171077 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 361261 Page 1 of 1
ONE CIVIC SQUARE SHARP ELECTRONICS CORP
fe CHECK AMOUNT: $15.00
CARMEL, INDIANA 46432 DEPT CH 14286
PALATINE IL 60055-4288 CHECK NUMBER: 171077
CHECK DATE: 4116/2009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
1192 4353004 A109834 -561 15.00 COPIER.
Page 1 of I
SHARP INVOICE
INVOICE NUMBER INVOICE DATE CUSTOMER PO NUMBER
A109834 3/30 /2009 PAM
PLEASE DIRECT INQUIRIES TO:
317- 844 -0033
SHARP BUSINESS SYSTEMS PAYMENT TERMS TAX ID NO RETURNS WILL BE
7330 EAST 86th ST., SUITE 900 NET 10 13- 1968872 ACCEPTED WITHOUT PRIOR
INDIANAPOLIS, IN 46256 WRITTEN AUTHORIZATION
SOLD TO: 56I000357I SHIP TO: 5610003571 SHIP VIA: COMCARRIER
CITY OF CARMEL- DEPT OF COMMUNITY SERVICS CITY OF CARMEL- DEPT OF COMMUNITY SERVICS
ONE CIVIC SQUARE ONE CIVIC SQUARE
CARMEL, IN 46032 PAM
CARMEL, IN 46032
ORD SHIP B.O. U/M ITEM NUMBER DESCRIPTION UNIT PRICE AMOUNT
2- -2— -0 EA MX27NTBA- BLACK TONER CARTRIDGE 0.00 0.00
MACHINE ITEM DESCRIPTION SERIAL
5610007641 MX230ON SHARP 23 CPM COLOR MFP 75070278
PAM 571 -2444 ID -7641
$15.00 DELIVERY FEE
Q�
SUBTOTAL 0.00
FREIGHT 15.00
SALES TAX 0.00
TOTAL AMOUNT 15.00
Thank You For Your Business
f a-
PACKING SLIP MILLERK
SHAR ORDER NUMBER 201021 �'I`� IME 12:44:50PM
SHARP BUSINESS SYSTEMS SHIP VIA: UPS DATE: 3/27/2009
7330 E. 86TH STREET
INDIANAPOLIS, IN 46256
317 -844 -0033
CUSTOMER PO: PAM
SHIP TO: 5610003571 BILL TO: 5610003571
CITY OF CARMEL- DEPT OF COMMUNITY SERVICS CITY OF CARMEL- DEPT OF COMMUNITY SER'
ONE CIVIC SQUARE ONE CIVIC SQUARE
PAM CARMEL, IN 46032
CARMEL, IN 46032
PAM
317 -571 -2418
PACKAGES PICKED BY PACKED B7 COMPLETED 7TE SHIPPED SHIP CHARGE TARE
ORDER UM SHIP BO DESCRIPTION ITEM WH BIN
2 EA BLACK TONER CARTRIDGE MX27NTBA 5611 SUPPLY YR2 -E
FOR MACHINE MX230ON 75070278 5610007641 SHARP 23 CPM COLOR MFP
LOCATION 1 FIRST FLOOR LOCATION IN 2:
PAM 571 -2444 ID -7641
515.00 DELIVERY FEE
END OF ORDER
P. 01
TR A NS ACTION REPORT
MAR -27 -2009 FRI 01:08 PM
FOR: CITY OF CARMEL BCS 31757
DATE START RECEIVER TX TIME PAGES TYPE NOTE MII DP �c
MAR -27 01:08 PM 98440050 26" 1 SEND OK 818
TOTAL 26S PAGES 1
PACKING SLIP MILL
o z D* H A 1 1 0 1Z R x ORDER NUMBER 201021 TIME 12:44:50PM
SHARP BUSINESS SYSTEMS SHIP VIA: UPS DATE: 3/27/2009
7330 E. 86TH STREET
INDIANAPOLIS, IN 46256
317 844 0033
CUSTOMER PO: PAM
SHIP TO: 5610003571 BILL TO: 5610003571
CITY OF CARMEL- DEPT OF COMMUNITY SERVICS CITY OF CARMEL- DEPT OF COMMUNITY SER
ONE CIVIC SQUARE ONE CIVIC SQUARE
PAM CARMEL, IN 46032
CARMEL, IN 46032
PAM
317- 571 -2418
4 PACKAGES PICKED BY PACKED BY COMPLETED BY DATE SHIPPED S141P CHARGF TARF
ORDER UM SM BO DESCR TION ITEM W- RIN
2 EA BLACK TONER CARTRIDGE NMX27NTBA 5611 SUPPLY YR2 -E
FOR MACHINE MX2300N 75070278 5610007641 SHARP 23 CPM COLOR MFP
LOCATION 1 FIRST FLOOR LOCATIONIN 2:
PAM 571 -2444 ID -7641
$15.00 DELIVERY FEE
END OF ORDER
Prescribed 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/30/09 A109834 -561 freight/toner cartridge B &CS $15.00
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.
ALLOWED 20
Sharp Electronics Corporation
Sharp Business Systems
IN SUM OF
Dept. Ch 14288
Palatine, IL 60055 -4288
$15.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 A109834 561 43-530.04 $15.00 I hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
F a April 10, 2009
Director, DO
Titl
Cost distribution ledger classification if
claim paid motor vehicle highway fund