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170431 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 146000 Page 1 of 1 ONE CIVIC SQUARE I C C BUSINESS PRODUCTS INDIANA 46032 CHECK AMOUNT: $261.00 CARMEL P.O. BOX 26058 INDIANAPOLIS IN 46226 -6292 CHECK NUMBER: 170431 CHECK DATE: 4/1/2009 DEPARTMENT ACCO PO NU I NUMBER AMOUNT DESCRIPTION 1110 4239099 SI481541 261.00 OTHER MISCELLANOUS `t 1 INVOICZE SI481541 Page No. 1 P, ling Address Shipping Address 23755 Robert Robinson Robert Robinson CITY OF CARMEL POLICE DEPT CITY OF CARMEL POLICE DEPT 3 CIVIC SQUARE 3 CIVIC SQUARE Bu Products Carmel, IN 46032 .Carmel, IN 46032 Since 1930 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 Invo ice Details Intern Info rmation Order Details Posting Date 03/17/09 Internet User ID Cust. PO NoSERVICE IN #3246 Payment Terms NET 60 DAYS Internet User Name Order No. SO- 466290 Credit Card No. Order Comments Order Date 03/17/09 Due By 05/16/09 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 EA 17-H3966-60001 I HP 5P /6P MAINTENANCE KIT NEW 261.00 261.00 I EA INFO INSTALLED MAINTENACE KIT. EA INFO CLEANED INSIDE OUTSIDE OF MACHINE. 1 1 HR 21 SERVICE LABOR Larry Koger EA I INFO H I I I I Thank You For Your Order Bob Ray PLEASE PAY FROM THIS INVOICE Subtotal: 261.00 MAIL PAYMENT TO: Shipping Handling: 0.00 P.O. BOX 26058 Order Processing: 0.00 INDIANAPOLIS, IN 46226 -0058 Sales Tax: 0.00 Total: 261.00 Prescribeu7oy 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 tCC Business Products Purchase Order No. P.O. Box 26058 Terms Indianapolis, IN 46226; Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3/17/ SI481541 payment for maintenance kit 261.00 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 T i>,C Business Products IN SUM OF P.O. Box 26058 Indianapolis, IN 46226 261.00 ON ACCOUNT OF APPROPRIATION FOR p olice generalf and Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 S1481541 390 -99 261.00 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 March 25 20 09 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund