156625 02/21/2008 CITY OF CARMEL, INDIANA VENDOR 360879 Page 1 of 1
ONE CIVIC SQUARE HIPS OFFICE SYSTEMS
CARMEL, INDIANA 46032 5561 w147H ST CHECK AMOUNT: $120.00
INDPLS IN 46268 CHECK NUMBER: 156625
CHECK DATE: 2/2112008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 3206 120.00 OTHER CONT SERVICES
Z s Service Invoice
.0 a d SNetiorm Ro- Vonsim Sbywce.
5561 W 74th Street Indianapolis, IN 46268
P: 317 875 -6000 F: 317 875 -3910 Invoice Number: INV3206
Date: 02/11/2008
Account Number: IN7852
PO Number:
Invoice Total: $120.00
Bill To:
CARMEL FIRE DEPT
2 CARMEL Te
CIVIC SQ ''"Work order Date Work Order Nom•" _';I Paymenbrms Pa ment e
CARMEL, IN CIVIC 460 S m r s v
01/22/2008 W01717 0 Days 02/11/20 1 0 1 8
Desch tion'
1
9 P e o Other- ,aY� Total
Calf E ui'me'nt Serialgf 4 y; i 9�i�; �!'n 'Labor I, Travel, .Materials�m
Number, 'r Number Numbe% Make /MOdelp r a �1., Cfiaraes- ..,�".Charnes+v:...•Char9 >s•. _?,Char- es�Cfizrges-
I
SC1762 A4349 TL527077 2550 TOSHIBA 2550 COPIER 90.00 30.00 0.00 0.00 120.00
Service Date: 01/30/2008 Contract Number: Remarks:
Lxabon: CARMEL' FIRE DEPT" PO
10701 COLLEGE AVE faller: 317 -571 -2600
CARMEL, IN 46032 Contact:
Phone: 317 -571 -2600
Fax: 317 -571 -2615
Totals: 90.00 30:00 0.00 0.00 120.00
120.00
Subtotal:
Please remit payments to: Invoice
Tax: $0.00
HPS Office Systems
5561 W 74 Street Invoice Total: $120.W i
Indianapolis, IN 46268 Balance Due: $120.00
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Prescribed by State Board of Accounts City Farm 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))
r
i'
r
r
v
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
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
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund