161924 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00353222 Page 1 of 1
ONE CIVIC SQUARE LASER GRAPHIX/TONS OF TONER.CO
CARMEL, INDIANA 46032 9801 FALL CREEK ROAD #411 HECK AMOUNT: $282.00
INDIANAPOLIS IN 46256 CHECK NUMBER: 161924
CHECK DATE: 7123/2008
DEP ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 900305 176.25 MATERIALS SUPPLIES
651 5023990 900305 105.75 MATERIALS SUPPLIES
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I
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1
Laser- Grafix/Tons of Toner.Com I
9801 Fall Creek Rd. 411
Indpls., IN 46256 Date Invoice
317- 915 -1000, 317- 915 -1001 fax
7/9!2008 900305
Bill To Ship To
City of Carmel Utilities
Scott Campbell /Accts Payable
760 3rd Ave. SW 4 110
Carmel, IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
SCOTT Net 15 7/9/2008
Quantity Item Code Description Price Each Amount
1 SUPPLYSALE HP4350 FUSER ASSEMBLY 178.00 178.00
1 SUPPLYSALE HP4350 TRANSFER ROLLER 19.00 19.00
1 LABOR 1 HR LABOR 85.00 85.00
Sales Tax 7.00% 0.00
CHECK PAYABLE TO LASER- GRAFIX
DELIVE D /SH PED
I EMS
Received By:
No returns afte 30 days unless defective
We accept all r ajor credit cards
If payment is n t received within 30 days, future prices subject to increase
Orders under, iO subject to a $5 handling charge
If the customer fails to pay Laser Grafix within 30 days of invoice date, Laser -Grafix shalt be entitled to be paid interest on any To tal $2g2•�d
unpaid balance at the rate of 1,5% per month (or the maximum rate permitted by law, if less) and to recover reasonable costs and
attorneys' fees if any such costs or fees are incurred in the recovery of any balance due. A 20% restock fee will be assessed on all
for service calls made from other companies on Laser -Grafix maintained printers or supplies. Laser Grafix needs to be contacted
about defective items if purchased from Laser Grafix.
Prescribed by State Board of Accounts
Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Late Invoice Nurnber Item 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
Mo. Day Yr. Signature Title
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 -1 11 -1 -1.6.
Mo. Day Yr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT,
NO.
CARMEL, INDIANA
Favor Of
Total Amount of Voucher
Deductions
o�
U7 L k
Amount of Warrant
Month of Yr
Acct.
VOUCHER RECORD No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation- Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1- 800- 382 -8702 325
Laser- Grafix/Tons of Toner.Com Invoice
9801 Fall Creek Rd. 411
Indpls., IN 46256 Date Invoice
317 -915 -1000, 317- 915 -1001 fax 7/9/2008 900305
Bill To Ship To
City of Carmel Utilities
Scott Campbell /Accts Payable
760 3rd Ave. SW 4 110
Carmel, IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
SCOTT Net 15 7/9/2008
Quantity Item Code Description Price Each Amount
1 SUPPLYSALE HP4350 FUSER ASSEMBLY 178.00 178.00
1 SUPPLYSALE HP4350 TRANSFER ROLLER 19.00 19.00
1 LABOR 1 HR LABOR 85.00 85.00
Sales Tax 7.00% 0.00
CHECK PAYABLE TO LASER- GRAl1X
DELIVER D /SHIPPED
ITEMS
Received B
No returns afte 30 days unless defective
We accept all ajor credit cards
If payment is n t received within 30 days, future prices subject to increase
Orders under, 0 subject to a $5 handling charge
If the customer fails to pay Laser Grafix within 30 days of invoice date, Laser Grafix shall be entitled to be paid interest on any Total $282.00
unpaid balance at the rate of 1.5% per month (or the maximum rate permitted by law, if less) and to recover reasonable costs and
attorneys' fees if any such costs or fees are incurred in the recovery of any balance due. A 20% restock fee will be assessed on all
for service calls made from other companies on Laser•Grafix maintained printers or supplies. Laser -Grafix needs to be contacted
about defective items if purchased from Laser Grafix.
VOUCHER 085898 WARRANT ALLOWED
r,
00353222 IN SUM OF
LASER GRAFIX
9801 Fall Creek Road #411
INDIANAPOLIS, IN 46256
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
900305 01- 7200 -07 $105.75
G, ti
Voucher Total $105.75
F
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom,. rates per day, number of units, 5
price per unit, etc.
Payee
00353222
LASER GRAFIX Purchase Order No.
9801 Fall Creek Road #411 Terms
INDIANAPOLIS, IN 46256 Due Date 7/14/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/14/2008 900305 $105.75
hereby certify that the attached invoice(s), or bill(s) is (are) true and E
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer