account: CARMEL
Budget Ctr: Invoice Number: 3143211651
P O Number: Release: Order: 98027545 004 001
Ordered by: SALLY LAFOLLETE Job: Order Date: 9/17/10
r.: Order B/1) qnit Ship unit Extended
Line Item Number Description oty Qty Meas Qty Price Price.
1 413371 BUS CARD PAGES UNTABBED 10 PK 1 PK 1 2.99 2.99-
2 153858 TAB DIVID 5TAB INDX INSRT GL 2 ST 2 .99 1.98-
3 153874 TAB DIVID STAB INDX INSRT CL 2 ST 2 1.19 2.38-
5 392466 BROTHER TN -430 BLACK TONER 1 EA 1 48.30 48.30-
6 516331 HP LASERJET 02612A CART 2 EA 2 59.95 119.90-
7 573983 HP 94 BLACK INK 6 EA 6 19.74 118.44-
8 792737 141N BROWN ELECTRIC WALL CLOG 1 EA 1 24.49 24.49
Freight: 00 t .0000 -00 Sub-Total 318-48-
Tota1:
318.48
*Credit for Invoice# 3143211648
Customer Service inquiries 800 693 8080 Invoice Payment Inquiries 888 753 4104 Page: 1
Make checks payable to Staples Advantage, Dept DIET PO Box 83689, Chicago IL 60696 -3689
0016528- 0001460 0000007
INVOICE :DATE >iZUSTOMER SUM MARY<:'INVOICE>
.10 0_2/10 DET 1060272 8016660724
11/01/10 Net 30 Days 1
DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL FIRE DEPARTMENT CITY OF CARMEL FIRE DEPARTMENT
SALLY LAFOLLETTE ATTN: SALLY LAFOLLETE
2 CIVIC SO 2 CIVIC SO
CARMEL, IN 46032 CARMEL, IN 46032
Bill to Account: 1029524 Ship to Account: CARMEL
Budget Ctr: Invoice Number: 3143211649
P 0 Number: Release: Order: 98027545 002 001
Ordered by: DAVID HARRIS Job: Order Date: 9/09/10
r Urder Unit Ship Unit Exte
Line Item Number Description Oty Qt Nleas Qty Price Price
4 618852 PICKUPINO RESHIPICREDIT CURVED 2 EA 2 18.96 37.92-
Freight: ax: '0000 .100 Sub-Total:
Total: 37;92
*Credit for Invoice# 3143211648
Customer Service inquiries 800 693 8080 Invoice Payment Inquiries 888 753 4104 Page: 1
Make checks payable to Staples Advantage, Dept DIET PO Box 83689, Chicago IL 60696 -3689
0016526- 0001460- 0000005
INVOICE: RATE CUSTQMER SUMMART. INVOICE
i0 02 10 DIET 1060272 8016660724
:PLEASC:.PAY.
I1 01 10 Net 30 Days 1,420.62
I N V OICE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL FIRE DEPARTMENT CITY OF CARMEL FIRE DEPARTMENT
SALLY LAFOLLETTE ATTN: SALLY LAFOLLETTE
2 CIVIC SO 2 CIVIC SO
CARMEL, IN 46032 CARMEL, IN 46032
Bill to Account: 1029524 Ship to Account: CARMEL
Budget Ctr: Invoice Number: 3143211653
P 0 Number: Release: Order: 98050414 001 001
Ordered by: DAVE HARRIS AM Job: Order Date: 9/13/10
r r.. Order Unit Ship Unit Exte
Line
It Number Description Qty Oty Meas Oty Price P 1Ce
1 HON514CPL PICKUPINO RESHIP /CREDIT FILE,4 4 EA 4 219.00 876.00
rei t, .00 Tax:t-
Total 876.00-
*Credit for Invoice# 3143211652
Customer Service inquiries 800 693 8080 Invoice Payment Inquiries 888 753 -4104 Page: 1
Make checks payable to Staples Advantage, Dept DIET PO Box 83689, Chicago IL 60696 -3689
0016530- 0001460- 0000009
INVOICE ;DATE CUST.OMER SUMMARY ::INVOICE:'
10/'02/ 10 DET 1060272 8016660724
11/01/10 Net 30 Days 1,420.62
IIV VOICE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL FIRE DEPARTMENT CITY OF CARMEL FIRE DEPARTMENT
SALLY LAFOLLETTE ATTN: SALLY LAFOLLETTE
2 CIVIC SO 2 CIVIC SO
CARMEL, IN 46032 CARMEL, IN 46032
Bill to Account: 1029524 Ship to Account: CARMEL
Budget Ctr: Invoice Number: 3143211652
P O Number. Release: Order: 98050414 000 001
Ordered by: SALLY LAFOLLETTE Job: Order Date: 9/09/10
r r Order Unit Ship. ni x e
Line it Number Description Ot v Oty Meas Ot :Price Price
1 HON514CPL FILE.4DWH.LGL.VERT.LK.PY 4 EA 4 219.00 876.00
Freight: ax. 00 Sub-Tota
Total: 876:00:
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
0016529 0001460 0000008
INVOICE 'DATE CUSTOMER SUMMARY;WNVOICE';
10/02/10 DET 10602.72 8016660724
11/01/10 Net 30 Days 1,420.62
I W OICE DETAIL
Staples Advantage Federal ID #:04 3390816
CITY OF CARMEL FIRE DEPARTMENT CITY OF CARMEL FIRE DEPARTMENT
SALLY LAFOLLETTE ATTN: SALLY LAFOLLETTE
2 CIVIC SO 2 CIVIC SO
CARMEL, IN 46032 CARMEL, IN 46032
Bill to Account: 1029524 Ship to Account: CARMEL
Budget Ctr: Invoice Number: 3143211654
P 0 Number: Release: Order: 98090378 000 001
Ordered by: SALLY LAFOLLETTE Job: Order Date: 9/13/10
r r Order B70 Unit Ship Unit. x e
Line Item Number Description Qty Qty Mean Qty Price Price
1 794636 FILE VERTICAL LTR 4DRAWER BK 4 EA 4 219.00 876.00
Freight: ax: 00 Sub-Total: 876 00
Total- 876.00
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
0016531- 0001460- 0000010
VOUCHER NO. WARRANT NO.
ALLOWED 20
Stapes
IN SUM OF
PC Box 83689
Chicago, IL 60696
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT
Board Members
1120 3143211653 102- 630.00 ($876.00) I hereby certify that the attached invoice(s), or
1120 314321 1652 102- 630.00 $876.00 bill(s) is (are) true and correct and that the
1120 3143211654 102- 630.00 $876.00
materials or services itemized thereon for
1120 3143211655 42 -302.00 $41.83
1120 3143211651 42- 302.00 ($318.48) Which charge is made were ordered and
1120 3143211648 42- 302.00 $356.40 received except
1120 3143211656 42- 302.00 44-4a-,�9-v OCT 2 2010
1120 3143211649 42- 302.00 ($37.92)
1120 3143211650 42- 302.00 $356.40 R
f
Fire Chief
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))
3143211653 ($876.00)
3143211652 $876.00
3143211654 $876.00
3143211655 $41.83
3143211651 ($318.48)
3143211648 $356.40
3143211656 $143.39
3143211649 ($37.92)
3143211650 $356.40
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