156097 02/06/2008 4 o, �.4y CITY OF CARMEL, INDIANA VENDOR: 022151 Page 1 of 1
ONE CIVIC SQUARE BALOGH OFFICE SUPPLY INC
CARMEL, INDIANA 46032 610 N RANGELINE ROAD CHECK AMOUNT: $194.00
CARMEL IN 46032 CHECK NUMBER: 156097
CHECK DATE: 2/6/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4230200 125784 194.00 OFFICE SUPPLIES
I
i
7
BALOGH OFFICE SUPPLY
510 N RANGELINE RD
CARMEL, IN. 46032
INVOICE INV DATE ACCOUNT TERMS SHIP DATE SHIP VIA FREIGHT PO NUMBER
125784 01/11/08 5712667 Net 30 01/11/08 JAN HOPE
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SOLD TO: CARMEL FIRE DEPT. SHIPPED TO: 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
FRAME,8.5X11,BK /WT N3DAXN15786NT 20 20 EA 14.99 9.700 194.00
{317 }5710939 (317)571097
RECEIVED BY
IF
TOTAL VALUE YOU SAVED
AT LIST PRICE THIS AMOUNT MDSE, TOTAL DISCOUNT TAX FREIGHT AMOUNT DUB
299.80 105.80 194.00 0.00 0.00 0.00 194.00
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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.
t
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�r
M l
t
Total
F
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
VOUPHER NO. WARRANT NO.
ALLOWED 20
SUM OF
4
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or
DEPT INVOICE NO. ACCT #!TITLE AMOUNT 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 oR,
.Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund