HomeMy WebLinkAbout158937 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 146000 Page 1 of 1
h ONE CIVIC SQUARE I C C BUSINESS PRODUCTS CHECK AMOUNT: $112.49
CARMEL, INDIANA 46032 P.O. BOX 6214
INDIANAPOLIS IN 46206 -6214
CHECK NUMBER: 158937
CHECK DATE: 4130/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 84230200 17246 SI451209 112.49 LASERJET CARTRIDGES
s
INVOICE SI- 451029 Page No. 1
Billing Address` Shipping Address
ERE SA ANDERSON CITY OF CARMEL POLICE T ICE DEPT
ERE
CITY OF CARMEL POLICE DEPT o D 3 CIVIC SQUARE
3 CIVIC SQUARE SINCE 1930 Carmel, IN 46032
Carmel, IN 46032 INDIAN CARBON CO.
www.iccbpi.com
3164 N. Shadeland Avenue P.O. Box 26058 Indianapolis, Indiana 46226 -6292
317 547 -9621 800 547 -2233 a Fax: 317-543-5738
Invoice Details Internet Information O rder Details
Posting Date 04/22/08 Internet User ID 237550 Cust. PO No4/21/2008 12:24:04 P
Payment Terms NET 60 DAYS Internet User Name Order No. SO- 438349
Credit Card No. Order Comments Order Date 04/21/08
Due By 06/21/08 Shipped Via ICC Delivery
INVOICE KEY
WHITE COPY= ORGINAL YELLOW COPY= FILE COPY PINK COPY= RETURN WITH REMITTANCE
QTY ORD QTY SHIP QTYB /O UOM ITEM NUMBER DESCRIPTION UNIT PRICE AMOUNT
1 1 EA 17- C4127XNDUMI HEWC4127XNDUMI HP 4000 LSR I 112.49 112.49
i
Thank You For Your Order Bob Ray PLE E PAY FROM THIS INVOIC
Subtotal: 112.49
MAIL PAYMENT TO: Shipping Handling: 0.00
P.O. BOX 6214 Order Processing: 0.00
INDIANAPOLIS, IN 46206 -621
Sales Tax: 0.00
Total: 112.49
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C C INDIANA RETAIL TAX EXEMPT PAGE
0 sane CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 1 Ar,
};O(SIE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A:
VOUCHER, DELIVERY MEMO, PACKING SLIP:
CARMEL INDIANA 46032 -2584 SHIPPING LABELS AND ANY CORRESPONDENCI
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
3C r ,.t �1I, d9
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VENDOR
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ONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 y900 L,I'. i�\)
12 W
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Send invoice To:
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT T
PAYMENT
I a A1P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
r Q J VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED,
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
f
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. 9
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE tla.i
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
i'1A/ n/11•IT1'1 /'11 Altrl A} mr :nA I7T11A CNIY f�llf]v
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
s 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
ICC Business Products Purchase Order No. 17246RP
3164 N. Shadeland Avenue Terms
P.O. Box 26058
Indianapolis, IN 46226 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/22/08 S1451029 payment for ink 112.49
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
ICq Business Products IN SUM OF
P-0. 'Box 1 L$$5 f- 6,21Y
Indkanapolis, IN
112.49
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
17246RP SI451209 302 112.49 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
April 25 2008
Signature
Chief of POlice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund