HomeMy WebLinkAbout193523 01/05/2011 f CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 2
0 ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $4,106.85
la CARMEL, INDIANA 46032 DEPT DET
PO BOX 83689 CHECK NUMBER: 193523
CHICAGO IL 60696 -3689
CHECK DATE: 1/5/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 3146694090 60.40 OFFICE SUPPLIES
911 4463201 3146694091 174.59 HARDWARE
1110 4230200 3146694092 77.45 OFFICE SUPPLIES
1301 R4230200 21728 3146694093 2,533.21 OFFICE SUPPLIES
1301 R4230200 21728 3146694094 199.00 OFFICE SUPPLIES
1301 R4230200 21728 3146694095 32.17 OFFICE SUPPLIES
1701 4230200 3146694096 3.77 OFFICE SUPPLIES
911 4230200 3146989253 89.95 OFFICE SUPPLIES
1110 R4467099 27098 3146989254 389.99 PRINTER
1301 R4230200 21728 3146989255 277.48 OFFICE SUPPLIES
1301 R4230200 27319 3146989256 240.25 OFFICE SUPPLIES
1301 4230200 3146989257 251.58 OFFICE SUPPLIES
1301 R4230200 21728 3146989257 156.27 OFFICE SUPPLIES
CITY OF CARMEL, INDIANA VENDOR. 361528 Page 2 of 2
ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE
CARMEL, INDIANA 46032 DEPT DET CHECK AMOUNT: $4,106.85
PO BOX 83689
CHECK NUMBER: 193523
CHICAGO IL 60696 -3689
CHECK DATE: 11512011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 84230200 21728 3146989258 121.21 OFFICE SUPPLIES
1202 4230200 8017293974 54.49 OFFICE SUPPLIES
INVOICE DATE CUSTOMER SUMMARY;; INVOICE;
12 18 10 DET 1061088 8017293974
7 1771 f Net 30 Da y s 1,103.13
IIWOI CE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL -NJPA CITY OF CARMEL
JIM SPELBRING ATTN: JIM SPELBRING
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: 195 DEPT OF ADMINISTRATION Invoice Number: 3146989259
P 0 Number: Release: Order: 7068994843 000 -001
Ordered by: JIM SPELBRING Job: Order Date: 12/13/10
UFd Urder B/O Unit Ship Unit Extended
Line Itern Numl:)er Description Oty Oty Meas Qty Price Price
1 854676 2011 MNTR STAPLES 14MONTH 8X11 1 EA 1 15.26 15.26
2 795253 11 AAG YR PLNMO WALL 24X36 1 EA 1 14.79 14.79
3 IDEFT07095 BNDR.5'.GAPLESS,BK 1 EA 1 24.44 24.44
Freight: ax. o a 1 54.49
Total- 54.49
s
JAN 0 4 2011
By
F mer Service inquiries 800 -693 -8080 Invoice Payment Inquiries 888 -753 -4104 Page: checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 3689
0000351- 0052207- 0000011
VOUCHER NO. WARRANT NO.
ALLOWED 20
Staples Advantage
Dept DET IN SUM OF
PO Box 83689
Chicago, IL 60696 -3689
$54.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel IS Department
PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1202 8017293974 42- 302.00 I $54.49 1 hereby certify that the attached invoice(s), or
1 I 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
Tuesday, January 04, 2011
Director, IS
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))
12/18110 8017293974 $54.49
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
INV'O €C£ DATE CUSTOMER SUMMARY >INVOICE
12/ 11/10 DIET 1061088 8017235625
1/1o/11 Net 30 Days 3,080.59
lWOIC 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_ 3146694090
P 0 Number: Release: Order: 7068702038 000
Ordered by: ROBERT ROBINSON Job: Order Date: 12/03/10
'Order m ip na x e
Line'_ ,Item ".'INkmiber Descri t on Q Qt Qt Wf..Pricee.. �P.race,
1 SONBNR25 BLU -RAY DISC.25GB.REC0RDBL 5 EA 5 12.08 60.40
rel ax
.Total "4()
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
0007745 0054038 0000004
tNV:OtCE .DATE CUSTOMER SUMMARY IIVVOtCE<
1w 12 11 10 DET 1061088 8017235625
1 10 11 Net 30 Days 3,080.59
II W ®ICE 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: 3146694092
P 0 Number: Release: Order: 7068926215 000 001
Ordered by: ROBERT ROBINSON Job: Order Date: 12/10/10
r r m ip n1 x
Line Item. Miiiber% Descr,i tion 4t Qt Meas 4t Pr.ice Price'
1 534990 ENV GLASP RELY 28LB 6.5X9.5 10 BX 10 7.48 74 -80�
2 199994 MEMO BOOK 3X5 TOP OPEN 10455 5 PK 5 .53 2.65
reig ax o,, a
.`Total 77.45
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
0007747- 0054038 0000006
1NV0ICE DATE >CUST.O:MER SUMMARY.114VOICEi
12/ 18/10 DET 1061088 8017293974
1/17/11 Net 30 Days 1,103.13
IIWOICE 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
POLICE DEPARTMENT
CARMEL, IN 46032
Bill to Account: 1030382 Ship to Account: 3 CIVIC SQUARE
Budget Ctr: 110 POLICE DEPARTMENT Invoice Number_ 3146989254
P 0 Number: 27098 Release: Order: 99495233 000 -001
Ordered by: ROBERT ROBINSON Job: Order Date: 12/13/10
r r ni t ip m, x
Line =Item:Number -Description Ot Qt Meas- Qt Price 2jPrace.
1 505246 OKIDATA ML420 DOTMATRIX PRINT 1 EA 1 399.99 399 -99
rei ax o a
x Total. 389 99.
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
0000346- 0052207 0000006
ity of Carmel INDIANA RETAIL TAX EXEMPT PAGE of I
C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 27098
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/08/10 Okidata ML420 Dot Matrix Printer
p SHIP
VENDOR
Sta TO Carmel Police Dept
3 Civic Square
Carmel, IN 46032
00NflRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 Okidata ML420 Turbo Dot Matrix Printer 389.99
o
e
g
Send Invoice To:
City of Carmel Police 6
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PRO,IFCT I PROJECT ACCOUNT AMOUNT
1110 67099 other. 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /f �rf /f�`�' 1✓ f /i�
PURCHASE ORDER NUMBER MUST APPEAR ON ALL yy
SHIPPING LABELS. C l11 ef 4f Policr�e
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 7 Q 9 8 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
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
claim 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
$52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT
Board Members
Prior Year I hereby certify that the attached invoice(s), or
1110 3146694092 42- 302.00 $77.45
Prior Year bill(s) is (are) true and correct and that the
1110 3146694090 42- 302.00 $60.40
Pr/or r Litrumbered materials or services itemized thereon for
2709 u 3146989254 1 44- 670.99 1 $389.99 which charge is made were ordered and
received except
Friday, December 31, 2010
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board cf 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))
12/11/10 3146694092 payment for office supplies $77.45
12/11/10 3146694090 payment for office supplies $60.40
12/18/10 3146989254 payment for printer $389.99
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
INV:(pICE; <DATE <CUSTOMER: SlJIY11ilIARY 1NVOICEs
12/11/10 DET 1061088 8017235625
1/10/11 Net 30 Days 3,080.59
IWQI CE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL -NJPA CITY OF CARMEL
JIM SPELBRING ATTN: BONNIE LEWIS
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: 130 CITY COURT Invoice Nkmiber: 3146694093
P 0 Number: Release: Order: 7068791295 -000 001
Ordered by: BONNIE LEWIS Job: Order Date: 12 /07/10
r g r x: nt x e
L i ne 4 Item "Nkanberir s Descry t Ion Qt S;.Qt Meas Ot Price Pr t ce
1 585966 BROTHER DR -350 DRUM 2 EA 2 80.23 160.46
2 577281 HP 49A TONER 2 EA 2 64.36 128.72
3 534990 ENV CLASP RECY 28LB 6.5X9.5 8 BX 8 7.48 59.84
4 812283 FRNT LOAD LTR TRAYS W1 SUPPORT 2 ST 2 19.42 38.94
5 234062 XEROX 8.5X11 COPYIPRINT CS 15 CT 15 36.91 553.65
6 779066 BINDER DATA WIHKS 9.5X11 -LTBLE 6 EA 6 7.35 44.10
7 576950 FOLDER POLY LTR MANILA 10510 10 PK 10 7.99 79.90
8 606125 STPLS COMFORT STIC MED BLK60PK 5 BX 5 4.12 20.60
9 039210 STAPLE SF3 5MIBOX 35440 8 BX 8 3.52 28.16
10 508374 PEN BALL PT GOMFORTMATE MED RD 2 DZ 2 4.93 9.136
11 567300 46X60 UTILTY ECONOMY MAT 7 EA 7 39.64 277.48
12 576342 STAPLER EZ VIEW IN -GAUGE CHARC 2 EA 2 12.82 25.64
13 AVE8160 AVY 1X2 518 IJ LBL 25SH 1 PK 1 10.02 10.02
14 FA0223U FIRST AID KIT 25PERSON 106PIEC 1 1 EA 32.17 .00
15 205294 SUPER GLUE 1 PK 1 1.93 1.93
16 612784 BROTHER TN -584 BLACK TONER 2 EA 2 99.99 199.98
17 218271 CALL BELL 1 EA 1 5.25 5.25
18 804574 HP CE255A BLACK TONER 6 EA 6 120.41 722.46
19 391528 MONO CORRECTION TAPE 2PK 10 PK 10 7.28 72.80
20 317313 FLAT STAPLE REMOVER BLACK 4 EA 4 2.20 8.80
21 814373 PAPER COPY 20N LETTER YELLOW 5 5 5 RM 13.51
22 GBC7704270 PAPER PUNCH ELECTRIC 1 1 EA 128.15 .00
23 516331 HP LASERJET 02612A CART 1 EA 1 61.94 61.94
24 446781 DOORSTOP -BN 1 EA 1 4.56 4.56
25 119099 FILE EXP A -Z NO FLAP LTR BN 1 EA 1 9.93 9.93
26 FEL75271 PARTITION ADDITIONS HOOK 1 1 PK 3.30 .00
27 618852 CURVEDESKTOPCOPYHOLDR 1 EA 1 8.29 8.29
Freight 7X e fi 0, a y g
Qu
Total.L. 2;533_2,1
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
0007748 0054038. 0000007
INVOICE DACE ::CUSTOMER SUMMARY `:INVOICE>
12/11/10 DET 1061088 8017235625
f
I/10/11 Net 30 Da s 3,080.59
INVOI CE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL -NJPA CITY OF CARMEL
JIM SPELBRING ATTN: BONNIE LEWIS
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: 130 CITY COURT Invoice Nust3er_ 3146694094
P 0 Number: Release: Order: 7068791295 000 -002
Ordered by: BONNIE LEWIS Job: Order Date: 12/07/10
r t x e
Line I tem 'Number,: x Descr i' t i on Qt Qt Maas Qt Pri Pr oe
21 814373 PAPER COPY 284 LETTER YELLOW 5 5 RM 5 13.51 67.55
22 GBC7704270 PAPER PUNCH ELECTRIC 1 EA 1 128.15 128.15
26 FEL15271 PARTITION ADDITIONS HOOK 1 PK 1 3.30 3.30
rei ax a a
0
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
0007749 0054038 0000008
1NNOICE ;DATE G1J$TQti/IER SI lMMARY: NVOICE
12 11 10 DET 1061088 8017235625
TERM
DUE::
1/10/11 1 10 11 Net 30 Days 3,080.59
IWOI CE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL-NJPA CITY OF CARMEL
JIM SPELBRING ATTN: BONNIE LEWIS
1 CIVIC SQUARE 1 CIVIC SQUARE
CARMEL, IN 46032 DELIVER BY 4PM
CARMEL, IN 46032
Sill to Account: 1030382 Ship to Account: 1 CIVIC SQUARE
Budget Ctr: 130 CITY COURT Invoice MAt)er: 3146694095
P 0 Number: Release: Order: 7068791295- 000-003
Ordered by: BONNIE LEWIS Job: Order Date: 12/07/10
r v r r n, ip n t, E>
Line' ;Iierti' ;Number Descri #ion Qt QtMeas,-:Qt Price'Pri(�e;?
14 FA0223U FIRST AID KIT 25PERSON 106PIEC 1 EA 1 32.17 32.17
r`el m f Fax: rf
Total F 32: =17.
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
0007750- 0054038- 0000009
INVOICE l)ATE CLISTOMER SUMMARY;: INVOICE?.
12 18 10 DET 1061088 8017293974
wa 1 17 11 Net 30 Days 1,103 i3
11WOICE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL -NJPA CITY OF CARMEL
JIM SPELBRING ATTN: BONNIE LEWIS
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: 130 CITY COURT Invoice Number: 3146989255
P 0 Number: Release: Order: 7068791295 -001 -001
Ordered by: BONNIE LEWIS Job: Order Date: 12/09/10
r k r m ip ni x
dine; %Item `Nucor.'= Descri 'tion sY Fqt Qt Meal Ot E-Pr_�ce F?ryce
11 567300 PICKUPINO RESHIPICREDIT 46X60 7 FA 7 39.64 277.48
re, ax o: a
Total- 277:48
*Credit for Invoice# 3146694093
NO NEED FOR PICKUP CUST REFUSED
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
0000347 0052207 0000007
INVOICE DATE CUSTOMER SLIMMARY 1NVO10E:
12/18/10 DET 1061088 8017293974
1 17 11 Net 30 Days 1,103.13
INVOICE DETAIL
Staples Advantage Federal ID :04- 3390816
CITY OF CARMEL NJPA CITY OF CARMEL
JIM SPELBRING ATTN: BONNIE LEWIS
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: 130 CITY COURT Invoice Nkmiber: 3146989258
P O Number: Release: Order: 7069136532 000 001
Ordered by: BONNIE LEWIS Job: Order Date: 12/16/10
.—Unit �p nr, x
Line' Item °;Number scrip Qt -'Qt sNas Qt Price, 'Price=
1 778173 47X35 RECT FLOORMAT CARPETS 1 EA 1 81.57 61.57
2 567300 46X60 UTILTY ECONOMY MAT 1 EA 1 39.64 39.64
rei ax o a,
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
0000350 0052207- 0000010
1NV.OICE'DATE USTUMER SUMMARY- INVOICE'?
1 718713
DET 1061088 8017293974
1 i7 11 Net 30 Days 1,103.13
INVOICE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL -NJPA CITY OF CARMEL
JIM SPELBRING ATTN: BONNIE LEWIS
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: 130 CITY COURT Invoice Number: 3146989257
P 0 Number: Release: Order: 7068985162 -000 -002
Ordered by: BONNIE LEWIS Job: Order Date: 12/13/10
ip it ERT&UEC
Line I tmi :NumberMy 9 Descr i t;i on, p Qt C?t Qt Pr,i c Pr cue.
4 778173 47X35 RECT FLOORMAT CARPETS 5 EA 5 81.57 407.85
ref aX O a
r Total,.l 407:85-+
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
9000349- 0052207 0000009
INVOICE DATE CUSTpIVtEI; Su
12 12 18 10 DET 1061088 8017293974
1 17 11 Net 30 Days 1,103.13
INVOICE DETAIL
Staples Advantage Federal ID #:04 3390816
CITY OF CARMEL -NJPA CITY OF CARMEL
JIM SPELBRING ATTN: BONNIE LEWIS
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: 130 CITY COURT Invoice Number: 3146989256
P 0 Number: Release: Order: 7068985162- 000 -001
Ordered by: BONNIE LEWIS Job: Order Date: 12/13/10
r 1 E�E
.Line.. Item Number•,. scrip t on Qt Qt Maas Qt Price Price
1 555503 HP 100PK CDR SPINDLE 2 EA 2 34.99 69.98
2 CCS26501 ENVELOPE. CD.WINDOW.WE,25OPK 1 BX 1 36.67 36.67
3 509588 FOLDER SNGL TOP LTR 113 MA 5 BX 5 9.14 45.70
4 778173 47X35 RECT FLOORMAT CARPETS 5 5 EA 81.57 .00
5 614413 POCKET WATERSHED 3 112 EXP LTR 3 BX 3 29.30 87.90
F rei x a a s 't
:°Focal ;240.25;w'
Balance to Follow
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
0000348- 0052207 0000008
INDIANA RETAIL TAX EXEMPT PAGE
Cit C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT tj
35- 60000972 V
ONE 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.
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
I VN ►T
r �•VQ� SHIP
a 1 /`cJ �j
VENDOR
1- d �7L0 q TO
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1001PA HP C &P, �►d� 1 ��I Ml� OJear j� X 1.9
0
Z15. 70
a j
'S 10014. P p a 629
Send Invoice To: I
f�
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
0 3 PAYMENT
AIP VOUCHER CANNOT B
NUMBER ISM DE A PART OF HE VOUCHER P AND EVERY INVOICE AND QO.
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROP ATIION SUFFICI T TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. �I
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 7 3 19 VENDOR COPY
-Your= i 7rder Status Page 1 of 1
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Thank you, your order has been submitted. Your order number and status are below.
Order Status Details: Order No. 7068985162
You may Print this page for your records. EW View Printable Version
Order Status: Transmitted for Fulfillment Ship To: BONNIE LEWIS
Order No: 7068985162 Carmel City Court
1 CIVIC SQUARE
Order Date: 12/13/2010 DELIVER BY 4PM
Ordered By: BONNIE LEWIS
CARMEL, IN 46032
Budget Center: 130 CITY COURT USA
Click here to see order status definitions
Item Expected Customer's MFR UOM /Qty Your Qty Packing Slip Note Item
Status Delivery Date Item Number Item No. Price Total
HP CD -R Spindle 700MB, 80- Minute, Clear 100 /Pk
Staples Item No. 555503
66000084047 EA /1 $34.99 2 $69.98
CD /DVD Window Envelopes 250 EA /PK, White
Staples Item No. CCS26501
CCS26501 6X/1 $36.67 1 $36.67
Smead Manila File Folders, Single Top, LETTER -size Holds 8 1/2" x 11 1/3 -Cut, 100 /Bx
Staples Item No. 509588
On Contract
509588 SMD153L BX 1 0 $9.14 5 $45.70
Floortex Eco- Friendly Polycarbonate Chairmats for Carpets, Rectangular, 35 "_x 47"
Staples Item No. 778173
On Contract
778173 FLR118923ER EA /1 $81.57 5 $407.85
Esselte Pendaflexe Redrope Watershed@ To -Tab Expanding Pockets, 3 1 2" Expansion LETTER -size Holds 8 1/2" x
11 10 /Bx
Staples Item No. 614413
On Contract
614413 35247 BX 10 $29.30 3 $87.90
Item Expected Customer's MFR Your Item
Status Delivery Date Item Number Item No. UOM /Qty Price Qty Packing Slip Note Total
Click here to see order status definitions
Total: $648.10
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INDIANA RETAIL TAX EXEMPT PAGE
C O
t o Carmel CERTIFICATE NO.003120155 002 0
ln. PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 iI a
35- 60000972 1
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 48032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR TOIP
phi cLt. c7 T1_ told t.19' (j)lg
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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9
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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 APPUFFICIENTT O 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 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 1 7 2 8 CLERK- TREASURER
DOCUMENT CONTROL NO VENDOR COPY
INDIANA RETAIL TAX EXEMPT PAGE C i t y o C acme l PURCHASE ORDER NUM CERTIFICATE NO.003120155 002 0 Ji \��J 1i BER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 F
ONE 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
VENDOR �CV\V (.l SKIP
1 DIE 7 T O C) Y1'Q.� J C_ SC6
c1wk c_cLcAb 0, cu Inn 'TA 4 u o
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To: �U�"'G„���k,. `r' ���G ��p�(- `•�6�
O o .3 S 3
PLEASE INVOICE IN DUPLICATE .J
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT A MOUNT
'301 PAYMENT o 701 3?
A1P 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
THIS APPROP ATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
21729 CLERK TREASURER
DOCUMENT CONTROL NO. VENDOR COPY
Your Order Page 1 of 6
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Customer's MFR Item No Si4tl /_2tX nuL Item Packing Expected Remove
Item No. r may- Total Slip Note Delivery Date an Item
Brother Drum Cartridge, DR350 12,000 Page Yield Black
im Staples Item No. 585966
585966 BRTDR350 EA /1 $80.23 2 $160.46 Delivery Date
On Contract
HP Laserlet Smart Print Cartridge Q5949A, 2,500 Pace Yield, Black
Staples Item No. 577281
577281 HEWQ5949A EA /1 $64.36 2 $128.72 Delivery Date
On Contract
e. Staples(g) Brown Kraft Clasp Envelopes, 6 1/2" x 9 1/2 100 /Bx
4; Staples Item No. 534990
534990 STP534990 BX 100 $7.48 $59.84 Delivery Date El
On Contract
StaplesM Stackable Letter Tra Front -Load, Letter Size, Black, 6 1/4 "H x 10 1 /4 "W x 137L8"D. 2/Pk
e Staples Item No. 812283
812283 DPS03526CC ST /2 $19.42 2 $38.84 D Icy Dete
http: /www. stapleslink,com/webapp /wcs/ stores/ servlet/ StplYourOrderDisplay ?operationM... 12/7/2010
Your Order Page 2 of 6
On Contract
Xerox Business 4200 Series Premium Copy Paper, 8 1/2" x 11 LETTER -size, 921104+ US /Euro
Brightness, 20 lb, 5,000 Sheets /Carton
Staples Item No. 234062
234062 XER3R2047CT CT 15000 $36.91 15 $553.65 Delivery Date El
On Contract
AccoCg) PRESSTEXB Acrylic- Coated Pressboard Covers with Storage Hooks, Light Blue, 6" Capacity
Staples Item No. 779066
779066 ACC54112 EA /1 $7.35 6 $44.10 Delivery Date
On Contract
qkj Staples(p) Poly 3 -Tab File Folders, 1/3 Cut Manila, LETTER -size Holds 8 112" x 11, 12 /Pk
Staples Item No. 576950
576950 STP36049 PK /12 $7.99 10 $7990 Delivery Date
On Contract
Staples Staplesg Comfort Stic'" Grip Ballpoint Stick Pens Medium Point Black. Ink 60 Pk
Staples Item No. 606125
606125 12455CC BX /60 $4.12 5 $20.60 Delivery Date
On Contract
Acco SF3 -5M Standard Staples, Chisel Staples, 5,000 /Bx
Staples Item No. 039210
M
039210 35440 BX 1 $3.52 8 $28.16 Delivery Date
On Contract
Pa permate Comfortmate'"' Ballpoint Pens, Medium Point 1.0 mm, Red Ink /Red Barrel, 12 /Pk
Staples Item No. 508374
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Your Order Page 3 of 6
508374 61201 DZ 12 $4.93 2 $9.86 DeliveryDate
On Contract
1� �q Stapfesl� Chairmat for Commercial Grade or Low -Pile Carpets, Rectangular, 46" x_60"
P'''' Staples Item No. 567300
rt;�
567300 STP121861 EA 1 $39.64 7 $277.46 Delivery Date u
On Contract
01 Swingline InVision"" Desktop Stapler, 20 Sheets /20 lb, Charcoal
Staples Item No. 576342
576342 SW182801 EA /1 $12.82 2 $25.64 Delivery Date 0
On Contract
Avery Address Labels for InkJet Printers, 1" x 2 5/8 25 Sheets
Staples Item No. AVE8160
AVE8160 PK/750 $10.02 1 $10.02 Delivery Date
Bulk First Aid Kit for 25 People, 9 "W x 2 1 /2 "D x 8 1/4 "H
Staples Item No. FA0223U
FA0223U EA /1 $32.17 1 $32.17 Delivery Date I 1
Staples(R) Super Glue .07 oz., 3 /Pk
Staples Item No. 205294
205294 STP10450 PK $1.93 1 $1.93 Delivery Date
On Contract
http: /www.stapleslink. corn /webapp /wcs/ stores/ serviet/ Stp [YourOrderDisplay ?operationM... 1.2/7/2010
Your Order Page 4 of 6
Brother Toner Cartridge, TN580, Hig -Yield 7.000 Page Yield Black
Staples Item No. 612784
612784 BRTTN580 EA /1 $99.99 2 $199.98 Delivery Date C]
On Contract
Staples Call Sell, 3 3/8" Diameter
t Staples Item No. 218271
218271 10592CC EA /1 $5.25 1 $5.25 Delivery Date
On Contract
HP LaserJet Print Cartridge 55A (CE255A), 6,000 Page Yield. Black
.3- Staples Item No. 804574
55A
804574 HEWCE255A EA /1 $120.41 6 $722.46 Delivery Date 0
On Contract
Tombow MONO Correction Tae Non Refillable 1/6" x 394 White Ta pe, 2/Pk
Staples Item No. 391528
tir> 'l
391528 68627 PK /2 $7.28 10 $72.80 Delivery Date
On Contract
AM
StaplesO Staple Remover
Staples Item No. 317313
317313 STP10626 EA /1 $2.20 4 $8.80 Delivery Date
On Contract
Xerox Multipurpose Colored Paper, 8 1Z2" x 11" 20 lb. Yellow, 500 Sheets Rm
Staples Item No. 814373
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Your Order Page 5 of 6
XER3R11053 RM 1 $13.51 5 $67.55 Delivery Date
GBQ R 3230 Adjustable Electric 2- to 3 -Hole Punch, 24 Sheets /20 Lb., Gray
Staples Item No. GBC7704270
GBC7704270 EA 1 $128.15 1 $128.15 Delivery Date n
HP LaserJet Print Cartridge HP 12A Q2612A, 2,000 Page Yield, Black
e Staples Item No. 516331
516331 Q2612A EA11 $61.94 1 $61.94 D liver Da
On Contract
Master Big Foot® No -Slip Rubber Doorstop Brown 1 1 /4 "H x 2 1/4 "W x 4 3/4 "L
Staples Item No. 446781
Y'
446781 MAS00920 EA /1 $4.56 1 $4.56 Delivery Date
On Contract
Staplesa Letha- ToneRR Expanding File Without Flaps, Letter, A -Z, 21 Pockets
a Staples Item No. 119099
119099 STP119099 EA /-1 $9.93 1 $9.93 Delivery Date
On Contract
Partition Additions*'" Hooks, Graphite
Staples Item No. FEL75271
FEL75271 PK 5 $3.30 1 $3.30 Delivery Date L J
Staple s® Curved Desktop Co holder, Black
Staples Item No. 618852
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Your Order Page 6 of 6
618852 STP3S078US/CC E $8.29 1 $8.29 Delivery Date
On Contract
Qty
Customer's MFR Item No. UOM/Qty Your Item Packing Expected Remove
Item No. Price Total Slip Note Delivery Date an Item
Total: $2,764.38
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Home I office supplies i Technology I Furniture Featured Items Special Order Print Services
Administration I Order Management Customer service I Help I Logout
Policies. Terms Conditioo5, Privacy Security I Copyright 1999 2010 Staples, Inc. All rights reserved.
inks(chstapies.com I Tech Help: 1-800-633-6080 1 Provide Your Feedback
http://www.stapleslink.com/webapp/wcs/stores/servlet/StplYourOrderDisplay?operationM... 12/7/2010
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
aCL�i� 2a.4v Purchase Order No.
7 y b, x"36 y 9 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
ezc X5 33.
1
1 9 va C
.3 .2, /7
i' i /�fd�9a�7 r 5 U
d, a 5�
6 I
Total c j eg.'
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
I N SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice {s or
0 ?1 7� Y bill(s) is (are) true and correct and that the
I materials or services itemized thereon for
r 79 y 3/ GG i ld which charge is made were ordered and
d- 17,2- S 3o 7 �7qP received except
21Y 7 3ua
,361 3 1 3 o,�2
3) SYy 30
i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
INVOICE: DATE CUSTOMER SUIV[NIARY ?INVOICE:
127777o 10 DET 1061088 8017235625
i/10/11 Net 30 Days 3,080.59
IAWOI CE DETAIL
Staples Advantage Federal ID 9:04- 3390816
CITY OF CARMEL -NJPA CITY OF CARMEL
JIM SPELBRING ATTN: ANN DAVIS
1 CIVIC SQUARE 3 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 N lber: 3146694096
P 0 Number: Release: Order: 7068590966 000 002
Ordered by: ANN DAVIS Job: Order Date: .12/01/10
r r m ip ni- x e
Line. Item' °I�kslber .Descrl ton. Qt Qt Meas Q# Price. ,,Price''y'
3 808415 SOFTALK CORD DETANGLER CLEAR 1 EA 1 3.77 3.77
rel a o.
3 77
'Total
Backorder of 7068590966
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
0007751- 0054038 0000010
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev_ 1995)
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
s4 vus l Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoi e(s) or bill(s))
C-
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
OL (t") -a
J
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1 zvq :3, 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
4
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
INVOICE :DATE ;CUSTOMER SIJWIMAI;Y INVOICE
12/18/10 DET 1061088 8017293974
1/17/11 Net 30 Days 1,103 -13
IWOICE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL -NJPA CITY OF CARMEL
JIM SPELBRING ATTN: MARIE DOAN
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: 3146989253
P 0 Number: Release: Order: 7069095869 000 -001
Ordered by: MARIE DOAN Job: Order Date: 12/15/10
Forcle r nit
L1ne' Item`:'Nimiber`. `.Descr t i on. Qty t Meas Qty Price Price�
1 462097 4X3 TOTAL ERASE DRD WIGRID 1 EA 1 89.95 69,95
r'el Tax: O at
Total .;;;�69:�95
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
0000345 0052207 0000005
iNVOICE:CATE CUSTOMER SUMMARY :lt•IVOICE<
12/11/10 DET 1061088 8017235625
1/10/11 Net 30 Da s 3,080 59
.I1 �I Y OI CE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL -NJPA CITY OF CARMEL
JIM SPELBRING ATTN: MARIE DOAN
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���-- -P_OLI.CE DEPARTMENT Invoice Number: 3146694091
P 0 Number: Release: Order: 7068865306 000 001
Ordered by: MARIE DOAN Job: Order Date: 12/08/10
r r ni ip nip x
Line Item Number.` Descr;i tion Qt Qt y s lqt Price <Pr�ee 3
1 675941 NETGEAR GIGBIT 16 -PORT SWITCH 1 EA 1 174.59 174.59
re Z z a a,X Q al
g Total 3174`_ 59
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
0007746- 0054038- 0000005
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995
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
Staples Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/8/10 314669409 Port Switch
12 15/10 31469892"03 White Board
Total 2
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.
ALLOWED 20
Stahl es Adyantace, Dept- DET IN SUM OF
P_n. Rnx 81689
Chicago, TT. 60696 -3689
264.54
ON ACCOUNT OF APPROPRIATION FOR
Project 2011 -911 Task --2
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
f�EPT, I hereby certify that the attached invoice(s), or
911 _3]_Zk66q4QQ1 Ai?-ni 174-5Q bill(s) is (are) true and correct and that the
911 3146989253 302 -00 89.95 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
major
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund