178878 10/28/2009 CITY OF CARMEL,-INDIANA VENDOR: 361528 Page 1 of 1
ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $258.05
CARMEL, INDIANA 46032 DEPT DET 2368
p PO Box 83689 CHECK NUMBER: 178878
CHICAGO IL 60696 -3689
CHECK DATE: 10/28/2009
DE PARTMENT ACCOUNT P NUM BER INVOICE NUMBER AMOUNT DESCRIPTION
hl 4230200 3125599936 59.00 OFFICE SUPPLIES
1125 4230200 3125599937 148.05 OFFICE SUPPLIES
:1047 4230200 3126159936 51.00 OFFICE SUPPLIES
INVOICE >:'DATE CIISTflMER SUMMARY NVOICE
10 03 09 DET 1045462 8013629009
11/02/09 Net 30 Days 207.05
I WOI CE DETAIL
Staples Business Advantage, 500 Staples Drive, Framingham, MA 01702 Federal ID #:04-2896127
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
PAULA SCHLEMMER ATTN: SERRA GARSKE
1411 E 116TH ST 1411 E 116TH ST
CARMEL, IN 46032 ADMINISTRATION OFFICE
CARMEL, IN 46032
Bill to Account: 1018527 Ship to Account: CARMEL
Budget Ctr: Invoice Number: 3125599936
P 0 Number: 22672 Release: Order: 92892564 -000 -001
Ordered by: SERRA GARSKE Job: Order Date: 9/29/09
Order r r: U n l t Unit x e
Line Item :Number r'. Descri t i on Qt Ot .::.Maas Ot Price •Price
1 513530 KEYBOARD PLATFORM 1 EA 1 59.00 59.00
rei ax:
Sub, o a
�aTotal 59_'00
rig
Or T
o
O C T 0 7 1009
fe
Purchase
Descriptlon A A
P.O. P
Q.L.�0
Una `l
Purchaser 1
APP-MG1 f) Date
Customer Service inquiries 800 693 -8080 Invoice Payment Inquiries 888- 753 -4104 Page: 1
Make checks payable to Staples Business Advantage, Dept DIET PO Box 83689, Chicago IL 60696--3689
0014708- 0053719 0000004
INVOICE :DATE .CUSTOMER SUmPAARY INVOICE.
10/03/09 DET 1045462 8013629009
11/02/09 Net 30 Days 207.05
t INVOICE DETAIL
Staples Business Advantage, 500 Staples Drive, Framingham, MA 01702 Federal ID #:04- 2896127
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
PAULA SCHLEMMER ATTN: SERRA GARSKE
1411 E 116TH ST 1411 E 116TH ST
CARMEL, IN 46032 ADMINISTRATION OFFICE
CARMEL, IN 46032
Bill to Account: 1018527 Ship to Account: CARMEL
Budget Ctr: Invoice Number: 3125599937
P 0 Number: 22672 Release: Order: 7056078011 000 -001
Ordered by: SERRA GARSKE Job: Order Date: 9/29/09 ndle
n,i ip m x e
Line Ttem Numbbi' Description :'pt p# Meas Qt °Price Price;'
1 683902 GEL MOUSEPAD WRISTREST 1 EA 1 13.81 13.81
2 342370 GEL WRIST REST SAPPHIRE 1 EA 1 16.79 16.79
3 503707 HP 02613A BLACK TONER 2 EA 2 56.45 112.90
4 270108 CARD FILE PET 125 2.25X4 BK 1 EA 1 4.55 4.55
reig ax o a
W
148' -05
a
i Q 7' 2009
Purchase c Eli
Description
P.O. 11 Q 0 O or F (1 O
o.L: /Q5 g 2WWO
Budg
une Descx
Purchaser Date
Approval Date
Customer Service inquiries 800 693 -8080 Invoice Payment Inquiries 888 753 4104 Page: 1
Make checks payable to Staples Business Advantage, Dept DIET PO Box 83689, Chicago IL 60696 -3689
0014709- 0053719- 0000005
INVOICE DATE <CUSTOMER SUMMARY INVOICE
10 10 09 DET 1045462 8013699329
11 09 09 Net 30 Days 51.00
INVOICE OICE DETAIL
Staples Business Advantage, 500 Staples Drive, Framingham, MA 01702 Federal ID #:04- 2896127
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
PAULA SCHLEMMER ATTN: MANDY SPADY
1411 E 116TH ST 1235 CENTRAL PARK DR EAST
CARMEL, IN 46032 MONON CENTER
CARMEL, IN 46032
Bill to Account: 1018527 Ship to Account: MONON CENTER
Budget Ctr: Invoice Nai-er: 3126159936
P 0 Number: 22656 Release: Order: 7055993790-000 -002
Ordered by: MANDY SPADY Job: Order Date: 9/2.5/09
U rcle r, r- nat xp n�:. x,
Line Item Number Qt
°Qtyr Meas Oty Rcce Price
2 610273 X- STAMPER PKT STAMP 9/16'X2' 2 EA 2 25.50 51.00
?1500212?
reig ax:. Sub-Total
a
Total: 51.00:
Backorder of 7055993790
Purchase
Descriptlon S
P.O. IF P o0F I o
Tall
Bud at
uher vu OCT i 9 2009
plmchaser, Date
Approv Date
Customer Service inquiries 800- 693 -8080 Invoice Payment Inquiries 888 753 -4104 Page: 1
Make checks payable to Staples Business Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689
0012666 0046932 0000004
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.
361528 Staples Business Advantage Terms
Dept DET 2368
P.O. Box 83689
Chicago, IL 60696 -3689
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
22672 59.00
1013109 3125599936 Office supplies AO 148.05
1013109 3125599937 Office supplies AO 22672 F
22656 F 51.00
10/10/09 3126159936 Office supplies MC
Total 258.05
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
1 20_
Clerk- Treasurer
Voucher No. Warrant No.
361528 Staples Business Advantage Allowed 20
Dept DIET 2368
P.O, Box 83689
Chicago, IL 60696 -3689 In Sum of
258.05
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 104 Program fund
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1125 3125599936 4230200 59.00 1 hereby certify that the attached invoice(s), or
1125 3125599937 4230200 148.05 bill(s) is (are) true and correct and that the
1047 3126159936 4230200 51.00 materials or services itemized thereon for
which charge is made were ordered and
received except
22 -Oct 2009
Signature
258.05 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund