157844 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 022151 Page 1 of 1
a ONE CIVIC SQUARE BALOGH OFFICE SUPPLY INC
CARMEL, INDIANA 46032 610 N RANGELINE ROAD CHECK AMOUNT: $1,154.93
r* -i CARMEL W 46032
CHECK NUMBER: 157844
CHECK DATE: 4/112008
DEPARTMENT ACCOUNT PO NUMBER INVOICE'NUMSER AMOUNT DESCRIPTION
102 4463000 125993 494.97 FURNITURE FIXTURES
102 4463000 125996 659.96 FURNITURE FIXTURES
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BALOGH OFFICE SUPPLY
610 N RANGELINE RD
CARMEL, IN. 46032
INVOICE INV DATE ACCOUNT TERMS SHIP DATE SHIP VIA FREIGHT PO NUMBER
125993 03/19/08 5712667 Net 30 03/19/08 GARY
S, TO; CARMEL FIRE DEPT. SHIPPED TO: GARY CARTER
2 CIVIC SQUARE
CARMEL, IN 46032
(000)571 -2667
ORDER BACK SHIP LIST YOUR EXTENDED
DESCRIPTION CATALOG NUMBER QTY QTY QTY UNIT PRICE PRICE AMOUNT
CHAIR,MANAGE,MID BACK,I N3HON2.072BW19T 3 3 EA 326.00 1644.990 494.91
(317)5710939 FAX(317)571097
RECEIVED BY
TOTAL VALUE YOU SAVED
AT LIST PRICE THIS AMOUNT MDSE. TOTAL DISCOUNT TAX FREIGHT AMOUNT DUE
978.00 483.03 494.97 0.00 0.00 0.00 494.97
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BALOGH OFFICE SUPPLY
610 N RANGELINE RD
CARMEL, IN. 46032
INVOICE INV DATE ACCOUNT TERMS SHIP DATE SHIP VIA FREIGHT PO NUMBER
125996 03/20/08 5712667 Net 30 03/20/08 GARY
SOLD TO: CARMEL FIRE DEPT. SHIPPED TO: CARMEL FIRE DEPT.
2 CIVIC SQUARE 5032 E. MAIN ST.
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
CHAIR,MANAGE,MID BACK,I N3HON2072BW19T 4 4 EA 326.00 164.990 659.96
(317)571.0939 FAX(317 110973
RECEIVED
i
TOTAL VALUE YOU SAVED
AT LIST PRICE THIS AROUNT USE, TOTAL DISCOUNT TAX FREIGHT AMOUNT DUE
1304.00 644.04 659.96 0.00 0.00 0.00 659.96
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Balogh Office Products
IN SUM OF
610 North Rangeline Road
Carmel, IN 46032
$1,154.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 125993 102- 630.00 $494.97 1 hereby certify that the attached invoice(s), or
1120 125996 102 630.00 $659.96 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
r
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))
03/19/08 125993 3 Chairs Sta. 41 Shift Office $494.97
03/20/08 125996 4 Chairs Sta. 44 Shift Offide $659.96
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