161268 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 022151 Page 1 of 1
ONE CIVIC SQUARE BALOGH OFFICE SUPPLY INC
610 N RANGELINE ROAD CHECK AMOUNT: $77.99
CARMEL, INDIANA 46032 CARMEL IN 46032 CHECK NUMBER: 161268
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4463000 126253 77.99 FURNITURE FIXTURES
s
BALOGH OFFICE SUPPLY
610 RANGELINE RD
CARMEL, IN. 46032
INVOICE INV DATE ACCOUNT TERMS SHIP DATE SHIP VIA FREIGHT PO NUMBER
126253 06/17/08 5712667 Net 30 06/17/08 SALLY
SOLD T0= CARMEL FIRE DEPT. SHIPPED T0: CARMEL FIRE DEPT.
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
(000)571 -2667
ORDER BACK SHIP LIST YOUR EXTENDED
DESCRIPTION CATALOG NUMBER QTY QTY QTY UNIT PRICE PRICE AMOUNT
BOX,INTER- OFFICE,LG,PM. N3BDY562632 1 1 EA 97.50 77.990 77.99
(317)5710939 FA (317)571 973
RECEIVED BY
TOTAL VALUE YOU SAVED
AT LIST PRICE THIS AMOUNT MDSE. TOTAL DISCOUNT TAX FREIGHT AMOUNT DUE
97.50 19.51 77.99 0.00 0.00 0.00 77.99
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VOUCN,ER NO. WARRANT N
ALLOWED 20
Balogh Office Products
IN SUM OF
610 North Rangeline Road
Carmel, IN 46032
$77.
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 126253 102 630.00 $77.99 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
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))
06/17/08 126253 Lock Box for Billing $77.99
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