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168410 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 353631 Page 1 of 1 ONE CIVIC SQUARE CENTURY BUSINESS PRODUCTS s� CARMEL, INDIANA 46032 PO BOX 50653 CHECK AMOUNT: $267.96 INDIANAPOLIS IN 46250 CHECK NUMBER: 168410 ON CHECK DATE: 2/4/2009 DEPAR ACC P O NUMBER INV OICE NUMBER AMOUNT DESCRI 1120 4230200 38396 267.96 OFFICE SUPPLIES CENTURY BUSINESS PRODUCTS CEN TUR Y P O BOX 50653 [M E 6� F BUSINESS PROD 8501 BASH ST., STE. 800 Invoice Number: UCJS INDIANAPOLIS, IN 46250 38396 Sgtutions for Our �Vfsuaf f#artri Invoice Date: Voice: 800 -333 -9563 .Ian 26, 2009 Fax: 866 333 -9563 Page: 1 a 0 0 CITY OF CARMEL FIRE DEPARTMENT CITY OF CARMEL ATTN: ACCOUNTS PAYABLE ATTN: BECKY PACE 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 Customer ID Customer PO Payment Terms CITQARM SALLY Net 30- Days Sales Rep ID Shipping Method Ship Date Due Date MI UPS Ground 1126109 2125109 Quantity Item Description Backorder Q Unit Price Extension 1.00107 14553 -01 PF DUAL SIDED LAMINATION 251.96 251.96 (DIRECT THERMAL COMPATIBLE) 1.00 FYI 10% SALE DISCOUNT APPLIED TO THE ABOVE ITEMS: ORDERED BY: SALLY 317- 571 -2600 Subtotal 251.96 Sales Tax Freight 16.00 TOTAL 267.96 RETURNS SUBJECT TO 25% RESTOCKING FEE WITHIN 15 DAYS; NO RETURNS THEREAFTER LATE CHARGE OF 1 1/2% PER MONTH WILL BE ADDED TO ALL PAST DUE AMOUNTS Prescribed by State Board of Accounts City Form No. 261 (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)) 38396 Laminating Roll $267.96 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 N WARRANT N ALLOWED 20 Century Business Products IN SUM OF P.O. Box 50653 Indianapolis, IN 46250 $267.96 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1 38396 42- 302.00 $267.96 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 FEB 2 2069 Z Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund