191375 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1
ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $759.15
CARMEL, INDIANA 46032 DEPT DET2368
PO BOX 83689 CHECK NUMBER: 191375
CHICAGO IL 60696 -3689
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4230200 PARKS 529.74 3143043492
1091 4239099 PARKS 229.41 3143640927
INVOICE DATE CUSTOMER SUMMARY i1NVOICE.
s
10/02/10 DET 1045462 8016630776
A MOUNT PLEASE PAT .:31ERMS
nn 11 01 10 Net 30 Days 529.74
1 W 0 I C; E, yD. E. A
Staples Advantage Federal ID #:04 3390816
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
PAULA SCHLEMMER ATTN: MANDY SPADY
1411 E i16TH ST 1235 CENTRAL PARK DR EAST
CARMEL, IN 46032 MONON CENTER
CARMEL, IN 46032
Bill to Account: 1018527 Ship to Account: MONON CENTER
Budget Ctr: Invoice Number: 3143043492
P 0 Number: MC001284 Release: Order: 7066622784 000 001
Ordered by: MANDY SPADY Uob: Order Date: 9/27/10
r
orde U nit Ship Unit Exte
Line Item Number Description Qty Qty Meas Qty Price Price
1 519018 STAPLES CORRECTION TAPE 10PK 2 PK 2 9.51 19.02
2 163865 STAPLES PAD PERE LTR WHITE 12 2 DZ 2 4.09 8.18
3 610189 X- STAMPER REFILL INK GRN 20ML 1 1 EA 7.95 .00
4 610187 X- STAMPER REFILL INK BLU 20ML 1 1 EA 7.95 .00
5 649446 STAPLES ADJ 3HOLE PUNCH 15SHI 1 EA 1 14.39 14.39
6 166348 LABELS CLR CODE RND 114 GIN 4 PK 4 2.36 9.44
7 229690 3PK SCISSORS 2 PK 2 10.62 21.24
8 108985 PREMIUM STAPLES CHISEL 114 5 BX 5 2.10 10.50
9 566942 CLIP MINI BINDER 315 BK 144CT 1 PK 1 1.19 1.19
10 395200 BINDER CLIPS MEDIUM 144CI 1 PK 1 4.15 4.15
11 831610 CLIPS BINDER LARGE 12CT 831610 4 DZ 4 .79 3.16
12 381964 ENV 6X9 SS BROWN 289 10OCT 1 BX 1 8.33 8.33
13 518718 INVISIBLE TAPE 16PK BOX 1 PK 1 24.78 24.78
14 564231 POST -IT 3X3 ULTRA NOTES 14PK 1 PK 1 13.59 13.59
15 773943 SAFCO WOOD LITERATURE DISPLAY 3 EA 3 104.73 314.19
16 796763 ORGANI7ER UPRIGHT ROLL FILE 1 EA 1_ 51 69 51.69
17 668635 CONTOUR COAT RACK BLACK 2 2 EA 109.99 .00
18 HEWC950OFN HP 21 BLACK INK 2PK 1 PK 1 25.89 25.89
F reight:.- Tax o a
Total: 529 74
Balance to follow
Q Descriptlott
P.D.# a 9� rF OCT 0 7 2010
c.L. 9
Budg Si 1
line Descr $Y:..
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
0003336- 0055270- 0000004
INVQICE< :DATE. CUSTOMER:::.. SUMMARY?s1111VOICE;
10/09/10 DET 1045462 8016703945
A
AMOONIV
i 17587 10 Net 30 Days 229.41
INVOICE DETAIL
Staples Advantage Federal ID #:04 3390816
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
PAULA SCHLEMMER ATTN: AUDREY HUGHEY
1411 E 116TH ST 1235 CENTRAL PARK DR EAST
CARMEL, IN 46032 MONON CENTER
CARMEL, IN 46032
Bill to Account: 1018527 Ship to Account: MONON CENTER
Budget Ctr: Invoice Number: 3143640927
P 0 Number. 1091 4239099 Release: Order: 7066879833 000 001
Ordered by: SERRA GARSKE Job: Order Date: 10 /05 /10
Order U m ap mt x e
..fine Item Number C)escr t ion pt pt
Meas Ot Price Price
1 633539 PURELL SANITIZER 2 LITER PUMP 9 EA 9 25.49 229.41
Freight. Sub-Total:
Total: 229.41
Purchase D'
Description
P.O.# PorF
Budg 4/ y
Line escr
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
0017877- 0047980 0000004
I
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.
361528 Staples Business Advantage Terms
Dept DET 2368
P.O. Sox 83689
Chicago, IL 60696 -3689
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1012110 3143043492 Office supplies MCC 23973 529.74
1019110 3143640927 Purell sanitizer 229.41
Total 759.15
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
1 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
759.15
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITt_E AMOUNT Board Members
Dept
1091 3143043492 4230200 529.74 1 hereby certify that the attached invoice(s), or
1091 3 143640927 4239099 229.41 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
21 -Oct 2010
Signature
759.15 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund