177795 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362032 Page 1 of 1
0 ONE CIVIC SQUARE PAPER -LITE CHECK AMOUNT: $657.38
CARMEL, INDIANA 46032 4252 E WINDSOR LANE
COLUMBUS OH 47201 CHECK NUMBER: 177795
CHECK DATE: 9/29/2009
D EPARTMENT AC PO NUMBER IN NUMBER AMOUNT D ESCRIPTION
1120 4350900 3779 657.38 OTHER CONT SERVICES
c
V,
PAPER -LITE Invoice
Divsion of Mathes Assoc., Inc
4252 E. Windsor Lane
Columbus, IN 47201 DATE INVOICE
8/16/2009 3779
r BILL TO
City of Carmel Fire Dept
Attn: Becky Lannan
Two Civic Square
Carmel, IN 46032
P.O. NO. TERMS DUE DATE
Make Checks Payable to Paper -Lite
Division of Mathes Assoc., Inc. Net 15 8/31/2009
DESCRIPTION QTY RATE AMOUNT
Scanning Labor EMS November /December 2008 5,259 0.125 657.38
Sales Tax (0.0) $0.00
Payments
Total $0.00
Phone Fax E -mail
Balance Due $657.38
812 350 -5044 812 378 -9820 nancy @gopaperlite.com
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))
3779 $657.38
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. Wt-:RRANT NO.
ALLOWED 20
Paper -Lite Division of Mathes
4
IN SUM OF
4252 E. Windsor Lane
Columbus, IN 47201
$657.38
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
1120 3779 43- 509.00 $657.38 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
SEP 2 7nn9
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund