179786 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 363601 Page 1 of 1
ONE CIVIC SQUARE OFFICE FURNITURE MALL LLC
CARMEL, INDIANA 46032 PO BOX 25762 CHECK AMOUNT: $719.98
OVERLAND PARK KS 66225
CHECK NUMBER: 179786
CHECK DATE: 11/24/2009
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
c
1115 4463000 719.98 FURNITURE FIXTURES
Page t of 1
Arnone, Janet R
From: L D PRITCHARD [Id @officefurnituremall.com]
t
Sent: Tuesday, October 27, 2009 3:20 PM
To: Arnone, Janet R
Subject: The following online order was placed with Office Furniture Mall: 7261
The following online order was placed with Office Furniture Mall:
Order Number: 7261
Placed 10/27/2009 15:48:06 EDT
Ship To: Bill To:
Name: JANET R. AMONE Name: JANET R. AMONE
Email Address: j arnone carmel.in. gov Email Address: arl none�carmel.in.
Phone Number: 317 571 -2586 Phone Number: 317 571 -2586
Fax Number: Fax Number:
Company: CITY OF CARMEL Company: CITY OF CARMEL
Address: 31 1 st AVENUE N.W. Address: 31 1 st AVENUE N.W.
CARMEL, IN 46032 CARMEL, IN 46032
US us
Code Product Quantity Price /Ea. Total
OFFICE STAR Double Air Grid
75 -37A Back Mesh Seat Ergonomic 2 $359.99 $719.98
Chair with Built -in Adjustable
Lumbar Support.
DELIVERY WILL BE MADE TO:
Business
Shipping: Free Shipping: $0.00
Saies Tax: $0.00
Total: $719.98
MAKE CHECKS PAYABLE TO:
Office Furniture Mall, LLC
P O BOX 25762
Overland Park, KS 66225
L D PRITCHARD
Office Furniture Mall
913 -681 -3800
Fax 913 681 -3180
10/27/2
Prescribed by Stale Board of Accounts Ci:r Form No. 201 (Rev. i 55J
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 invoices) or bill(s))
11/18/09 I I I $719.98
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
VOfJC W NO.
ALLOWED 20
Office Furniture Mall, LLC
IN SUM OF
P.O. Box 25762
Overland Park, KS 66225
$719.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 44- 630.00 $719.98 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
Wednesday, November 18, 2009
Dir
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund