HomeMy WebLinkAbout206001 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1
ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE
s CHECK AMOUNT: $2,286.67
CARMEL, INDIANA 46032 DEPT DET
a PO BOX 83689 CHECK NUMBER: 206001
CHICAGO IL 60696 -3689
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4230200 3166021993 493.89 OFFICE SUPPLIES
1091 4463200 3166021993 129.98 COMPUTER EQUIPMENT
1125 R4230200 30303 3166556857 151.51 OFFICE SUPPLIES
1125 4230200 3166556858 171.72 OFFICE SUPPLIES
1125 4230200 3167193856 171.72 OFFICE SUPPLIES
1110 4230200 3167537116 111.05 OFFICE SUPPLIES
1301 4230200 3167537117 93.19 OFFICE SUPPLIES
1301 R4230200 27319 3167537117 301.20 OFFICE SUPPLIES
1301 4230200 3167898914 50.31 OFFICE SUPPLIES
2201 4230200 8020738566 955.54 OFFICE SUPPLIES
INVOICE SATE CLIStOMER SUNIMARY::INVOICE.
1/14/12 DET 1061088 8020738566
2/13/1 2 Net 30 Days 1,457.98
INV ®ICE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL -NJPA CITY OF CARMEL
JIM SPELBRING ATTN: BONNIE LEWIS
1 CIVIC SQUARE 1 CIVIC SQUARE
CARMEL, IN 46032 DELIVER BY 4PM
CARMEL, IN 46032
Bill to Account: 1030382 Ship to Account: 1 CIVIC SQUARE
Budget Ctr: 130 CITY COURT Invoice Number: 3167537117
P 0 Number: Release: Order: 7081483594 000 -002
Ordered by: BONNIE LEWIS Job: Order Date: 1/13/12
r ur r' nr_ ip ni tee. X
L i ne I tern Number 'Description on ,Qt Qt Meas Qt' Price Price,
2 804574 HP CE255A BLACK TONER 2 EA 2 120.41 240.82
3 119933 ORGANIZER FLAT STEEL 5 BK 1 EA 1 20.23 20.23
4 391528 MONO CORRECTION TAPE 2PK 5 PK 5 7.28 36.40
5 105791 NOTE STAPLES 1.5X2 YELLOW 2 DZ 2 .99 1.98
6 585456 BROTHER TN -350 BLACK TONER 1 EA 1 43.86 43.86
7 526012 FASTENER SELF ADHESIVE 2.75X2 2 BX 2 3.58 7.16
8 826830 TISSUE FACIAL BOUTIO 6/PK 1 PK 1 9.39 9.39
9 506154 RUBBER FINGER 92 5/8' (11.5) 1 DZ 1 1.35 1.35
10 638517 MEMORY FOAM MOUSE WRIST PILLOW 1 EA 1 17.86 17.86
11 386309 STAPLER 747 ACCENT BLACK 1 EA 1 12.34 12.34
rei ax o a
'Total 391.39
Customer Service inquiries 800 693 -8080 Invoice Payment Inquiries 888 753 -4104 Page: 1
Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689
0002236 0051513 0000004
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.
7 �3 Terms
03 1 Date Due
i
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
q/,q
i
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
J360 t
o �o� 3���
ON ACCOUNT OF APPROPRIATION FOR
P,Q
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
91 3 ��3� /l 1, 2 materials or services itemized thereon for
which charge is made were ordered and
received except
N
20
f�6 IV
itle
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1N1lOICE DATE CUSTOMER ::SUMMARY
7 147 2 12 DET 1061088 8020738566
IN 1 2/13/12 Net 30 Days 1,457.98
j�V ��CFi DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL -NJPA CITY OF CARMEL
JIM SPELBRING ATTN: BONNIE CALLAHAN
1 CIVIC SQUARE 3400 W 131ST ST
CARMEL, IN 46032 DELIVER BY 4PM
CARMEL, IN 46074
Bill to Account: 1030382 Ship to Account: 3400 W 131ST ST
Budget Ctr: 201 STREET DEPT Invoice Number: 3167537118
P 0 Number: Release: Order: 7081291667 -000 -001
Ordered by: BONNIE CALLAHAN Job: Order Date: 1/09/12
r r ni �p ni X�
Line'.. ,IteeiNanber Descn� t�ion' Qt Qt .Meal Qt Price :Price
1 340481 HP 10 BLACK INK 3 EA 3 29.31 87.93
2 559956 HP MGNTA LASER CTG F/LJ 3700 1 EA 1 155.98 155.98
3 559953 HP CYAN LASER CTG F/ LJ 3700 1 EA 1 155.98 155.98
4 555500 TONER HP LJ 3500 -BLACK 2 EA 2 121.27 242.54
5 559954 HP YELLOW LASER CTG FILJ 3700 1 EA 1 160.47 160.47
6 852242 3X3 VAL PK 12 CANARY 6 BRIGHT 1 PK 1 21.42 21.42
7 163873 PAD RULED PERF 5X8 WE 2 DZ 2 2.99 5.98
8 356652 DUST -OFF 70Z. 6 PK 1 PK 1 59.49 59.49
reig�F ax a
al al
Customer Service inquiries 800 693 -8080 Invoice Payment Inquiries 888 753 -4104 Page: 1
Make checks payable to Staples Advantage, Dept DIET PO Box 83689, Chicago IL 60696 -3689
0002237- 0051513- 0000005
INVOICE ::DATE ..CUST.OMER SUMMAR'Y:INVOICE
1/14/12 DET 1061088 8020738566
2/13/12 Net 30 Days 1,457.98
INVOICE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL -NJPA CITY OF CARMEL
JIM SPELBRING ATTN: BONNIE CALLAHAN
1 CIVIC SQUARE 3400 W 131ST ST
CARMEL, IN 46032 DELIVER BY 4PM
CARMEL, IN 46074
Bill to Account: 1030382 Ship to Account: 3400 W 131ST ST
Budget Ctr: 201 STREET DEPT Invoice Number: 3167537119
P 0 Number: Release: Order: 7081406201- 000 -001
Ordered by: BONNIE CALLAHAN Job: Order Date: 1/11/12
it 5 11P
ni
k
Line. "Item�Number� Descri tion.� Qt Qt Meas -Qt Price Price"
1 138578 BINDER RING WILBL HLDR 1 BK 25 EA 25 1.79 44.75
2 808008 POSTSCRIPT PEN RT 1.OMM BLACK 5 DZ 5 4.20 21.00
rei ax o a
Customer Service inquiries 800 693 8080 Invoice Payment Inquiries 888 753 -4104 Page: 1
Make checks payable to Staples Advantage, Dept DIET PID Box 83689, Chicago IL 60696 -3689
0002238 0051513 0000006
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))
01/14/12 8020738566 $65.75
01/14/12 8020738566 $889.79
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
Staples Advantage
Dept DET IN SUM OF
P O Box 83689
Chicago, IL 60696 -3689
$955.54
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 8020738566 42- 302.00 $65.75 1 hereby certify that the attached invoice(s), or
2201 8020738566 42- 302.00 $889.79
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
Thursday, January 26, 2012
r r r
Street Commission4
'titrppt (:C mn�rccir�n ^r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
INVOICE :DATE CUSTOMER' SUMMARY. <INVOICE
12/17/11 DET 1061088 8020496210
PLEASE.. PAY TERMS
1 16 12 Net 30 Days 623.87
I O.IC DETAIL
Staples Advantage Federal ID #:04- 3390816
CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: MANDY SPADY
1411 E 116TH ST 1235 CENTRAL PARK DR E
CARMEL, IN 46032 DLV BEFORE 4PM
CARMEL, IN 46032
Bill to Account: 1030597 Ship to Account: 1235 CNTRL PK E
Budget Ctr: 1091 4230200 Invoice Number: 3166021993
P 0 Number: 30295 Release: Order: 7080605028 -000 -001
Ordered by: MANDY SPADY Job: Order Date: 12/16/11
F7 FcWr
Order B/O Unit Ship Unit ExTera&a
Line ``Item Number Description Qty Qty Meas Qty Price Price 11 1
1 389951 INK JET NAME BADGES 2 PK 2 16.85 33.70
2 GBC3747143 POUCH ECONOMY LTR SZ 3 MIL 2 BX 2 81.14 162.28
3 PAC109131 CARDSTK.BRIGHT.AST50PK.PL 1 PK 1 8.63 8.63
4 609443 HP 21 BLACK INK 2PK 1 PK 1 25.89 25.89
5 603827 SCISSORS TITANIUM STRAIGHT 81N 1 EA 1 9.78 9.78
6 779058 BINDER VIEW HANGING 1 -WE 5 EA 5 9.07 45.35
7 599338 POST-IT(R) FLAGS 2 PK 2 9.86 19.72
8 125443 MARKER SHARPIE EXTRA FINE BK 1 DZ 1 9.69 9.69
9 575837 SPLS 8.5X11 COPY CS 1 PK 1 178.85 178.85
10 922456 ACER 20iN S201HL LED MONITOR 1 EA 1 129.98 129.98
reig ax o a
Total. 623.87
Max
DEC 201
Purchase 11D�
Descriptlon SUPPLIES I mow P, BY.
P.O. �9� P OrQ
G.L.
Budget
LineDescr 1091 4- 2,no `1 ((�1
Purchaser Date
Approval Date
Customer Service inquiries 800 693 -8080 Invoice Payment Inquiries 888 753 -4104 Page: 1
Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689
0011934- 0014014 0000003
1 0
1NV:OICE DATE CUSTOMER SUMMARY; INVOICE.
12/31/11 DET 1061088 8020600294
AMOUNT
1/30/12 Net 30 Days 323.23
IWOI CE DETAIL
Staples Advantage Federal ID #:04- 3390816
CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: DAWN KOEPPER
1411 E 116TH ST 1411 E 116TH ST
CARMEL, IN 46032 CARMEL, IN 46032
Bill to Account: 1030597 Ship to Account: 1411 E 116TH ST
Budget Ctr: 1081 -1- 4230200 CARMEL ELEMENTARY Invoice Number: 3166556857
P 0 Number: 30303 Release: Order: 7080683495 -000 -004
Ordered by: DAWN KOEPPER Job: Order Date: 12/19/11
r Order�: t rn Ship m �w x
Line Item 'Mantiei ..Descr t<1ona Qi lNeas. Qty
t Price ?Price
33 IM1- CT2999 231N WS LCD 1920X1080 V233H 1 IN 1 151.51 151.51
�re1 ax o a.
16 151.51
Purchase D
Description OEEI A
P.O. 30 P 0 (n v"?_ JAN 0 6 2012
G.L.#
Budget ,oFFI aIaPPLLE�
Lire Lesc
Purchaser Date
Approval Date
Customer Service inquiries 800 693 -8080 Invoice Payment Inquiries 888 753 -4104 Page: 1
Make checks payable to Staples Advantage, Dept DIET PO Box 83689, Chicago IL 60696 -3689
0015391 0028650- 0000003
INVQICE DATE CIUSTOIV[ER «SUMMARY INVOICEI:
1 07 12 DET 1061088 8020674336
2/06/12 Net 30 Days 171.72CR
Il\T VOI CE DETAIL
Staples Advantage Federal ID #:04- 3390816
CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: DAWN KOEPPER
1411 E 116TH ST 1411 E 116TH ST
CARMEL, IN 46032 CARMEL, IN 46032
Bill to Account: 1030597 Ship to Account: 1411 E 116TH ST
Budget Ctr: 1081-1 4230200 CARMEL ELEMENTARY Invoice Number: 3167193856
P 0 Number: 30303 Release: Order: 7080683495 -001 -001
Ordered by: DAWN KOEPPER Job: Order Date: 12/28/11
Order ni. ip na x e
L i ne I tern Nuu�ber Descr i t i on Qt Qt Mess Qt Price n:: Price
31 570621 PICKUP /NO RESHIP /CREDIT STAPLE 1 EA 1 171.72 171.72
reig ax• -Total:
�..Totat <171,• 72
*Credit for Invoice# 3166301299
CHAIR ASSEMBLED- NEEDS PICKED UP
Purchase OP'LDI `I FOP WAI R
Description TAla cm
P.O. �'Jy3n3 PorF 0�
G.L. 125 �EZ:�) ac)o JAN 12 2012
Budget
Line Descr Lt
Purchaser Date
Approval Date
Customer Service inquiries 800 693 -8080 Invoice Payment Inquiries 888 753 -4104 Page: 1
Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689
0012426- 0014177- 0000003
INVOICE .DATE:...** CUSTOMER SUMMARY :>INVOICE
12/31/11 DET 1061088 8020600294
s
1730712 Net 30 Days 323.23
I1WOI CE DETAIL
Staples Advantage Federal ID #:04- 3390816
CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: DAWN KOEPPER
1411 E 116TH ST 1411 E 116TH ST
CARMEL, IN 46032 CARMEL, IN 46032
Bill to Account: 1030597 Ship to Account: 1411 E 116TH ST
Budget Ctr: 1081 -1- 4230200 CARMEL ELEMENTARY Invoice Number: 3166556858
P 0 Number: 30303 Release: Order: 7080683495- 002 -001
Ordered by: DAWN KOEPPER Job: Order Date: 12/28/11
Line Item "fiber i t i on aR Qt r- Qt Meas QtP 9 r, O l ce Price
36 570621 STAPLES ACADIA BLACK MESH TAS 1 EA 1 171.72 171.72
Fre ight:
ax:' O a,
rTotal,:. 4 171.72
DtL V
A
JAN 0 6 2012
Purchase O I
De:script ?on LIES AL) BYe
X
P.O. P or F
G.L.# iiaS -1 -oa- LI�3oao�
Budget
LineDescr UFIIQE SUPPQIIE5
Purchaser Date.
Approval Date
Customer Service inquiries 800 693 -8080 Invoice Payment Inquiries 888 753 -4104 Page: 1
Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689
0015392 0028650 0000004
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.
361528 Staples Business Advantage Terms
Dept DET 2368
P.O. Box 83689
Chicago, IL 60696 -3689
7
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/17/11 3166021993 Office supplies MCC 30295 493.89
12/17/11 3166021993 Monitor 30295 129.98
12/31/11 3166556857 Office supplies AO 30303 151.51
1/7/12 3167193856 Credit for return 30303 (171.72)
12/31/11 3166556858 Office supplies AO 30303 171.72
Total 775.38
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.
361528 Staples Business Advantage Allowed 20
Dept DIET 2368
P.O. Box 83689
Chicago, IL 60696 -3689 In Sum of
775.38
ON ACCOUNT OF APPROPRIATION FOR
101 General 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 3166021993 4230200 493.89 1 hereby certify that the attached invoice(s), or
1091 3166021993 4463200 129.98 bill(s) is (are) true and correct and that the
30303 F 3166556857 4230200 151.51 materials or services itemized thereon for
1125 3167193856 4230200 (171.72) which charge is made were ordered and
1125 3166556858 4230200 171.72 received except
26 -Jan 2012
Signature
775.38 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
INVOICE DATE >':CUSTOMER SUNIMARY::INVOICE:
1774712 DET 1061088 8020738566
PAY PLEASS.
2/13/12 Net 30 Days 1,457.98
INVOICE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL -NJPA CITY OF CARMEL
JIM SPELBRING ATTN: ROBERT ROBINSON
1 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL, IN 46032 DELIVER BY 4PM
CARMEL, IN 46032
Bill to Account: 1030382 Ship to Account: 3 CIVIC SQUARE
Budget Ctr: 110 POLICE DEPARTMENT Invoice Number: 3167537116
P 0 Number: Release: Order: 7081275508 000-001
Ordered by: ROBERT ROBINSON Job: Order Date: 1/09/12
r F r. ilp ni x
o
L- ine�.. ItemManber .Descri Pt on Qt y Oty Meas `Qt 'Price Price
1 901432 PPR PHOTO COPY DOUBLE A 8.5X11 5 RM 5 22.21 111.05
Frei A_ Tax o a
Total �A 1 1:c 05:
Customer Service inquiries 800 693 -8080 Invoice Payment Inquiries 888 753 -4104 Page: 1
Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689
0002235- 0051513 0000003
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))
01/14/12 3167537116 office supplies $111.05
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
Staples Advantage
Detp DET IN SUM OF
P.O. Box 83689
Chicago, IL 60696 -3689
$111.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 3167537116 I 42- 302.00 I $111.05 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
Thursday, January 26, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
INV.OICE..DATE CUSTOMER
1 21 12 DET 1061088 8020803674
2 20 12 Net 30 Days 800.07
IWOI CE DETAIL
Staples Advantage Federal ID #:04- 3390816
CITY OF CARMEL -NJPA CITY OF CARMEL
JIM SPELBRING ATTN: BONNIE LEWIS
1 CIVIC SQUARE 1 CIVIC SQUARE
CARMEL, IN 46032 DELIVER BY 4PM
CARMEL, IN 46032
Bill to Account: 1030382 Ship to Account: i CIVIC SQUARE
Budget Ctr: 130 CITY COURT Invoice Number: 3167898914
P 0 Number: Release: Order: 7081483594 -000 -001
Ordered by: BONNIE LEWIS Job: Order Date: 1/13/12
r r Urder Unit p m x
Line Item Number Description Oty Qty Meas oty Price Price
1 471424 TRIPPLITE 7 OUT MODEM/FAX SURG 1 EA 1 50.31 50.31
2 804574 HP CE255A BLACK TONER 2 2 EA 120.41 .00
3 119933 ORGANIZER FLAT STEEL 5 BK 1 1 EA 20.23 .00
4 391528 MONO CORRECTION TAPE 2PK 5 5 PK 7.28 .00
5 105791 NOTE STAPLES 1.5X2 YELLOW 2 2 DZ .99 .00
6 585456 BROTHER TN -350 BLACK TONER 1 1 EA 43.86 .00
7 526012 FASTENER SELF ADHESIVE 2.75X2 2 2 BX 3.58 .00
8 826830 TISSUE FACIAL BOUTIO 6 /PK 1 1 PK 9.39 .00
9 506154 RUBBER FINGER N2 5/8' (11.5) 1 1 DZ 1.35 .00
10 638517 MEMORY FOAM MOUSE WRIST PILLOW 1 1 EA 17.86 .00
11 386309 STAPLER 747 ACCENT BLACK 1 1 EA 12.34 .00
rei ax: Sub-Total
Total: 50.31
Balance to follow
Customer Service inquiries 800 693 -8080 Invoice Payment Inquiries 888 753 -4104 Page: 1
Make checks payable to Staples Advantage, Dept DIET PO Box 83689, Chicago IL 60696 -3689
0010097 0051741- 0000004
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
O Purchase Order No.
p o d 9 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
.5
Total �S
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.
4j ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�D 31[� ?p P5/ 5�• 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
�)4 20
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund