162663 08/20/2008 CITY OF.CARMEL, INDIANA VENDOR: 357200 Page 1 of 1
e ONE CIVIC SQUARE CANNON IV, INC
CARMEL, INDIANA 46032 PO BOX 697
CHECK AMOUNT: $100.76
INDIANAPOLIS IN 46206 -0697
CHECK NUMBER: 162663
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
1202 4230200 120489 50.38 OFFICE SUPPLIES
1202 4230200 120614 -A 50.38 OFFICE SUPPLIES
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Invoice No: INV120489
950 Dorman Street Indianapolis, IN 46202'3514 Date: 6/27/2008 8
P: 317'951'0500 F� 317'951'0600 Account No: 5712414
Bill To: Ci O[Carmel Ship To: City OfCarmel
One Civic Square Attn: TerryKrueshamp
Carmel, IN 4603I One Civic Square
USA Carmel, IN 46032
USA
Terms
S0110579 6/10/08 Best Way Net 30 Days 7/27/2008.-
Mark Benefiel
bunt
3012401-4 24x15G 24# InkJet Bond Uncoated 1.0 1.0 0.0 CTN/4 $42.05 $42.05
PLEASE REMFTALL PAYMENTS TO: Subtotal $42.05
CANNON IV, INC.
P.O. BOX 697 Discount $0,00-1
INDIANAPOLIS, IN 46206-0697 Freight $8.33
Sales Tax $0.00
Invoice Total $50.38
Balance Due $%38
Page 1 of 1
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Invoice No: INV120614-A
OSQ Dorman Street Indianapolis, lN4d20Z'3S44 Date: 6/30/2008
P 317-951-0500 F: 3I7'051'0600 Account No: 5712414
Bill To: City OfCarmel Ship To: City OfCarmel
One Civic Square Attn: Terry Krueskamnp
Carmel, IN 46032 Three Civic Square
USA Carmel, IN 46032
USA
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UPS Ground Net 30 Days_ 7/30,12008
REPLACEMENT INVOICE FOR INV120614 DUE TO INCORRECT PRICING Mark Benefiel
3012401-4 24xI50 24# Ink)et Bond Uncoated 1.0 1.0 0.0 CTN/4 $42.05 $42.05
PLEASE REMIT ALL PAYMENTS TO: Subtotal $42.D5
CANNON IV, INC.
P-.O. BOX 1.97 Discount
INDIANAPOLIS, IN 46206-0697 Freight $6.33
Sales Tax $0.00
Invoice Total
Balance Due
Page 1 of 1
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
Cannon IV,_ Inc 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 N INTI- D WARRANT NO.
Cannon IV, inc ALLOWED 20
i
U. OX IN SUM OF
Indianapolis, IN 4r)2(R -[1697
$100.76
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1202 Informatin Systems
Board Members
PO# or
DEPT INVOICE NO ACCT #ITITLE Arno T SI hereby certify that the attached invoice(s), or
1202 INV120489 302 ill(s) is (are) true and correct and that the
materials or services itemized thereon for
1202 'NV 1 206 1 4 302 50.31.' which charge is made were ordered and
received except
20
A� r
ignatu����
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund