205505 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1
ONE CIVIC SQUARE INK HEADS
CARMEL, INDIANA 46032 PO BOX 501574
CHECK AMOUNT: $351.76
INDIANAPOLIS IN CHECK NUMBER: 205505
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4230200 6553 209.85 OFFICE SUPPLIES
1125 4230200 6587 141.91 OFFICE SUPPLIES
f INVOICE
12/16/201'1 IPage 1 of 1
Invoice 6553
G ust. Ac It
P.O. 0000058
Charge Sale
Ph: (317) 841 -8302
Ink Heads Fax: (317) 841 -8304
PO Box 501574
Indianapoli "s, IN 46250
S old To: Carmel Clay Parks &Recreation hip T«
1411 E. 116th St. DEC 19 2011
Carmel, IN 46032
ales Person: Chad Order Date: 12/15/2011 Ship Via:
Part Number Descri tion Ordered Shipped Price Total
CT HPQ2613X HP Q2613X w/c 4K 3 3 69.95 209.85
w /chip
Purc
Description
P It
0
GI 00
:ll ;C
OPFIC
I�LtC C
i Date
Ap proval Date
erms: NET 10 Sub Total $209.85
Contact: Sales Tax 7% $0.00
Serra Gerske
(317) 573 -4026 Total ;20- 9r.8
Signed: Date:
9
tl INVOICE 12/28/201"1 Page 1 of 1
Fit& Invoice 6587
i
ust: ACCt. It I
P.O. M000632
Charge Sale
Ph: (317) 841 -8302
Ihk Heads Fax: (317) 841 -8304
PO.:Box.`501574
Indi5napolis;'IN=46250
old To: Carmel Clay Parks Recreation Ship To:
1411 E. 116th St.
Carmel, IN 46032 DEC 8 8 2011
ales Person: Chad Order Date: 12/27/2011 Ship Via: BY
Part Number Description Ordered Shipp d Price Total
C HPC9391A HP 88 C HY 1 1 17.99 17.99
C HPC9392A HP 88 M HY 1 1 17.99 17.99
C HPC9393A HP 88 Y HY 1 1 17.99 17.99
C HPC9396A HP 88 BK HY 1 1 21.99 21.99
CT KM8937 -753 KM 8937 -753 2pk 28K 1 1 65.95 65.95
Pi rnhaS
sr' tion Ur
0 P or
R71 u
Jrd a nn ia
iZ 'i
prova
erms: NET 10
Sub Total $141.91
Contact: Sales Tax 7% $0.00
Serra Gerske
(317) 573 -4026 Total
Signed: Date:
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.
364115 Ink Heads Terms
P.O. Box 501574
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/16/11 6553 Ink cartrid es .85
41
1
12/28/11 6587 Toner 141.91
Total 351.76
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.
364115 Ink Heads Allowed 20
P.O. Box 501574
Indianapolis, IN 46250
In Sum of
351.76
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 6553 4230200 209.85 1 hereby certify that the attached invoice(s), or
1125 6587 4230200 141.91 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
11 -Jan 2012
Signature
351.76 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund