206300 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1
ONE CIVIC SQUARE INK HEADS
CARMEL, INDIANA 46032 PO BOX 501574
CHECK AMOUNT: $59.95
INDIANAPOLIS IN
CHECK NUMBER: 206300
CHECK DATE: 211412012
DEPARTMENT ACCOUNT P NU MBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4230200 6639 59.95 OFFICE SUPPLIES
9 I NVOI C E 1`/10/2012 Page 1 of 1
Invoice 16639
ust. Acct.
P.O. IE0002130
Charge Sale
Ph: (317) 841 -8302
Ink Heads- Fax: (317) 841 -8304
PUBox 501`5T4-
Indianapolis; IN
s old To: Carmel Clay Parks Recreation Ship T o: Carmel Elementary
1411 E. 116th St. 101 4th Ave S. E
Carmel, IN 46032 Attn: Shavonne Holton
Carmel IN
Sales Person: Kevin Order Date: 1/9/2012 Ship Via:
Part Number Description Ordered Shippe d Price Total
CT HPCE278A HP CE278A 2.1K 1 1 59.95 59.95
Purchase
Description TONER C'.ART2tDc
P.O. 0000 P 010)
t
Llile UeSCr 6FP C-'F: SUP P U
tAl'pluvdl D
I
I�
A v7
erms: NET 10
Sub Total $59.95
Contact: Sales Tax 7% $0.00
Dawn Koepper
(317) 573 -4026 T otal otal $59:.9.5
Signed: Date:
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.
364115 Ink Heads Terms
P.O. Box 501574
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/10/12 6639 Toner cartridge 59.95
Total 59.95
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.
364115 Ink Heads Allowed 20
P.O. Box 501574
Indianapolis, IN 46250
In Sum of
59.95
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -1 6639 4230200 59.95 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
9 -Feb 2012
Signature
59.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund