HomeMy WebLinkAbout155343 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 146000 Page 1 of 1
ONE CIVIC SQUARE I C C BUSINESS PRODUCTS CHECK AMOUNT: $146.81
CARMEL, INDIANA 46032 P.O. BOX 6214
INDIANAPOLIS IN 46206 -6214 CHECK NUMBER: 155343
CHECK DATE: 1140!2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4230200 17246 ST- 438251 79.19 LASERJET CARTRIDGES
1110 R4230200 17246 ST- 438321 67.62 LASERJET CARTRIDGES
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INVOICE SI- 438321 Page No. 1
'Billing Address Shipping Address
23755 TERESA ANDERSON
TERESA ANDERSON MOM= CITY OF CARMEL POLICE DEPT
CITY OF CARMEL POLICE DEPT 3 CIVIC SQUARE
3 CIVIC SQUARE SINCE 1930 o Carmel, IN 46032
Carmel, IN 46032 A DIVISION OF
INDIANA CARBON CO.
www.iccbpi.com
3164 N. Shadeland Avenue P.O. Box 26058 m Indianapolis, Indiana 46226 -6292
317 547 -9621 0 800 -547 -2233 Fax: 317 -543 -5738
invoice-Detaiis Internet Information Order Details
Posting Date 12/20/07 Internet User ID 237550 Cust. PO No 12/1912007 10:23:44 A
Payment Terms NET 60 DAYS Internet User Name Order No. SO- 426867
Credit Card No. Order Comments Order Date 12/19/07
Due By 02/18/08 Shipped Via ICC Delivery
INVOICE KEY
WHITE COPY ORGINAL YELLOW COPY= FILE COPY PINK COPY= RETURN WITH REMITTANCE
QTY ORD QTY SHIP QTY B/O UOM fTEM NUMBER DESCRIPTION UNIT PRICE AMOUNT
1 1! EA 7- C7115XNDUMI HEWC7115XNDUMI HP LJ 1200 C 67.62 67.62
j
1 EA 7- C3903NDUMI HEWC3903NDU HP LSR TNR 5P/
i i I i i
Thank You For Your Order Bob Ray PLEASE PAY FROM THIS INVOICE Subtotal: 67.62
MAIL PAYMENT TO: Shipping Handling: 0.00
P.O. BOX 6214 Order Processing: 0.00
INDIANAPOLIS, IN 46206 -6214 Sales Tax: 0.00
Total: 67.62
INVOICE SI- 438251 Page No. 1
Billing Address Shipping Address
23755 TERESA ANDERSON
TERESA ANDERSON CITY OF CARMEL POLICE DEPT
CITY OF CARMEL POLICE DEPT 3 CIVIC SQUARE
3 CIVIC SQUARE SINCE 1930 D Carmel, IN 46032
Carmel, IN 46032 TM A DIVISION of
INDIANA CARBON CO.
www.iccbpi.com
3164 N. Shadeland Avenue P.O. Box 26058 Indianapolis, Indiana 46226 -6292
317- 547 -9621 0 800- 547 -2233 a Fax: 317- 543 -5738
Invoice Details Internet Information Order Details
Posting Date 12/19/07 Internet User ID 237550 Gust. PO No1211912007 10:23:44 A
Payment Terms NET 60 DAYS Internet User Name Order No. SO- 426867
Credit Card No. Order Comments Order Date 12/19/07
Due By 02/17/08 Shipped Via ICC Delivery
INVOICE KEY
WHITE COPY ORGINAL YELLOW COPY FILE COPY PINK COPY RETURN WITH REMITTANCE
QTY ORD QTY SHIP QTY B/O uOM ITEM NUMBER DESCRIPTION UNIT PRICE AMOUNT
1; EA 7- C7115ANDUMI HP LJ 1000 COMPATIBLE LOW YLD
r i
1 1 EA 7- C3903NDUM1 HEWC3903NDU HP LSR TNR 5P/ 79.191 79.19
I
Thank You For Your Order Bob Ray PLEASE PAY FROM THIS INVOICE Subtotal: 79.19
MAIL PAYMENT TO: Shipping Handling: 0.00
P.O. BOX 6214 Order Processing: 0.00
INDIANAPOLIS, INA6206 76214 Sales Tax: 0.00
Total: 79.19
C a INDIANA RETAIL TAX EXEMPT HAVE
®f Carmel CERTIFIGATEN0.0031201550020 I PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 1 s f4
3 S,QNE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/F
CARMEL, INDIANA 46032 2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
JRCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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VENDOR i,.'.Y ''1 L _C s Z.,, "'ts
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DNFIRMATION B=UNIT PAYMENTTERMS FREIGHT
QUANTITY DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
PAYMENT
3 ;h
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
l j VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS V I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. I/
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO-
CLERK-TREASURER
DOCUMENT CONTROL NO.1 7> A A DEPARTMENT COPY
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
ICC Business Produtts Purchase Order No. 17246RP
,P.O. Box 6214 Terms
Indianaoplis, IN 46206 -6214 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/19/07 SI- 438251 payment for toner 79.19
12/20/07 SI-- 438321 payment for toner 67.62
Total 146.81
1 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
T Bush ss Prn r t5
IN SUM OF
P.O.B ox6214
Indianaoplis, IN 46206 -6214
146.81
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
1 2 4 6 R P bill(s) is (are) true and correct and that the
1 materials or services itemized thereon for
which charge is made were ordered and
received except
Janu ry 2 20 08
Signature
Acting Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund