192125 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1
Q� ONE CIVIC SQUARE INK HEADS CHECK AMOUNT: $153.90
CARMEL, INDIANA 46032 PO BOX 501574
INDIANAPOLIS IN CHECK NUMBER: 192125
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4230200 4982 153.90 OFFICE SUPPLIES
INVOIC
11/3/2010 IPage 1 of 1
Invoice 4982
u ust. Acct.
P.O.
Charge Sale
Ph: (317) 841 -8302
Ink Heads Fax: (317) 841 -8304
PO Box 501574
Indianapolis, IN 46250
S old To: Carmel Clay Parks Recreation hip To:
1411 E. 116th St.��
Carmel IN 46032
S ales Person: Chad Order Date: 11/2/2010 Ship Via:
Part Number Description Ordered Shipped Price Total
QT HPQ2612A HP Q2612A 2K 2 2 76.95 153.90
I�
U 71
erns: NET 10 Sub Total $153.90
Contact: Sales Tax 7% $0.00
Serra Gerske
(317) 573 -4026 Total $1 53-90
Signed: Date:
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized
rat show k ind of service, units, where performed, dates service rendered, by
whom, rates per day, number of hours,
Payee Purchase Order No.
Terms
364115 Ink Heads
P.O. Box 501574
Indianapolis, IN 46250
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
153.90
1113110 4982 Ink Cartridges
Total 153.90
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
Voucher No. Warrant No.
364115 Ink Heads Allowed 20
P.O. Box 501574
Indianapolis, IN 46250
In Sum of
153.90
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1091 4982 4230200 153.90 k 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
18 -Nov 2010
Signature
153.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund