171880 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 146000 Page 1 of 1
0 ONE CIVIC SQUARE I C C BUSINESS PRODUCTS
)a CARMEL, INDIANA 46032 P.O. BOX 26069 CHECK AMOUNT: $69.99
INDIANAPOLIS IN 46226 -6292 CHECK NUMBER: 171880
CHECK DATE: 4/29/2009
DEPA RTMENT ACC OUNT PO NUMBER INVOICE NU MBER AMO DESCR IPTION
1110 4239099 SI484053 69.99 OTHER MISCELLANOUS
INVO:ICE SI- 484053 Page No. 1
lling Address may% Shipping Address
23755 Robert Robinson
Robert Robinson CITY OF CARMEL POLICE DEPT
CITY OF CARMEL POLICE DEPT 3 CIVIC SQUARE
3 CIVIC SQUARE Business ProduEts Carmel, IN 46032
Carmel, IN 46032 Bence 1930
11 www.iccbpi.com
3164 N. Shadeland Avenue P.O. Box 26058 Indianapolis, Indiana 46226 -6292
317 547 -9621 800 547 -2233 Fax: 317-543-5738
Invoice Details Internet Information Order Details
Posting Date a 04/16/09 Internet User ID 237550 Cust. PO No4/15/2009 7:58:50 ANI
Payment Terms NET 60 DAYS Internet User Name Order No. SO- 468468
Credit Card No. Order Comments Order Date 04/15/09
Due By 06/15/09 Shipped Via ICC Delivery
INVOICE KEY
WHITE COPY= ORGINAL YELLOW COPY= FILE COPY PINK COPY RETURN WITH REMITTANCE
QTY ORD QTY SHIP QTY B/O UOM ITEM NUMBER DESCRIPTION UNIT PRICE AMOUNT
1I 1 CT PAG33549CT FACIAL TISSUE, UNSCENTED, 2 -PLY, 24 BX/CT, W 69.99 69.99
Thank You For Your Order Bob Ray PLEASE PAY FROM THIS INVOICE Subtotal: 69.99
MAIL PAYMENT TO: Shipping Handling: 0.00
P.O. BOX 26058 Order Processing: 0.00
INDIANAPOLIS, IN 46226 -0058 Sales Tax: 0.00
Total: 69.99
Prescri6 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
'j CC Business Products
Purchase Order No.
P.C. Box 26058
Terms
Indianapolis, IN 46226 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4115/09 ST484053 payment for kleenex 69.99
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
�C Business Products IN SUM OF
P.O. Box 26058
Indianapolis, IN 46226
69.99
ON ACCOUNT OF APPROPRIATION FOR
poli g e n era lfund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
11.10 S1484053 390 -99 69.99 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
A.Pril 24 2009
Signature
Chief of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund