193226 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1
ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE
i CARMEL, INDIANA 46032 DEPT DIET CHECK AMOUNT: $1,418.14
PO BOX 83689
CHECK NUMBER: 193226
CHICAGO IL 60696 -3689
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4464000 27089 3145863673 /134.58 PRINTER
651 5023990 3145863674 1-1126.04 MATERIALS SUPPLIES
1701 4230200 3146402711 /307.30 OFFICE SUPPLIES
1701 4230200 3146402712 183.98 OFFICE SUPPLIES
1091 4230200 3146402713 ,27.66 OFFICE SUPPLIES
1093 4238900 3146402714 /375.00 OTHER MAINT SUPPLIES
1093 4238900 3146402715 /250.00 OTHER MAINT SUPPLIES
1125 4230200 3146402716 113.58 OFFICE SUPPLIES
'INVOICE DATE `:CUSTOMER SUMMARY::. INVOICE
11/27/10 DIET 1061088 8017108241
12/27/10 Net 30 Days 260.62
I1 WOI C DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL-NJPA CITY OF CARMEL
JIM SPELBRING ATTN: ROBERT ROBINSON
1 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL, IN 46032 DELIVER BY 4PM
CARMEL, IN 46032
Bill to Account: 1030382 Ship to Account: 3 CIVIC SQUARE
Budget Ctr: 110 POLICE DEPARTMENT Invoice Number: 3145863673
P 0 Number: Release: Order: 7068387304 000 -001
Ordered by: ROBERT ROBINSON Job: Order Date: 11/22/10
r r r r nit Ship n. ER IF-
Line Ite, Number Description Qty Ot Meas::- Oty Price Price
1 751111 BROTHER MFC549OCN INKJET AIO 1 EA 1 134.58 134.58
Freight ax: o a
Total: 134.58
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
0012623- 0027191 0000004
INDIANA RETAIL TAX EXEMPT PAGE 1 Owl l
Cit 0 f �rMel CERTIFICATE N0. 003120155 002 0
PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 27089
CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A!P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
0 printer
VENDOR Staples SHIP City of Carmel Po6ifeeDepartment
TO 3 Civic Square
Carrel,, 1N 46032
ATTN: At. Aaron Dietz
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 MFC- 5490CN printer 229.99
er
7
r; .R• p.
ff a
Send Invoice To: t
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT T PROJECT ACCOUNT AMOUNT
1110 640 office equipment PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPRO RIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chie of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. A.P.V, COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
Cpl
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
Signature
Title
Cost distribution ledger classification if
clainn paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Staples Advantage
Detp DET IN SUM OF
P.O. Box 83689
Chicago, IL 60696 -3689
$134.58
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT AMOUNT Board Members
27089 3145863673 44- 640.00 $134.58 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
Thursday, December 16, 2010
16 Q40a4A,
Chief of Police
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))
11/27/10 3145863673 payment for printer for SID $134.58
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6
20
Clerk- Treasurer
INVOICE.:D'ATE :;CUSTOMER SGJMMARY; >:INVOICE:
12 /0 4 7 1 0 DET 1061088 8017175737
i
1 03 11 Net 30 Days 766.24
I1 WOl CE DETAIL
Staples Advantage Federal ID #:04- 3390816
CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: SERRA GARSKE
1411 E 116TH ST 1411 E 116TH ST
CARMEL, IN 46032 CARMEL, IN 46032
Bill to Account: 1030597 Ship to Account: 1411 E 116TH ST
Budget Ctr: 1125-4230200 Invoice Number: 3146402716
P 0 Number: Release: Order: 7068487244- 000 -001
Ordered by: SERRA GARSKE Job: Order Date: 11/29/10
u rifer order ni ip n, x e
Line Item Number Description Qty Qty Meas Oty Price Price
1 135648 SPLS 8.5X11 COPY CS 2 CT 2 34.07 68.14
2 126987 SPLS 8.5X14 COPY CS 1 CT 1 45.44 45.44
Freight ax: Sub-Total:
Total:. 113.58
Purchase s 1 0 2 010
Description
P.O.# PorF
G.L. D
Bud
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
0011038 0049913- 0000007
INVQICE DATE ;.ZUSTOMER SUMMARY NVOICE'
12/04713 DET 1061088 8017175737
:PLEASE
1/03/11 Net 30 Days 766.24
IWOI CE DETA,.IL
Staples Advantage Federal ID #:04- 3390816
CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: MANDY SPADY
1411 E 116TH ST 1235 CENTRAL PARK DR E
CARMEL, IN 46032 DLV BEFORE 4PM
CARMEL, IN 46032
Bill to Account: 1030597 Ship to Account: 1235 CNTRL PK E
Budget Ctr: 1081 4230200 Invoice Number: 3146402713
P 0 Number: Release: Order: 7068610924 000 001
Ordered by: MANDY SPADY Job: Order Date: 12/01/10
r F. Order Unit Ship Unit ETf&06d
Line Item Number Description Qty Qty Meas Qt 'Price Prig
1 537563 LABEL COPIER 1.5X2.13)16 WE 1 BX 1 27.66 27.66
Freight: ax iota
Total 27.66
1
Purchase O E C 0 2010
Description
P.Q. P or F V7
G.L.
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
0011035 0049913- 0000004
IIV:V:(710E DATE C11ST MER .SUMMARY :INVO #CE
12/04/10 DET 106i088 8017175737
�VL�a PLEASE
11/03/11 Net 30 Days 766.24
I WOI C DETAIL
Staples Advantage Federal ID #:04- 3390816
CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: SERRA GARSKE
1411 E 116TH ST 1235 CENTRAL PARK DR E
CARMEL, IN 46032 DLV BEFORE 4PM
CARMEL, IN 46032
Bill to Account: 1030597 Ship to Account: 1235 CNTRL PK E
Budget Ctr: 1081 4230200 Invoice Number: 3146402714
P 0 Number: 27994 Release: Order: 99296565 000 001
Ordered by: SERRA GARSKE Job: Order Date: 11/30/10
r r order. Unit Ship Unit x e
Line Item Number Descri tion Qt Qt Meas Qt Priice Price
2 822670 PELLET CALCIUM CHLORIDE EXCEL 50 20 EA 30 12.50 375.00
F reight: 00 Tax:( 0000 A) 00 Sub
Total 375 -00
Balance to follow
purchase i G M �L7_
F ption �7c7� l r F i
�.o. �.-1- r/'-' Ii-, D E 1 0 2010
Fludget
Clete Descr
�ttrcliaser Date Date 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
0011036 0049913- 0000005
INVOICErDATE CUSTOMER i' SUMMARY ::INVOICE::
12 04 10 DET 1061088 8017175737
1/03/11 Net 30 Days 766.24
INVOICE DETAIL
Staples Advantage Federal ID #:04- 3390816
CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: SERRA GARSKE
1411 E 116TH ST 1235 CENTRAL PARK DR E
CARMEL, IN 46032 DLV BEFORE 4PM
CARMEL, IN 46032
Bill to Account: 1030597 Ship to Account: 1235 CNTRL PK E
Budget Ctr: 1081 4230200 Invoice Number: 3146402715
P 0 Number: 27994 Release: Order: 99296565 000 003
Ordered by: SERRA GARSKE Job: Order Date: 11/30/10
order r r. Unit Ship Unit. x
Line Item Number Description Qty Oty Meas Qty Price Price
2 822670 PELLET CALCIUM CHLORIDE EXCEL 20 EA 20 12.50 250.00
Freight: ax:.. .00001%) .00 Sub-Total:
Total: 250.00
Backorder of 0099296565
Purchase W 1 0 2010
Description
P.O. O 9 P cf F
G.L,#
Budget
Line Descr
Purchaser Date t
App Date
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
0011037- 0049913- 0000006
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. Box 83689
Chicago, IL 60696 -3689
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1214110 3146402716 Copier paper 11158
1214110 3146402713 Label copier 27.66
1214110 3146402714 Ice melt 27994 375.00
12/4/10 3146402715 Ice melt 27994 250.00
Total 766.24
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,
361528 Staples Business Advantage Allowed 20
Dept DIET 2368
P.O. Box 83689
Chicago, IL 60696 -3689 In Sum of
766.24
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1125 3146402716 4230200 113.58 1 hereby certify that the attached invcice(s), or
1091 3146402713 4230200 27.66 bill(s) is (are) true and correct and that the
1093 3146402714 4238900 375.00 materials or services itemized thereon for
1093 3146402715 4238900 250.00 which charge is made were ordered and
received except
16 -Dec 2010
Signature
766.24 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
tNVO10E QATE ;'CUSTQ:MER SUMMARY >:INVOICE`
11 27 10 DET 1061088 8017108241
12/27/10 Net 30 Days 260.62
INV QI CE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL -NJPA CITY OF CARMEL
JIM SPELBRING ATTN: TERESA LEWIS
1 CIVIC SQUARE 9609 HAZEL DELL PKWY
CARMEL, IN 46032 DELIVER BY 4PM
INDIANAPOLIS, IN 46280
Bill to Account: 4030382 Ship to Account: 9609 HAZEL DELL
Budget Ctr: 651 UTILITES Invoice Number: 3145863674
P O Number: Release: Order: 7068413601 000-001
Ordered by: TERESA LEWIS Job: Order Date: 11/23/10
Urder Order Unit Ship m Extended
Line Item Number 'Description Qty Oty Meas Qty Price Price
1 795807 11 STDDY DLY DIARY 5 314XB 114 1 EA 1 27 -33 27.33
LAB
2 DYM10697 2PK PPR BLK -WHTE FOR LETRATAG 1 PK 1 8.49 8.49
LAB
3 812335 HP 920 COMBO PACK INK 2 PK 2 27.99 55.98
JEFF
4 775747 HP 920 BLACK OFFICEJET INK CAR 2 EA 2 17.12 34.24
JEFF
Freight: ax. Sub-Total.,.
Total: 126.04
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
0012624 0027191 0000005
VOUCHER 106780 WARRANT ALLOWED
361528 IN SUM OF
STAPLES BUSINESS ADVANTAGE
DEPT DET
PO BOX 83689
CHICAGO, IL 60696
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
3145863674 01- 7202 -05 $126.04
Voucher Total $126.04
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
361528
STAPLES BUSINESS ADVANTAGE Purchase Order No.
DEPT DET Terms
PO BOX 83689 Due Date 12/16/2010
CHICAGO, IL 60696
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/161201( 3145863674 $126.04
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
Date Officer
1NVOICELD`ATE :::CUSTOMER SUMMARY IYV'Ol':CE
12/04/10 DET 1061088 8017175736
1/03/11 Net 30 Days 391.28
DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL -NJPA CITY OF CARMEL
JIM SPELSRING ATTN: ANN DAVIS
1 CIVIC SQUARE 1 CIVIC SQUARE
CARMEL, IN 46032 DELIVER BY 4PM
CARMEL, IN 46032
Bill to Account: 1030382 Ship to Account: 1 CIVIC SQUARE
Budget Ctr: 140 COMMON COUNCIL Invoice Number: 3146402712
P 0 Number: Release: Order: 7068592244 000 001
Ordered by: ANN DAVIS Job: Order Date: 12/01/10
r r Urcler Unit:. Ship, ni x e
L ine 'Item Number Deseri Lion Qt ''Qt MeaS Qt Price Price
1 CNMI509B007 CANON PG1351CL1 -36 2 BLK11CLR 2 PK 2 41.99 83.98
rer ax. o a
Total
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
0008649- 0035403 0000005
INVOICE ;DATE S )MMARY :INVOI'CE:
12 04 10 DET 1061088 8017175736
A
1/03/11 Net 30 Days 391 -28
BW O O DAE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL NJPA CITY OF CARMEL
JIM SPELBRING ATTN: ANN DAVIS
1 CIVIC SQUARE 1 CIVIC SQUARE
CARMEL, IN 46032 DELIVER BY 4PM
CARMEL, IN 46032
Bill to Account: 1030382 Ship to Account: 1 CIVIC SQUARE
Budget Ctr: 140 COMMON COUNCIL Invoice Number: 3146402711
P 0 Number: Release: Order: 7068590966 000 001
Ordered by: ANN DAVIS Job: Order Date: 12/01/10
r r
Order U nit Ship ni x e
Line Item Number Descrip Qt Oty Meas Qty, Price Price
1 470745 KLEENEX FACIAL TISSUES 1 CT 1 18.56 18.56
2 733331 STAPLES LASER 4RMICASE 6 CT 6 46.93 281.58
3 808415 SOFTALK CORD DETANGLER CLEAR 1 1 EA 3.77 .00
4 163360 FOLDER 113 CUT LGL 100 BX 1 BX t 7.16 7.16
FF_ r e i_dH1�7._' ax: o a
Total 307 -30
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
0008648- 0035403 0000004
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1935)
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
i
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
ON ACCOUNT OF APPROPRIATION FOR
b2- S
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3 X46 Z �J D bill(s) is (are) true and correct and that the
3i'-}wu� 1 1a materials or services itemized thereon for
V which charge is made were ordered and
received except
i
20
Signatures
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund