174533 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00350674 Page 1 of 1
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ONE CIVIC SQUARE ULINE CHECK AMOUNT: $135.06
CARMEL, INDIANA 46032 2200 SOUTH LAKESIDE DR
WAUKEGAN IL 00085 CHECK NUMBER: 174533
CHECK DATE: 718!2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
1110 4239099 28199088 135.06 OTHER MISCELLANOUS
I
I
1
INVOICE NO.
1- 800 295 -5510 28199088
www.uline.com pa
2200 S. Lakeside Drive Waukegan, IL 60085 INVOICE
SHIP °ING SUPPLY SPECIALISTS ULINE FED ID 36- 3684738
THANK YOU FOR YOUR ORDER. ULINE CUSTOMER SINCE 2003
YOUR ORDER 31284463
SOLD TO: SHIP TO:
MDG2000012875 1 MB 0.382 03
d I FI Ill- IIIIII "IIIIII'IIII'' III III II I Il l- I I I'I I II III Id I I CARMEL CITY OF
CARMEL CITY OF POLICE DEPT
POLICE DEPT N 3 CIVIC SQ
3 CIVIC SQ CARMEL IN 46032 -7570
CARMEL IN 46032 -7570
0 B b.. B
f
1473396 ROBERT UPS GROUND 6123/09 6123109 NET 30 DAYS 6123109
®u.,.
1 BX 1 S -9980 T -SHIRT RAGS -25LB BOX 61.00 61.00
1 CT 1 S -7067 WHITE PAPER CD ENVELOPE 59.00 59.00
ORDER PLACED BY: ROBERT ROBINSON SUB -TOTAL SALES TAX FRT /HNDLING AMOUNT DUE
INTERNET /IL 120.00 .00 15.06 135.06
fescribed 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
wham, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Uline Purchase Order No.
ATTN: Accounts Receivable
2200 S. Lakeside Drive Terms
Waukegan, IL
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/23/09 28199088 payment for lab supplies 135.06
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
�CHER NO. WARRANT NO.
ALLOWED 20
U rine IN SUM OF
ATTN: Accounts Receivable
2 200::5. Lakeside Drive
Waukegan, IL 60085
135.06
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
1110 28199088 390 -99 135.06 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
June 29 20-09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund