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Home My WebLink About202250 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 229650 Page 1 of 2 ONE CIVIC SQUARE OFFICE DEPOT INC 0 CHECK AMOUNT: $2,176.89 CARMEL, INDIANA 46032 PO BOX 633211 CINCINNATI OH 45263 -3211 CHECK NUMBER: 202250 CHECK DATE: 9/27/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4230200 1385067197 39.99 OFFICE SUPPLIES 1180 4230200 573525821001 23.77 OFFICE SUPPLIES 209 4230200 573525866001 148.40 OFFICE SUPPLIES 1180 4230200 573525867001 32.18 OFFICE SUPPLIES 209 4230200 576806184001 323.40 OFFICE SUPPLIES 209 4230200 576806316001 22.36 OFFICE SUPPLIES 1115 4230200 576883460001 39.23 OFFICE SUPPLIES 1120 4230200 577240788001 580.77 OFFICE SUPPLIES 1110 4230200 577272526001 70.94 OFFICE SUPPLIES 1110 4239099 577272526001 42.29 OTHER MISCELLANOUS 1081 4230200 577462596001 12.64 OFFICE SUPPLIES 1081 4230200 577462597001 30.88 OFFICE SUPPLIES 1081 4230200 577464558001 139.46 OFFICE SUPPLIES CITY OF CARMEL, INDIANA VENDOR: 229650 Page 2 of 2 ONE CIVIC SQUARE OFFICE DEPOT INC CHECK AMOUNT: $2,176.89 �o CARMEL, INDIANA 46032 PO BOX 633211 CINCINNATI OH 45263 -3211 CHECK NUMBER: 202250 CHECK DATE: 9/27/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4230200 577465784001 199.70 OFFICE SUPPLIES 1110 4230200 577650187001 124.74 OFFICE SUPPLIES 1115 4230200 577872281001 17.54 OFFICE SUPPLIES 1115 4239099 577872281001 78.28 OTHER MISCELLANOUS 1115 4230200 577872337001 4.37 OFFICE SUPPLIES 1115 4239099 577872337001 57.12 OTHER MISCELLANOUS 1115 4230200 577872338001 10.94 OFFICE SUPPLIES 1207 4230200 578281227001 58.88 OFFICE SUPPLIES 1701 4230200 578300867001 56.70 OFFICE SUPPLIES 1115 4230200 578477322001 54.98 OFFICE SUPPLIES 1192 4230200 578493970001 7.33 OFFICE SUPPLIES ORIGINAL INVOICE 10001 Office Depot, Inc Oxxice PO 80X630813 THANKS FOR YOUR ORDER DERP®T CINCINNATI OH IF YOU HAVE ANY QUESTIONS 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 FEDERAL ID: 59 2663954 INVOICE NUMBER AMOUNT DUE PAGE NUMBER 576806184001 323.40 Page 1 of 1 INVOICE DATE TERMS PAYMENT DUE 26- AUG -11 Net 30 26- SEP -11 BILL TO: SHIP TO: ATTN: ACCTS PAYABLE CITY OF CARMEL CITY OF CARMEL o CITY IF CARMEL DEPT OF LAW 16 1 CIVIC S4� 1 CIVIC SQ o CARMEL IN 46032 2584 co o= CARMEL IN 46032 2584 o A CCOUNT NUMBER PURC ORDER SHIP TO I O OR DER DATE SHIPPED DATE 86102185 180 576806184001 25- AUG -11 26- AUG -11 BILLING ID ACCOUNT MANAGER RELEASE ORDERED BY DESKTOP ICOST CENTER 39940 ELAINE BASS 1180 CATALOG ITEM tt/ DESCRIPTION/ U/M QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM ORD SHP B/O PRICE PRICE 275474 PAPER,COPY,XEROX,8.5X11,1 CT 4 4 0 38.940 155.76 3R2O47 275474 878270 TONER,HP CE5O5A,BLACK EA 2 2 0 77.750 155.50 CE5O5A 878270 128535 SORTER,WOOD,EXPRESS,MA EA 1 1 0 12.140 12.14 23420 128535 0 0 0 0 0 0 0 0 SUB -TOTAL 323.40 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 323.40 To return supplies, please repack in original box and insert our packing list, or copy of this invoice. Please note problem so we may issue credit or replacement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines until you call us first for instructions. Shortage or damage must be reported within 5 days after delivery. INDIANA RETAIL TAX EXEMPT PAGE C i ty J11111 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER f Carmel 0, j,n L f OF �i9 W FEDERAL EXCISE TAX EXEMPT L� 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P 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 'URCHASE ORDER DATE DATE REQUIRED fREOUISITION NO. VENDOR NO. DESCRIPTION `1 N It VENDOR SHIP 6416 3-3 ;2 TO e A CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTIO UNIT PRICE EXTENSION e .3; Flo -.4a 576 e O(P Do f 5 R ,y k'g 4, e A �h ZZ ��'•m Send Invoice To: �7 r PLEASE INVOICE IN DUPLICATE .DEPARTMENT,._ ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT o 1 ry PAYMENT v A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. f(// NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND 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. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY HI LABELS. T /p THIS S ORDER ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. y.- �Q1 CLERK- TREASURER DOCUMENT CONTROL NO. 2 7 ®7 2 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE VOUCHER NO.___.. WARRANT NO._- ALLOWED 20 IN THE SUM OF ON XCCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT rr I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the S G' materials or services itemized thereon for DD� which charge is made were ordered and received except re Title Cost distribution ledger classification if claim paid motor vehicle highway fund ORIGINAL INVOICE 10001 Oince Office Depot, Inc PO BOX 630813 THANKS FOR YOUR ORDER CINCINNATI OH IF YOU HAVE ANY QUESTIONS DEPOT 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 FEDERAL ID:59- 2663954 INVOICE NUMBER AMOUNT DUE PAGE NUMBER 573525866001 148.40 Page 1 of 1 INVOICE DATE TERMS PAYMENT DUE 02- AUG -11 Net 30 05- SEP -11 BILL T0: SHIP TO: rn ATTN: ACCTS PAYABLE 2 CITY OF CARMEL CITY OF CARMEL CITY IF CARMEL DEPT OF LAW 1 CIVIC SQ rn 1 CIVIC SQ N CARMEL IN 46032 -2584 co= 0 0 CARMEL IN 46032 -2584 I�I�CJ�II��II��II��J�I��LI�LLLJLJ�LIII ,��IIJ�I�I ACCOUNT NUMBER IPURCHASE ORDER SHIP TO ID ORDER N UMBER ORDER DATE SHIPPED DATE 86102185 1 1180 573525866001 01- AUG -11 02- AUG -11 BILLING ID ACCOUNT MANAGER RELEASE ORDERED BY DESKTOP COST CENTER 39940 1 1 ELAINE BASS 180 CATALOG ITEM N/ DESCRIPTION/ U/M QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM M ORD SHP B/0 PRICE PRICE 115423 FOLDER,HNG,LGL,1 /5CUT,25B BX 2 2 0 14.990 29.98 64159 115423 315036 FOLDER,HNG,LGL,1 /5CUT,25B BX 2 2 0 14.990 29.98 64160 315036 315390 FOLDER, HNG,LGL,1 /5CUT,25B BX 2 2 0 14.990 29.98 64169 315390 315275 FOLDER,HNG,LGL,1 /5CUT,25B BX 2 2 0 14.990 29.98 64167 315275 260778 FOLDER,HNG,LGL,1 /5CUT,25B BX 2 2 0 14.240 28.48 64161 260778 0 0 0 v n N O O SUB -TOTAL 14840 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 148.40 To return supplies, please repack in original box and insert our packing List, or copy of this invoice. Please note problem so we may issue credit or rep lacement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines until you call us first for instructions. Shortage or damaae must be reported within 5 days after delivery. Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Office Depot, Inc. Purchase Order No. P. O. Box 633211 Terms Cincinnati, Ohio 45263 -3211 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 8 -29 -11 57352 5866 -00 Office supplies per the attached invoice $148.40 Total $148.40 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 Office Dermot, Inc. IN SUM OF P. O. Box 63321 Cincinnati, Ohio 45263 -3211 $148.40 ON ACCOUNT OF APPROPRIATION FOR DEFERRAL FEE FUND 209 420 -30200 Office Supplies Board Members DE INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or 209 3525866 -001 $148.40 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 20 ?nature Title Cost distribution ledger classification if claim paid motor vehicle highway fund ORIGINAL INVOICE 10001 OfficePO Office Depot, Inc BOX 630813 THANKS FOR YOUR ORDER DEPOT CINCINNATI OH IF YOU HAVE ANY QUESTIONS 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 FEDERAL ID: 59- 2663954 INVOICE NUMBER AMOUNT DUE PAGE NUMBER 573525821001 23.77 Page 1 of 1 INVOICE DATE TERMS PAYMENT DUE 02- AUG -11 Net 30 05- SEP -11 BILL TO: SHIP TO: m ATTN: ACCTS PAYABLE CITY OF CARMEL 0 0 CITY OF CARMEL o CITY IF CARMEL DEPT OF LAW 1 CIVIC SQ rn 1 CIVIC SQ N CARMEL IN 46032 -2584 oo 0 0 CARMEL IN 46032 -2584 ACCO UNT NU MBER PURCHASE ORDER SHIP TO ID JORDER NUMBER ORDER DATE ISHIPPED DATE 86102185 180 1573525821001 01- AUG -11 02- AUG -11 BILLING ID ACCOUNT MANAGER RELEASE ORDERED BY DESKTOP ICOST CENTER 39940 1 1 ELAINE BASS 180 CATALOG ITEM DESCRIPTION/ U/M QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM ORD SHP 8/0 PRICE PRICE 909396 BATTERY, LITHIUM,ENERGIZE PK 2 2 0 3.590 7.18 EVE2025BP2 909396 481227 Advil, 50 2 Tablet Dosag BX 1 1 0 16.590 16.59 15000 481227 m m 0 0 0 0 v n N 0 0 SUB -TOTAL 23.77 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 23.77 To return supplies, please repack in original box and insert our packing List, or copy of this invoice. Please note problem so we may issue credit or replacement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines until you call us first for instructions. Shortage or damage must be reported within 5 days after delivery. ORIGINAL INVOICE 10001 Office Office Depot, Inc PO BOX 630813 THANKS FOR YOUR ORDER --P®T CINCINNATI OH IF YOU HAVE ANY QUESTIONS 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 FEDERAL ID:59- 2663954 INVOICE NUMBER AMOUNT DUE PAGE NUMBER 573525867001 32.18 Page 1 of 1 INVOICE DATE TERMS PAYMENT DUE 02- AUG -11 Net 30 05- SEP -11 BILL TO: SHIP T0: ATTN: ACCTS PAYABLE CITY OF CARMEL CITY OF CARMEL 0 8 CITY IF CARMEL DEPT OF LAW 1 CIVIC SQ m 1 CIVIC SQ N CARMEL IN 46032 -2584 co g o= CARMEL IN 46032 -2584 ACCOUNT NUMBER PURCHASE ORDER SHIP TO I __ORDER NUMBER ORDER DATE S HIPPED DATE 86102185 180 573525867001 01- AUG -11 02- AUG -11 BILLING ID ACCOUNT MANAGER RELEASE ORDERED BY DESKTOP COST CENTER 39940 ELAINE BASS 180 CATALOG ITEM tl/ DESCRIPTION/ U/M QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM M ORD SHP B/O PRICE PRICE 449975 Q1 BX 2 2 0 16.090 32.18 C25H -GY 449975 m m 0 0 0 0 e r N O O SUB -TOTAL 32.18 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 32.18 To return supplies, please repack in original box and insert our packing List, or copy of this invoice. Please note problem so we may issue credit or replacement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines until you call us first for instructions. Shortage or damage must be reported within 5 days after delivery. Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Office Depot, Inc. Purchase Order No. P. O. Box 633211 Terms Cincinnati, Ohio 45263 -3211 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 8 -29 -11 Office supplies per the attached 573525821 $23.77 Total $55.95 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 Office Depot, Inc. IN SUM OF P. O. Bo 633 Cincinnati, Ohio 45263 -3211 $55.95 ON ACCOUNT OF APPROPRIATION FOR DEPARTMENT OF LAW 1180 420 -30200 Office Supplies Board Members D INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 1180 73525821 -001 $23.77 bill(s) is (are) true and correct and that the 1180 /3b2b6b/-UU1 $32.16 materials or services itemized thereon for which charge is made were ordered and received except oZ 20 l u Title Cost distribution ledger classification if claim paid motor vehicle highway fund ORIGINAL INVOICE 10000 Off ce Depot, Inc TT ofixce 2 BOX 630813 THANKS FOR YOUR ORDER CINCINNATI OH IF YOU HAVE ANY QUESTIONS OR PROBLEMS. JUST CALL US DIMPOT 45263-0813 FOR CUSTOMER SERVICE ORDER: (888) 263-3423 FOR ACCOUNT: (800) 721-6592 FEDERAL ID:59-2663954 INVOICE NUMBER AMOUNT DUE PAGE NUMBER 67 X9. Page 1 of 1 Afff M S_ INVOICE Di TER P AYMENT DUE 01-SEP-1 I Net 30 03-OCT-11 BILL TO: SHIP TO: ATTN: ACCTS PAYABLE CARMEL CLAY PARKS REC CARMEL CLAY PARKS REC C E; 1411 E 116TH ST 1411 E 116TH ST o CARMEL IN 46032-3455 CARMEL IN 46032-3455 °o 0 O JACCOUNT MB E R ___j PURCHASE ORDER ISHIP TO ID ORDER NUMBER I ORDER DATEIS DATE TE 836ob Mandy B IL 1 385067197 l CF1 SEP- 11 101-SEP-11 BILL f MANAGER RELEASE ORDERED BY I DESKTOP COST CENTER CATALOG ITEM 'It/ DESCRIPTION/ U/M QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM H ORD B/O PRICE PRICE Note: SPC 80105762083 Date: 01 -SEP-1 1 Location: 0534 Register: 003 Trans 00650 495310 STAMP, BI S, 1.62X3.56. B LAC EA 1 1 0 39.990 39.99 PR4090BLK Purchase 0jj.C,,9)M Description P o Ado S 11 k P.O. 0 it 1091 42 3 0200 SEP 0 9 2011 Budget PLI Line, DescrDEFICE IF I P urchaser Date— Approval Dare SUB -TOTAL 3999 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USE) currency TOTAL 39.99 To return supplies, please repack in original box and insert our packing tiz;t, or copy of this invoice. Please note problem so we may issue credit or replacement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines until you call us first for instructions. Shortage or damage must be reported within 5 days after delivery. ORIGINAL INVOICE 10000 Office Depot, Ific office PO BOX 630813 THANKS FOR YOUR ORDER i CINCINNATI OH IF YOU HAVE ANY QUESTIONS i 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 FEDERAL ID:59- 2663954 INVOICE NUMBE AMOUNT D_UE_ P N 57746259 30.88 P_age 1 of 1 INVOICE DATE TERMS j PA YMENT —buff 01- SEP -1 Net 30 03- UCT 11_ BILL T0: SHIP T0: ATTN: ACCTS PAYABLE WEST CLAY /ESE PROGRAM CARMEL CLAY PARKS REC 1411 E 116TH ST ATTN JEN HAMMONS CARMEL IN 46032 -3455 3495 W 126TH ST 0 0 CARMEL IN 46032 -9557 Irlrrlrllrrllrlllllllrllrllrrrlrllrrlrrlllrlllrrrllrlrilirrlll ACCOUNT_NUMBER OR DER SHI _P_TO_ ID ORDER _NUMBER_ ORDER_DA_TE SHIP DAT E 33836008 WEST CLAY 577462597001 31- AUG -11 01- SEP -11 BILLING ID ACCOUNT MANAGER RELEASE ORDERED BY DESKTOP COST CENTER 125822 LINDA ACOSTA CATALOG ITEM DESCRIPTION/ U/M QTY QTY QTY UNITI EXTENDED MANUF CODE CUSTOMER ITEM ORD SHP B/0 PRICE PRICE 771645 SVVEEPER,CORDLESS,FLOOR/ EA 1 1 0 30.880 30.88 V1930 771645 Purchase Description -5W IEF4):ECL WC, P.O. EOOO 1885 f or F kg Al T G np. .L. �0 I I0 23 02 DO ,�;a DUclaet Line Descr OFF! E Sip P u ES t TU 11 i r u P urchaser Date M Approval Data; e SUB -TOTAL 30.88 DELIVERY 0.00 I SALES TAX 0.00 All amounts are based on USD currency TOTAL 30.88 To return supplies, please repack in original box and insert our packing List., or copy of this invoice. Please note problem so we may issue credit or replacement, whichever you prefer. Please do not ship collect. Please do riot return furniture or machines until you call us first for instructions. Shortage o r damage must be reported within 5 days after delivery. ORIGINAL INVOICE 10000 Office Depof, Inc Office BOX 630813 THANKS FOR YOUR ORDER o CINCINNATI OH IF YOU HAVE ANY QUESTIONS o DEPOT 45263 -08'13 OR PROBLEMS. JUST CALL US 00 FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 00 FOR ACCOUNT: (800) 721 -6592 0 FEDERAL ID:59- 2663954 INVOICE NUMBER AMOUNT DUE I PAGE NUMBER 0 57746455E001 P age 1 of 1_ cn INVOICE DATE TERMS PAYMENT DUE -L.. o 01 -SEP -1 i Net 30 03- OCT -11 °o BILL T0: SHIP T0: o Cj ATTN: ACCTS PAYABLE OR cnn M CARMEL CLAY PARKS REC CHARD PARK ELEMENTARY SCHOOL 0 1411 E 116TH ST ATTN NATALIE LOVE /ESE CARMEL IN 46032 -3455 10404 ORCHARD PARK DR S 0 0 INDIANAPOLIS IN 46280 -1538 o IrLrIrIILrILrLrLILrrI, IILrrLIL ,rrrlLrrllrrrllrrLlllLrlrl ACCOUNT N _PURCHASE ORD S ____ORDE_R R_ ORDEDATE_ HIPPED_ 33836008 ORCHARD PARK 577464558001 NUMBER-1 1 01- SEP -11 BILLING ID ACCOUNT MANAGER RELEASE ORDERED BY IDESKTOP ICOST CENTER 125822 i I L'NDA CGSTA I CATALOG ITEM DESCRIPTION/ U/M QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM ORD I SHP B /0 J PRICE PRICE 323937 INK,HP 93,2 /PK,TRI -COLOR PK 1 1 0 37.580 37.58 C C581FN #140 C C581FN #140 108890 INK,HP 92,TVVIN PACK,BLACK PK 4 4 0 25.470 101.88 C9512FN #140 C9512FN #140 Purchase 0Fa� su®►� 0P Description RT tip' P.O.# EOool$87 Poo Vq -.If /ate G.L.# GOBI c� 4 SEP o 9 2011 B4dapt 91C.6 OUP 1 IG-E> 0 6 Line DeSGr M n 0 Purchaser Date n 0 Approval Date SUB -TOTAL 139.46 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 139.46 To return supplies, pLease repack in original box and insert our packing List, or copy of this invoice. Ptuase note problem so We may issue credit or rep L acement, Whichever you prefer. Please do not ship collect. Please do riot return furniture or =chines until you catt us first for instructions. Shortage or damage must be reported Within 5 days after delivery. ORIGINAL INVOICE 10000 Office Depot, Inc Ofixce PO BOX 630813 HANKS FOR YOUR ORDER i CINCINNATI OH IF YOU HAVE ANY QUESTIONS DEPOT 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 L FOR ACCOUNT: (800) 721 -6592 FEDERAL ID: 59 266395 4 INVOICE NUMBER AMOUNT DUE PAGE NUMBER 577465784001 199.70 Page 1 of 1 INVO DATE TE RMS PAYME DUE 01 SEP -11 PJet 30 03- OCT -'11 BILL T0: SHIP T0: ATTN: ACCTS PAYABLE CARMEL CLAY PARKS P.EC CARMEL CLAY PARKS REC 0 1411 E 116TH ST 0 THE MONON CENTER o CARMEL IN 46032 e 1235 CENTRAL PARK DR E 0 E= CARMEL IN 46032 -4421 I�I��I�II��IILL��LIILLLILIIL��ILIIL��II��II��II��III��ILI A CCOUNT NU MBER PURCHASE ORDER _____SHI_P___T__ 0 I _D_____ ORDER NUM _ORDER 31- DA_T_E__ SHIPPED DATE 61 11 33836008 ESE 577465784001 A11G -11 61- BILLING ID ACCOUNT MANAGER RELEASE ORDERED BY DESKTOP COST CENTER 125822 LINDA ACOSTA CATALOG ITEM R/ DESCRIPTION/ I U/M QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM H ORD SHP B/O l PRICE PRICE 348037 PAPER,COPY,8.5X11,104 BRT, CA 5 5 0 34.820 174.10 8510010 D 348037 908194 STAPLER, DESK,STD, FULL, BLA EA 1 1 0 5370 5.37 44401 908194 656815 TAPE,CORR,PRECISION,PEN,4 PK 1 1 0 6.520 6.52 48401 656815 650457 TAPE,SEALING,2X22YD,DISP,C RL 1 1 0 1 -810 1.81 142 -B 650457 993238 TABS, INDEX, PR EMIUM,5 /ST,W ST 10 10 0 1.190 11.90 23075 993238 0 0 r� Purchase o Description OFIRCF-, S UPP L.) E5 ESE o P.O. E000iB PoQ a StP 2011 G.L. IOSI '4"2.- 0200 0 Li OFPICE SU PO ES Line Descr SUB -TOTAL 199.70 Purchaser Date Approval Date DELIVERY 0.00 I SALES TAX 0.00 All amounts are based on USD currency TOTAL 19970 To re turn supplies, please repack in original box and insert our packing list, or copy of this invoice. Please note problem so we may issue credit or rep tacement, whichever you prefer. Please do not ship coLLect. Please do not return furniture or machines until you call us first for instruct ions. Shortage or damage must be reported w thin 5 days after de Livery- ORIGINAL INVOICE 10000 Of fice PO Office Depot, Inc BOX 6 THANKS FOR YOUR ORDER o CINCINNI OH I F YOU HAVE ANY QUESTIONS o AT e 45263 -0813 OR PROBLEMS. JUST CALL US 0 .gym FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 0 FOR ACCOUNT: (800) 721 -6592 0 FEDERAL ID:59- 2663954 INVOICE NUMBE AMOUNT D PAGE NUMBER o cn 577462596001 12.64 Page 1 of 1 co INVOICE DATE TERMS D UE 02- SEP -1 1 Net 30 03- OCT -11 0 BILL TO: SHIP TO: o ATTN: ACCTS PAYABLE WEST CLAY /ESE PROGRAM N m CARMEL CLAY PARKS REC 0 1411 E 116TH ST ATTN JEN HAMMONS o CARMEL IN 46032 3455 L 3495 W 126TH ST 0 0 CARMEL IN 46032 -9557 o irlrrlrllrrllrrrrrlirrrlrllrrrlrllrrrrrllrrrllrrrilrrrlllr ,Irl ACCOUNT NUMBER PURCHASE ORDER--------- SHIP _TO I ORDER NUMBER I ORDER DATE SHI D AT E 33836008 IWEST CLAY 577462596001 31- AUG -11 02- SEP -11 BILLING ID ACCOUNT MANAGERIRELEASE ORDERED BY IDESKTOP COST CENTER 125_,22 fl j LiPlDA ACOSTA CATALOG ITEM DESCRIPTION/ U/M QTY I QTY I QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM ORD SHP B/0 PRICE PRICE ---III 1 504282 WRISTREST,GEL,GRAPHITE EA 1 1 0 12.640 12.64 91737 504282 Purchase Description wa�cST�1_ WC P.O. E00 R5 n or F G.L. 1 d ®1 1 0 u-Z.?JCYI00 l� r Budget OFFICE .SUWb�L1�5 1 a 6, Line Descr .1t ry o Purchaser Dated s E �f 0 3 011 1 Approval Date SUB -TOTAL 12.64 DELIVERY 0.00 SALES TAX 0.00 All amounts are ba on USD currency TOTAL 12.64 To return supplies, please repack in original box and insert our packing list, or copy of this invoice. Please note problem so we may issue credit or replacement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines until. you call us first for instructions. Shortage or damage must be reported within 5 days after delivery. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 229650 Office Depot Terms P.O. Box 633211 Date Due Cincinnati, OH 45263 -3211 Invoice Invoice Description Date Number (or note attached invoice(s)-or bill(s)) PO Amount 9/1/11 1385067197 Custom stamp 39.99 911/11 577462597001 Sweeper WC 30.88 9/1/11 577464558001 Office supplies OP 139.46 9/1/11 577465784001 Office supplies ESE 199.70 9/2/11 577462596001 Wrist rest WC 12.64 TOTAL 422.67 with IC 5- 11- 10 -1.6 20_ Clerk- Treasurer Voucher No. Warrant No. 229650 Office Depot Allowed 20 P.O. Box 633211 Cincinnati, OH 45263 -3211 In Sum of 422.67 ON ACCOUNT OF APPROPRIATION FOR 108 ESE 109 MONON CENTER PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1091 1385067197 4230200 39.99 1 hereby certify that the attached invoice(s), or 1081 -10 577462597001 4230200 30.88 1081 -6 577464558001 4230200 139.46 1081 -99 577465784001 4230200 199.70 1081 -10 577462596001 4230200 12.64 22 -Sep 2011 Signature 422.67 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund ORIGINAL INVOICE 10001 Office Depot, Inc 0 f f ic e POBOX630813 THANKS FOR YOUR ORDER CINCINNATI OH IF YOU HAVE ANY QUESTIONS 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 FEDERAL ID:59- 2663954 INVOICE N AMOUNT DUE PAG NUMBER _5 768063160 0 1 22.36 P of 1 INVOIC DA TE TERMS PA DUE 26- AUG -11 Net 30 26- SEP -11 BILL T0: SHIP TO: ATTN: ACCTS PAYABLE CITY OF CARMEL CITY OF CARMEL o CITY IF CARMEL DEPT OF LAW 1 CIVIC SQ 1 CIVIC SQ o CARMEL IN 46032 -2584 co C:I= CARMEL IN 46032 -2584 A NUMBER PURCH ORDER S HIP TO ID ORD ER NUMBER O RDER DAT SHIPPED DATE 86102185 180 576806316001 1 25- AUG -11 26- AUG -11 BILLING ID ACCOUNT MANAGERIRELEASE ORDERED BY DESKTOP COST CENTER 39940 I ELAINE BASS 180 CATALOG ITEM tt/ DESCRIPTION/ U/M QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM b ORD SHP 8/0 PRICE PRICE 814917 BATT,ALKA,9V,4 /PK,ENGZR PK 1 1 0 22.360 22.36 EVE522FP4 814917 Q 0 0 O 0 N O O O O O SUB -TOTAL 22.36 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 22.36 To return supplies, please repack in original box and insert our packing List, or copy of this invoice. Please note problem so we may issue credit or replacement, whichever you prefer. Ptease do not ship coLLect. Please do not return furniture or machines until you call us first for instructions. Shortage 0 r damage must be reported within 5 days after delivery. Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Office Depot, Inc. Purchase Order No. P. O. Box 633211 Terms Cincinnati, Ohio 45263 -3211 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9 -14 -11 76806346-001 Office supplies per the attached invoice $22.36 Total $22.36 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 Office Depot, Inc. IN SUM OF P. O. Box 633211 Cincinnati, Ohio 45263 -3211 $22.36 ON ACCOUNT OF APPROPRIATION FOR DEFERRAL FEE FUND 209 420 -30200 Office Supplies Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 209 76806316 -001 $22.36 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 20 i aglure Title Cost distribution ledger classification if claim paid motor vehicle highway fund ORIGINAL INVOICE 10001 Office Office Depot, Inc PO BOX 630813 THANKS FOR YOUR ORDER CINCINNATI OH IF YOU HAVE ANY QUESTIONS 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 FEDERAL ID:59 266395 4 I NV O ICE NUMBER AMOU_N_T DUE P AG E NUMBER 576883460001 39.23 Page 1 of 1 INVOICE DATE TERMS PA YMENT DUE 29- AUG -11 Net 30 02- OCT -11 BILL T0: SHIP T0: ATTN: ACCTS PAYABLE CITY OF CARMEL CITY OF CARMEL CITY IF CARMEL CARMEL CLAY COMMUNICATIO 1 CIVIC SQ 31 1ST AVE NW o CARMEL IN 46032 2584 o CARMEL IN 46032 1715 o= IJI�IIIIIJIIIIIIILIILIIIIJIIILLIIIILIIIIIII�llllllll�l AC COUNT NU PURCHASE ORDER _SHI TO ID ORDER NU MBE R O RDE R DATE _S HIPPED DA 86102185 1 115 576883460001 26- AUG -11 29- AUG -11 BILLING ID ACCOUNT MANAGER RELEASE ORDERED BY DESKTOP ICOST CENTER 39940 JANET R. ARNONE 115 CATALOG ITEM t1/ DESCRIPTION/ U/M I QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM y ORD SHP I 8/0 PRICE PRICE 433714 COVER,REPORT,CLEAR,10 /PK, PK 1 1 0 4.410 4.41 55872 433714 348037 PAPER,COPY,8.5X11,104 BRT, CA 1 1 0 34.820 34.82 851001 OD 348037 COMMENTS: copy paper 0 0 0 0 N O m O O O SUB -TOTAL 39.23 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 39.23 To return supplies, please repack in original box and insert our packing List, or copy of this invoice. Please note problem so we may issue credit or replacement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines until you call us first for instructions. Shortage 0 r damage must be reported within 5 days after delivery. ORIGINAL INVOICE 10001 0 on Office Depot, Inc uc PO BOX 630813 THANKS FOR YOUR ORDER CINCINNATI OH IF YOU HAVE ANY QUESTIONS DEPOT 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 FEDERAL ID:59- 2663954 IN V_GI C E N UMBER AMOUNT DUE PAGE NUMBER 5_78477_3 54. 9 8 Pa ge 1 o 1 INVOICE DATE T E R MS PAYMENT DUE 09- SEP -1 1 Net 30 09- OCT -11 i c BILL TO: SHIP TO: ATTN: ACCTS PAYABLE a CITY OF CARMEL CITY OF CARMEL l 0 CITY IF CARMEL CARMEL CLAY COMMUNICATIO 1 CIVIC SQ v 31 1ST AVE NW o CARMEL IN 46032 -2584 v S o v CARMEL IN 46032 1715 o LILLILILLIILLLLLIIL�LLI��LIJLILLLI��LLIIILLLLLLIIJLILI ACCOUNT NUMBER PUR CHASE O TO ID ORDER N UMBER ORDER DATE_ SHIP DATE 1 86102185 115 57847732200 08- SEP -11 09- SEP -11 BILLING ID ACCOUNT MANAGER RELEASE IORDERED BY DESKTOP COST CENTER 39940 JANET R. ARNONE 115 CATALOG ITEM 'J/ DESCP.IPTION/ I t! /M I QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM N I L -ORD� _S HP B/O PRICE PRICE 611312 CARTRIDGE,INKJET,OD57,TRI- 1111 EA 2 2 0 17.130 34.26 O D57 611312 648040 CARTRIDGE,INKJET,OD56,BLA EA 2 2 0 10.360 20.72 O D56 648040 Q Q 0 0 0 co m 0 0 0 0 SUB -TOTAL 54.98 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 54.98 To return supplies, please repack in original box and insert our packing List, or copy of this invoice. Please note problem so we may issue credit or repLacement, whichever you prefer. Please do not ship c0Ltect. Please do not return furniture or machines until you call us first for instructions. Shortage or damage must be reported within 5 days after delivery. ORIGINAL INVOICE 10001 Office Depot, ce PO BOX 63081�3 THANKS FOR YOUR ORDER D Offi D CINCINNATI OH IF YOU HAVE ANY QUESTIONS 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 FEDERAL ID:59 2663954 INVOICE NUMBER AMOUNT DUE PA GE NUMBER 577872281001 95 82 Page 1 41 D INVOICE DATE TERMS_ PAYMENT DUE D 06- SEP -11 Net 30 09- OCT -11 BILL T0: SHIP T0: r ATTN: ACCTS PAYABLE CITY OF CARMEL 4 CITY OF CARMEL CITY IF CARMEL CARMEL CLAY COMMUNICATIO 16 m 1 CIVIC SQ 31 1ST AVE NW o CARMEL IN 46032 -2584 CARMEL IN 46032 -1715 o LI��I�II�JI��IL�J�L�I�I�LI�I��L�L�IIL��IIJJJ ACCOUNT NUMBE PUR ORDE_R___ SHI_P__ _ID_ ___ORDER__NUMBER__ORDER DATE SHIPPED DAT 86102185 115 1 5778 72281001 02- SEP -11 06- SEP -11 BILLING ID ACCOUNT MANAGER RELtEASE jORDERED BY DfSt'TOP COST CENTER, 39940 -t JANET R. AR14ONE X CATALOG ITEM DESCRIPTION/ U/M QTY QTY QTY UNITi EXTENDED MANUF CODE CUSTOMER ITEM -1 ORD SHP B/0 L -PRICE i PRICE 182564 L.ABEL,LSR,CD /DVD,WI-IT,50CT PK 1 1 0 17.540 17.54 5931 182564 343921 BATTERY,CALCULATOR EA 7 7 0 4.060 28.42 EC R2032BP 343921 COMMENTS: 3 volt 997130 BATTERY, "AA ",LITHIUM,2 /PK PK 1 1 0 3.940 3.94 L91B P -2 997130 COMMENTS: AA lithium 450073 HAND EA 8 8 0 3.340 26.72 9652- 12 -CMR 450073 p 0 COMMENTS: hand sanitizer m 303361 PAPER,TOWEL,ROLL,2Pi -Y,15' Cr 1 1 0 19.200 19.20 0 06709 303361 COMMENTS: paper towels SUB -TOTAL 95.82 DELIVERY 0.00 SALES TfiX 0.00 All amounts are based on USD currency TOTAL 9 5. 82 To return supplies, please repack in original box and insert our packing list, or copy of this invoice. Please note problem so we may issue credit or replacement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines until you call us first for instructions. Shortage or damage mst be reported within 5 days after delivery. ORIGINAL_ INVOICE 10001 Office Depot, Inc Off BOX 630813 THANKS FOR YOUR ORDER CINCINNATI OH IF YOU HAVE ANY QUESTIONS i 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 c c FEDERAL ID:59- 2663954 I NVOICE NUMBER i A DU E PA GE NUMBER I NVOICE DATE I TER P AY_M E NT DUE 05- SEP -11 I Net 30 09- OCT -11 i c BILL TO: SHIP TO: ATTN: ACCTS PAYABLE CITY OF CARMEL CITY OF CARMEL CITY IF CARMEL CARMEL CLAY COMMUNICATIO 1 CIVIC SQ u') 31 1ST AVE NW o CARMEL IN 46032 2584 o CARMEL IN 46032 -1715 o LIrrLILLJILrrrrllrrLlrLrLLLIrILrLrLLIIILrLLLrIIJLJJ ACCOU NUMBER PU _R CHA S_E_ OR D E R SHI_P___ ID _ORDER NUMBER ORDER DATE SHI PPED DATE 86102185 115 57787233 1 02- SEP -11 05- SEP -11 BILLING ID ACCOUNT MANAGERIREI_EASE ORDERED BY DESKTOP COST CENTER 39940 JANET R. ARNONE 115 CA TALOG MANUF CODE b/ DE CUSTOMER N ITEM N U/M ORD� SHP I B QTY UNITI /0 PRICE EXT PRICE QTY CITY 868928 VVIPE,SUPER SANI- CLOTH,LG EA 4 4 0 13.350 53.40 U MIPSSCO77172 868928 COMMENTS: disenfectant wipes 375006 PEN,STIC,CRYSTAL,BIC,12 -PK DL 1 1 0 4.370 4.37 BICMSI I BK 375006 COMMENTS: pens 299590 SOAP,DISH,LIOUID,NATURAL EA 1 1 0 3.720 3.72 SEV22733 299590 Q 0 0 0 M n 0 0 0 SUB TOTAL 61.49 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 61.49 To return supplies, please repack in original box and insert our packing List, or copy of this invoice. Please note problem so we may issue credit or rep Lac ement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines until you call us first for instructions. Shortage or damage must be reported within 5 days after delivery. ORIGINAL INVOICE 10001 fife Office Depot, Inc PO BOX 630813 THANKS FOR YOUR ORDER D CINCINNATI OH IF YOU HAVE ANY QUESTIONS 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 FEDERAL ID:59- 2663954 IN NU AMOUNT DUE I PAGE N 577872338001 10.94 Page 1 of 1 INVOICE DATE AYMENT TERi V1S P DUE YMENT D 06- SEP -11 N 30 09- OCT -11 BILL TO: SHIP TO: D D n ATTN: ACCTS PAYABLE C CITY OF CARMEL ITY OF CARMEL CITY IF CARMEL CARMEL CLAY COMMUNICATIO 1 CIVIC S4 31 1ST AVE NW o CARMEL IN 46032 2584 CARMEL IN 46032 -1715 o I�I��I�Il��ll�l��ll��l�llll�lll�lll��l��i ..III.( l��ll�l�l�l ACCOU NUMBER PURCHASE OR DER SHIP TO ID !ORDER_NUMBER_IORDER DATE SHIPP DATE 86102185 115 77872338001 02- SEP -11 06- SEP -11 BILLING ID ACCOUNT MANAGER RELEASE (ORDERED BY IDESKTOP COST CENTER 39940 JAIJET R. ARNONE 115 CATALOG ITEM N/ DESCRIPTION/ U/M I QTY QTY QTY UNITI EXTENDED MANUF CODE CUSTOMER ITEM N I ORD SHP B/0 PRICE( PRICE III -I- 844803 ENVELOPE,INTEROFFICE,10x1 BX 1 1 0 10.940 10.94 77880 844803 COMMENTS: interoffice envelopes Q v O O O 9 O r O O SUB -TOTAL 10.94 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 10.94 To return supplies, please repack in original box and insert our packing list, or copy of this invoice. Please note problem so we may issue credit or replacement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines until you call us first for instructions. Shortage or damage must be reported within 5 days after delivery. 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 08/29/11 576883460001 $39.23 09/05/11 577872337001 $57.12 09/05/11 577872337001 $4.37 09/06/11 577872281001 $78.28 09/06/11 577872338001 $10.94 09/06/11 577872281001 $17.54 09/09/11 578477322001 $54.98 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 Office Depot IN SUM OF P.O. Box 633211 Cincinnati, OH 45263 $262.46 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1115 576883460001 42- 302.00 $39.23 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1115 577872337001 42- 390.99 $57.12 materials or services itemized thereon for 1115 577872337001 42- 302.00 $4.37 vihich charge is made were ordered and 1115 577872281001 42- 390.99 $78.28 received except 1115 577872338001 42- 302.00 $10.94 1115 577872281001 42- 302.00 $17.54 1115 I 578477322001 I 42- 302.00 I $54.98 Tuesday, September 20, 2011 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund ORIGINAL INVOICE 10001 Ar an* Oince Office Depot, Inc PO BOX 630813 THANKS FOR YOUR ORDER CINCINNATI OH IF YOU HAVE ANY QUESTIONS DEPOT 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 FEDERAL ID:59- 2663954 INVOICE NUMBER AMOUNT DUE PAGE NUMBER 5 772 4 0788 0 0 1_ 580.77 Pa of 2 INVOICE DA TE TERMS P DUE 31- AUG -11 Net 30 02- OCT -11 BILL TO: SHIP TO: ATTN: ACCTS PAYABLE CITY OF CARMEL CITY OF CARMEL CITY IF CARMEL o CARMEL FIRE DEPT 16 0 1 CIVIC SQ 2 CIVIC SQ o CARMEL IN 46032 -2584 0 0 CARMEL IN 46032 -2584 o I�lul�llnll��n�ll�nl�l��l�l�l�l�lnlul��lll�n�ull�l�l�l ACCOUN NUMBER PURCHASE ORDER ID ORDER NUMBER ORD ER DATE SHIP DATE 86102185 120 577240788001 X30- AUG -11 31- AUG -11 BILLING ID ACCOUNT MANAGER RELEASE ORDERED BY I DESKTOP ICOST CENTER 3994b SALLY LAFOLLETTE j 120 CATALOG ITEM DESCRIPTION/ U/M QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM k ORD SHP B /O PRICE PRICE 597410 PEN,BALLPT,PH.D,MED,BK EA 1 1 0 4.800 4.80 67204 597 -410 518046 PAPER,LSR CUT,PERF 3 2/3 CT 1 1 0 45.250 45.25 30060 518 -046 154414 CARTRIDGE,LASER,Q2612A EA 1 1 0 62.010 62.01 Q2612A 154 -414 239376 TAPE, LETTERING,PT340 /PT54 EA 2 2 0 14.800 29.60 TZE -251 239 -376 239384 TAPE, LETTERING,PT340 /PT54 EA 2 2 0 12.520 25.04 TZE -241 239 -384 0 878270 TONER,HP CE505A,BLACK EA 1 1 0 77.750 77.75 CE505A 878 -270 0 0 307389 PAD, STENO,6X9,GR EGG, DOZ, DZ 4 4 0 6.290 25.16 0 99470 307 -389 451898 MARKER, PERM, UFINE,SHARP, DZ 1 1 0 7.350 7.35 37001 451 -898 986264 CARTRIDGE,INK,HP88,BLACK EA 4 4 0 19.880 79.52 C9385AN #140 986 -264 790761 PEN,RETRACT,G- 2,BK,FN DZ 5 5 0 14.030 70.15 31020 790 -761 825265 PIN,PUSH,20OCT,CLEAR BX 2 2 0 2.560 5.12 PP20OCT 825 -265 307512 ERASER,DRY ERASE,EXPO EA 2 2 0 1.130 2.26 81505 307 -512 305706 PAD,PERF,8.5X11,OD,12PK,LG DZ 2 2 0 4.600 9.20 99400 305 -706 805044 PAD, PERF,DKT,5X8,LGL,CANA PK 1 1 0 10.690 10.69 63350 805 -044 414693 INK,HP 920,3PK,TRICOLOR PK 2 2 0 26.010 52.02 CN066FN #140 414 -693 715395 INK,HP 920,BLACK EA 3 3 0 18.990 56.97 C D971AN #140 715 -395 396311 BINDER, PL,VIEW,1 ",BLACK EA 12 12 0 1.490 17.88 05710 396311 CONTINUED ON NEXT PAGE... 000905- 000814 00405/00008 OfficePO ORIGINAL INVOICE 10001 B Depot, Inc BOX 630813 THANKS FOR YOUR ORDER CINCINNATI OH IF YOU HAVE ANY QUESTIONS 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 FEDERAL ID:59- 2663954 INV NUM AMO DUE I PA NUMBER 57 7240788001 5 0.77 _P 2 of 2 IN V O ICE D T ERS l P DUE 31- AUG -11 Net 30 I 02- OCT -11 BILL TO: SHIP T0: ATTN: ACCTS PAYABLE CITY OF CARMEL CITY OF CARMEL CARMEL FIRE DEPT o CITY IF CARMEL 1 CIVIC SQ 2 CIVIC SQ o CARMEL IN 46032 -2584 0 0 CARMEL IN 46032 -2584 o ACCOUNT NUMBER PURCHASE ORDER SHIP TO ID ORDER NUMBER JORDER DATE SHIPPED DATE 86102185 1120 577240788001 30- AUG -11 31- AUG -11 BILLING ID ACCOUN MANAGER RELEASE JORDE BY DESKTOP C OST CENT 39940 SALLY LAFOLLETTE 120 CATALOG ITEM b/ DESCRIPTION/ U/M QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM TAX ORD SHP B/O PRICE PRICE 0 0 0 0 rn 0 0 0 SUB -TOTAL 580.77 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 580.77 7o return supplies, please repack in original box and insert our packing List, or copy of this invoice. Please note problem so we may issue credit or replacement, whichever you _prefer. Please do not ship collect. Please do not return furniture or machines until you call us first for instructions. Shortage or damage must be reported within 5 days after delivery. 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 577240788001 $580.77 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 Office Depot IN SUM OF P.O. Box 633211 Cincinnati, OH 45263 -3211 $580.77 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 I 577240788001 I 42- 302.00 I $580.77 1 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 SCD�8ae Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund ORIGINAL INVOICE 10001 Office Depot, Inc PO BOX 630813 THANKS FOR YOUR ORDER D 011ice D g CINCINNATI OH IF YOU HAVE ANY QUESTIONS a 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 D FOR ACCOUNT: (800) 721 -6592 D D FEDERAL ID:59 2663954 INVOICE NUMBER AMOUNT_DUE PAGE N UMBER n 578281227001 58.88 1 Page 1 of 1 INVOICE DAT TERMS PAYMENT DUE D 08 -SEP -1 t Net 30 09- OCT -11 BILL TO: SHIP TO: n ATTN: ACCTS PAYABLE CITY OF CARMEL CITY OF CARMEL GOLF COURSE CITY IF CARMEL 12120 BROOKSHIRE PKWY 1 CIVIC SQ CARMEL IN 46033-3314 01 o CARMEL IN 46032 -2584 0 o 0 ACCOUNT LI�JJI��II��IL��LL ,I�LLLL�I��L�III,nn�ll�l�I�I P40 NUMBER PURCHASE ORDER _9HSPfQOFID�URSE ?828 NUMBE 07DSEPD1I Q3ISEP ID ACCOUNT MANAGER RELEASE ORDFRED BY DESKTOP COST CENTER (PAMELA LISTER f X905 ITEM P/ DESCRIPTION/ U/M QTY QTY QTY UNITI EXTENDED CODE CUSTOMER ITEM b ORD SHP B /O PRICE( PRICE 813845 INK,HP 940XL,BLACK EA 1 1 0 34.190 ttt 34.19 C4906AN #140 813845 813885 INK,HP 940XL,MAGENTA EA 1 1 0 24.690 24.69 C4908AN #140 813885 N Q Q O O O W r O O O SUB -TOTAL 58.88 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 58.88 To return supplies, please repack in original box and insert our packing list, or copy of this invoice. Please note problem so we may issue credit or replacement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines until you call us first for instructions. Shortage or damage must be reported within 5 days after delivery. Prescribed by State Board of Accounts City Form No. 201 (Rev. 199 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)) 09/08/11 578281227001 Office Supplies $58.8 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. WA NO. ALLOWED 20 Office Depot IN SUM OF P.O. Box 633211 Cincinnati, OH 45263 -3211 $58.88 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 578281227001 42- 302.00 $58.88 t 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 Wednesday, September 21, 2011 Director, BrookshiA Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund ORIGINAL INVOICE 10001 Office Depot, Inc Off i ce PO BOX 630813 THANKS FOR YOUR ORDER CINCINNATI OH IF YOU HAVE ANY QUESTIONS DEPOT i 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 s FEDERAL ID:59 2663954 INVOICE NUMB AMOUNT DUE PAGE NUMBER 5784_9397 7. 3_3_ Pag 1 of 1 INVOICE DATE _TERMS PAY DUE 09- SEP -11 Net 30 09- OCT -11 i r BILL TO: SHIP TO: ATTN: ACCTS PAYABLE CITY OF CARMEL CITY OF CARMEL g CIrY IF CARMEL DEPT OF COMMUNITY SERVIC 1 CIVIC SQ MEng 1 CIVIC SQ CARMEL IN 46032 2584 0 0 0= CARMEL IN 46032 2584 o I�IuIIIIIIIIInulllulllllllllllllllllulnlllllllll ILI�LI ACCOUNT NUM P URCH ASE ORDER SHIP TO ID ORDER NUMBER _ORD D AT E SHIPPED DATE 86102185 192 578493970001 08- SEP -11 09- SEP -11 BILLING ID ACCOUNT MANAGER RELEASE IORDERED BY (DESKTOP COST CENTER 39940 LISA STEWART 192 CATALOG ITEM DESCRIPTION U/M I QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM ORD SHP B/0 PRICE PRICE 127270 STAPLE,REMOVER,3 /PK L PK 1 1 0 1.640 1.64 9338 127270 161859 sorter,incline, recycled, bl EA 1 1 0 5.690 5.69 O D10401 161859 CIO 'S CY V Q e w s o SUB -TOTAL 7.33 DELIVERY 0.00 I SALES TAX 0.00 All amounts are based on USD currency TOTAL 7.33 To return supplies, please repack in original box and insert our packing list, or copy of this invoice. Please note problem so we may issue credit or rep lacement, whichever you prefer. Please du not ship collect. Please do not return furniture or machines until you call us first for instructions. Shortage 0 r damage must be reported within 5 days after delivery. 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 09/09/11 578493970001 Misc. Office Supplies $7.33 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 Office Depot IN SUM OF P.O. Box 633211 Cincinnati, OH 45263 -3211 $7.33 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members 1192 I 578493970001 I 42- 302.00 I $7.33 1 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 Thursday, September 22, 2011 C/ Direct r Title Cost distribution ledger classification if claim paid motor vehicle highway fund ORIGINAL INVOICE 10001 i Depot, Inc Off ePO BOX 630813 THANKS FOR YOUR ORDER CINCINNATI OH IF YOU HAVE ANY QUESTIONS 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 FEDERAL ID:59- 2663954 INVOICE N UMBER A PA NUMBER 5776 50187001 124.74 P 1 of 1 INVOICE D TE P AYMENT DU 02- SEP -11 Net 30 02- OCT -11 BILL T0: SHIP T0: ATTN: ACCTS PAYABLE CITY OF CARMEL CARMEL POLICE DEPARTMENT o CITY IF CARMEL POLICE DEPT 6 1 CIVIC SQ 3 CIVIC SQ 0 CARMEL IN 46032 2584 o CARMEL IN 46032 2584 o I�I�J�II��IL„ ��IL��LL�LLLLL�L�LJII��ILIJ�I ACCOUNT NUMBER PURCHASE ORDER SHIP TO ID ORDER NUMBER DATE SHIP DATE 86102185 110 1 577650187001 01- SEP -11 02- SEP -11 BILLING ID ACCOUNT MANAGER RELEASE ORDERED BY IDESKTOP ICOST CENTER 39940 ROBERT ROBINSON I 1 110 CATALOG ITEM 4/ DESCRIPTION/ U/M QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM a ORD Slip 8/0 PRICE PRICE 992970 PAPER, BLUETOP,CS CA 6 6 0 20.790 124.74 58288 992970 0 0 0 vi 0 rn 0 0 0 SUB -TOTAL 124.74 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 12434 To return supplies, please repack in original box and insert our packing List, or copy of this invoice. Please note problem so we may issue credit or replacement, whichever you prefer. Please do not ship cultect. Ptease do not return furniture or machines until you call us first for instructions. Shortage or damage must be reported within 5 days after delivery. ORIGINAL INVOICE 10001 Office Depot, Inc Office BOX 630813 THANKS FOR YOUR ORDER CINCINNATI OH IF YOU HAVE ANY QUESTIONS 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 FEDERAL ID:59- 2663954 INVOICE NUMBER A M_OUNT DUE PAGE NUMBER 577272526001 113.23 P age 1 of 2 INVOICE DA TE TERMS PAYMENT DUE 31- AUG -11 Net 30 02- OCT -11 BILL T0: SHIP T0: ATTN: ACCTS PAYABLE CITY OF CARMEL CARMEL POLICE DEPARTMENT g CITY IF CARMEL POLICE DEPT 1 CIVIC SQ 3 CIVIC SQ o CARMEL IN 46032 2584 �0 o CARMEL IN 46032 -2584 o A CCOUNT NUMBER PURCHASE ORDER SHI TO ID ORD NUMBER._ ORDER DATE SHIPPED DATE 86102185 110 1577272526001 30- AUG -11 31- AUG -11 BILLING ID ACCOUNT MANAGER RELEASE JORDERED BY DESKTOP I COST CENTER 39940 1 ffd RT R0BINS0N 1110 CATALOG ITEM DESCRIPTION/ U/M QTY QTY [�B/O TY HP UNIT EXTENDED MANUF CODE CUSTOMER ITEM ORD S I PRICE PRICE 894654 MAXWELL HOUSE CA 2 2 0 19.360 38.72 86635 894654 814301 CREAMER,CAN,NON- DRY,120 PK i 1 0 3.570 3.57 94255 814301 765798 BOOK,MEMO,WRBND,TOP,CR, DZ 2 2 0 4.150 8.30 DVT -023 765798 442306 NOTE, OD, 1.5'X2 ",12PK,YELLO PK 3 3 0 1.860 5.58 OD -152Y 442306 443296 NOTE,OD,3 "X5',12PK,YELLOW PK 2 2 0 7.870 15.74 OD -35Y 443296 7 0 0 420994 NOTE,OD,3" X 3 ",18 /PK,YELL PK 4 4 0 3.990 15.96 OD-3318Y 420994 0 0 531816 BINDING COVER, POLY,25 /PK,C PK 1 1 0 5.960 5.96 25833 531816 531800 BINDING COVER,POLY,25 /PK,B PK 1 1 0 19.400 19.40 25834 531800 ORIGINAL INVOICE 10001 Office Depot, Inc Of fice PO BOX 630813 THANKS FOR YOUR ORDER CINCINNATI OH IF YOU HAVE ANY QUESTIONS 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 FOR ACCOUNT: (800) 721 -6592 FEDERAL ID:59- 2663954 INVOICE NUMBER __A MOUNT DUE PA GE NUMBER 5 113.23 Page 2 of 2__ I NVOICE DATE T ERMS PAYM DUE 31- AUG -11 Net 30 02- OCT -11 BILL T0: SHIP T0: ATTN: ACCTS PAYABLE CARMEL POLICE DEPARTMENT o CITY OF CARMEL e POLICE DEPT i? CITY IF CARMEL 1 CIVIC SQ 3 CIVIC SQ o CARMEL IN 46032 -2584 0 CARMEL IN 46032 -2584 o ACCOUNT NUMBER PURC ORD SHI TO ID ORDER NUMBER_ O RDER DATE SHIP DATE 86102185 110 577272526001 30- AUG -11 31- AUG -11 BILLING ID ACCOUNT MANAGER RELEASE ORDERED BY DESKTOP COS C ENTER 39940 ROBERT ROBINSON 110 CATALOG ITEM N/ DESCRIPTION/ U/M QTY QTY QTY UNITF EXTENDED MANUF CODE CUSTOMER ITEM b TAX ORD SHP B/O PRICE PRICE m 0 0 0 0 m 0 0 0 SUB -TOTAL 113.23 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 113.23 To return supplies, please repack in original box and insert our packing List, or copy of this invoice. Please note problem so ue may issue credit or replacement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines until you call us first for instructions. Shortage 0 r damage must be reported within 5 days after delivery. 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 08/31/11 577272526001 payment for coffee and creamer $42.29 08/31/11 577272526001 payment for office supplies $70.94 09/02/11 j 577650187001 payment for office supplies $124.74 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 Office Depot IN SUM OF P.O. Box 633211 Cincinnati, OH 45263 -3211 $237.97 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 577272526001 42- 390.99 $42.29 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1110 577272526001 42- 302.00 $70.94 materials or services itemized thereon for 1110 577650187001 42- 302.00 $124.74 which charge is made were ordered and received except Friday, September 23, 2011 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund ORIGINAL INVOICE 10001 Office Depot, Inc Office PO BOX 630813 THANKS FOR YOUR ORDER CINCINNATI OH IF YOU HAVE ANY QUESTIONS D 45263 -0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263 -3423 D FOR ACCOUNT: (800) 721 -6592 D D FEDERAL ID:59- 2663954 I NU AMOUNT DUE PAGE N 578300867 56.70 i Page 1 of 1 INVOI DA I f_ERMS PAY_M_EN_T DUE D 08- SEP -11 Net 30 D BILL T0: SHIP T0: D ATTN: ACCTS PAYABLE C CITY OF CARMEL ITY OF CARMEL CITY IF CARMEL CLERK TREASURER m 1 CIVIC SQ 1 CIVIC SQ o CARMEL IN 46032 -2584 MET!!!! 0 0 0 CARMEL IN 46032 -2584 o LIL�IJI��IL��II��JJ�J�IJJJ�J�� l��III„L�L�ILl�LI ACCOUN NUMBER PURCHASE ORDER HIP ID IORDER NUMBER__ ORDER DATESHIPPED 86102185 X170 578300867001 07- SEP -11 08- SEP -11 BILLIXG.I,D- ACCOUNT MANAGER RELEASE ORDERED BY 'DESKTOP COST CENTER 39940 1170 CATALOG ITEM tt/ DESCRIPTION/ U/M QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM d ORD I SHP B/0 PRICE PRICE 795082 MIRROR,DOME, HALF, 18" EA 1 —1 1 0 I 56.700 56.70 SEEPV18180 795082 0 0 0 rn n 0 0 0 SUB -TOTAL 56.70 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 56.70 To return supplies, please repack in original box and insert our packing List, or copy of this invoice. Please note problem so we may issue credit or replacement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines until you caLL us first for instructions. Shortage 0 r damage must be reported within 5 days after delivery. I Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 7 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) �l 5 -'D 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 O'l JA c o ON ACCOUNT OF APPROPRIATION FOR Qha 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 i 20 d g ature Title Cost distribution ledger classification if claim paid motor vehicle highway fund