169763 03/17/2009 C4� CITY OF CARMEL, INDIANA VENDOR: 00351160 Page 1 of 1
i k ONE CIVIC SQUARE FEDEX KINKO'S CHECK AMOUNT: $125.05
„o CARMEL, INDIANA 46032 PO BOX 672085
DALLAS TX 75267 -2085 CHECK NUMBER: 169763
CHECK DATE: 3//712009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTI
902 4239099 0704000072.04 125.05 OTHER MISCELLANOUS
d
'Ex Kinkds.,
FedEx Kinko's
530 E Carmel Or
Carmel, IN 46032 -2814
(317) 818 -1600
2/13%2009 1:18:01 PM EST
Trans.: 0979 Branch: 0704
Register: 003 Till:dr113337
Team Member: Denise R.
Customer: sherry mielke
Organization: City Of Carmel
INVOICE
1II 1II Iflll II I1IfI 11 11 1II 1 1 1I 1 11
*07040030979
Official bill of Sale
Terms Net 30 Days
Please Reference Invoice 070400007204
Account 00003868060040
Authorized User: Mayor's Office
Organization: City Of Carmel
Reference: 00003868060040, Sherry Mielke
Signee: Sherry Mielke
Signee Phone: (317) 345 -4440
Tax Exempt i
invoices 66.00
10 22.0000
FS BW DS Standard 66.00 E
0033 1,100.00 9 0.2000
Item Discount Amt. 0.1400
Price 0.0600
10 sets 59.05
10 C 19.2900
FS BW SS Standard 0.30 E
0001 10.00 0.1000
Customer Discount Amt. 0.0700
Price 0.0300
FS BW DS Standard 57.00 E
0033 950.00 0.2000
Ith Discount Amt. 0.1400
Price 0.0600
Aux Insert per Piece 0.85 E
0387 10.00 0.1000
Customer Discount 15% 0.0150
Price 0.0850
Sheet Pastel 8.5x11 0.90 E
2485 10.00 0.0900
Total Discount 287.85
Sub -Total 125.05
Deposit 0.00
Tax 0.00
Total 125.05
CAS Account 125.05
Total Tender 125.05:
Change Due 0.00
I am an authorized agent of the company
and my signature
authorizes the company to pay for all it
ems reflected
on this invoice.
Thank you for visiting
FedEx Kinko's
Make It. Print It. Pack It. Ship It.
www.fedexkinkos.com
Please remit payment to:
FedEx Kinko's
Customer Administrative Services
P.O. Box 672085
Dallas, TX 75267 -2085
Questions? Please call:
1- 800 -488 -3705
Customer Copy
r
Prescribed by 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.
I 6 r2D �S Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached i nvoice(s) or bill(s))
Total
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
uX 6 72t7f5 IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
�0��23 go9�
Board Members
i
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. a I hereby certify that the attached invoice(s), or
�2 �7ay��oo ?zoy X23 >a 9 P /z4 )S 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
21 2� 20D 5
I G
nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund