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205683 01/25/2012 CITY OF CARMEL, INDIANA VENDOR: 080501 Page 1 of 1 ONE CIVIC SQUARE CINDY SHEEKS CHECK AMOUNT: $95.94 CARMEL, INDIANA 46032 13791 LAREDO DRIVE CARMEL IN 46032 CHECK NUMBER: 205683 CHECK DATE: 112512012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4230200 95.94 1099 ENVELOPES Tue Jan 24 04:20:02 EST 2012 OFFICE DEPOT# 539 12417 N. Meridian St. Carmel, IN 46032 317 )571 -1300 01/24/2012 11.4 7:59 AM STR 534 REG1 TRN 3175 EMP 33349 SALE Product ID Description Total 551884 FORM,W2,ENV,50 4 17.99 71.96 You Pay 71.96S 552037 FORM,1099",ENV, 2 11.99 23.98 You Pay 23.98S Subtotal 95.94 Total 95.94 95.94 Tax Exemption Number 21040241 Shore online at www.arficedepot.com �IIIII IIIIII) IIIIII I I I�I IIII VIII I IIIIII 22VTGQPPIS55MMRRR WE WANT TO HEAR FROM YOU! Participate in our online customer survey and receive a- Coupon for $10 off your next 9ualif4lns purchase of $50 or more on office supplies ,furniture and more. Visit www.officedepof.com /feedback Thanks for shopping at Office Depot vnwe vuyur �eseivns ,nn uyni u,mw u,nan wniu .'..'y unto w make exceptions on case -by -case basis. 100% Satisfaction Guarantee All returns and exchanges must be in original condition and include all accessories. Office Depot reserves the right to deny any return or exchange and may request identification as a condition of return or exchange. Technology Furniture 14 Day Return Policy with Original Receipt. Your original recelpt. ap cking slip or order confirmation ("Original Receipt) Is required for all returns or exchanges of technology and furniture Technology products may be returned or exchanged within 14 days of purchase with Original Receipt, in original packaging and with UPC code. If product box is opened, we will offer an Exchange Only. A 15% Restocking Fee will be applied if box is missing any components. This applies to all technology products including, without limitation: Computers, Monitors, Cameras, Camcorders, Projectors, GPS, Printers, Copiers, Faxes, Shredders, Telephones, Wireless Technology, MP3s, TVs, DVD Players, Media, Accessories, Hard Drives, Peripherals and Software. Opened software may be exchanged for the same item only. Furniture in new condition, unassembled, in original packaging, with Original Receipt and with UPC code may be returned within 14 days of purchase. Removal of Personal Data on Returned/Exchanged Products Please remove all personal data from returned /exchanged product. Office Depot is not responsible for any personal data left in or on a returned /exchanged product. Supplies 30 Day Return Policy With Original Receipt. Supplies with Original Receipt may returned within 30 days of purchase for a full refund. Supplies No Receipt Returns of supplies without an Original Receipt require valid government identification. Supplies still active in our computer system will be refunded in the form of an Office Depot Merchandise Card in an amount equal to the lowest retail price during the 90 days preceding the return. If that amount is under $10, however, we will refund in cash. Catalog and Web Purchases May be returned /exchanged in accordance with policies above by contacting: 1- 888 -GO -DEPOT (1- 888 463- 3768)or by returning merchandise to any store with Original Receipt. Refund Method for Returns with Original Receipt If You Paid With: Your Refund Will Be: Cash or check greater than 10 days ago Cash Check less than 10 days ago or Office Office Depot Merchandise Card Depot Gift Card Credit Card or Debit Card _Same.Cardclrti Non Refundable L--: Tech Depot Services are non refundable once services have been performed. Special Order /Custom Items and Manufacturer Direct items cannot be returned or exchanged unless damaged upon receipt. Pre -Paid Cards such as Gift Cards and Phone Cards are non refundable, and cannot be returned or used to purchase other gift cards. Special terms and conditions are included with each card. Office Depot reserves the right to amend these terms at any time and to make exceptions on case -by -case basis. 100% Satisfaction Guarantee All returns and exchanges must be in original condition and include all accessories. Office Depot reserves the right to deny any return or exchange and may request identification as a condition of return or exchange. Technology Furniture 14 Day Return Policy with Original Receipt. Your original recel packing slig or order confirmation "Original Recei tg Is required for all returns or exchanges of technology and furniture Technology products may be returned or exchanged within 14 days of purchase with Original Receipt, in original packaging and with UPC code. If product box is opened, we will offer an Exchange Only. A 15% Restocking Fee will be applied if box is missing any components. This applies to all technology products including, without limitation: Computers, Monitors, Cameras, Camcorders, Projectors, GPS, Printers, Copiers, Faxes, Shredders, Telephones, Wireless Technology, MP3s, TVs, DVD Players, Media, Accessories, Hard Drives, Peripherals and Software. Opened software may be exchanged for the same item only. Furniture in new condition, unassembled, in original packaging, with Original Receipt and with UPC code may be returned within 14 days of purchase. Removal of Personal Data on Returned/Exchanged Products Please remove all personal data from returned /exchanged Office Depot is not responsible for any personal data left in or on a returned/exchanged product. Supplies 30 Day Return Policy With Original Receipt. Supplies with Original Receipt may returned within 30 days of purchase for a*. full refund. Supplies No Receipt Returns of supplies without an Original Receipt require valid government identification. Supplies still active in our computer system will be refunded in the form of an Office Depot Merchandise Card in an amount equal to the lowest retail price during the 90 days preceding the return. If that amount is under $10, however, we will refund in cash. Catalog and Web Purchases May be returnedlexchanged in accordance with policies above by contacting: 1- 888 -GO -DEPOT (1- 868. 463- 3768)or by returning merchandise to any store with Original Receipt. Refund Method for Returns with Original Receipt If You Paid With: Your Refund Will Be: Cash or check realer than 10 days ago Cash Check less than 10 days ago or Office Office De of Merchandise Card Depot Gift Card p Credit Card or Debit Card Same Card Non Refundable Tech Depot Services are non refundable once services have been performed. Special Order /Custom Items and Manufacturer Direct items cannot be returned or exchanged unless damaged upon receipt. 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoiceO or bill(s)) 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 ON ACCOUNT OF APPROPRIATION FOR /)7� Z S 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 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund