177405 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1
ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $753.63
CARMEL, INDIANA 46032 DEPT DET2368
'fib"t6 PO BOX 83689 CHECK NUMBER: 177405
CHICAGO IL 60696 -3689
CHECK DATE: 9/1512009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4230200 3123511119 128.60 OFFICE SUPPLIES
1047 4463200 3123783682 625.03 COMPUTER EQUIPMENT
(INVOICE' >DATE CL1ST0MER w MMARY. >11NV:OICE:
8/15/09 DET 1045462 8013239651
A
9/14/09 Net 30 Days 234.44
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: 3123511119
P O Number: 22414 Release: Order: 7054720794 -000 001
Ordered by: SERRA GARSKE Job: Order Date: 8/12/09
r U rder B7U Unit Ship Unit Exte
Line Item Number Description Qty Oty Meas Qty Price Price
1 135848 SPLS 8.5X11 COPY CS 1 CT 1 31.45 31.45
2 472506 JMB PAPER CLIP 1000CT STAPLES 1 PK 1 .45 .45
3 162099 TAB DIVID WRITE ON STAB WE 8 ST 8 1.16 9.28
4 520064 BINDER VIEW 1 WE 8 EA 8 2.35 18.80
5 503707 HP 02613A BLACK TONER 1 EA 1 56.45 56.45
6 127035 SPLS 8.5X14 COPY RM 2 Rho 2 5.51 11.02
7 480114 144CT SMALL BINDER CLIPS 1 PK 1 1.15 1.15
F reight: ax o a
Total: 128.60
Purchase
Description OFFICE f)U h PLt 5 A C
P.O.# y 14 port) No C.T
G,L. 1Q,5 405IX�QQ
Budget
Line Descr QFG__5� �ipf ies
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
0018599- 0044453- 0000005
1N\l()ICE DA7l CUSTOMER Sl1N1MARY: <:IIVVQICE
8/22/09 'I DET 1045462 8013293077
I;w
9 21 09 Net 30 Days 757.78
II VOICE 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: SANDRA YOUNG
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 Number: 3123 783682
P 0 Number: 22454 Release: Order: 7054890453 000 001
Ordered by: SERRA GARSKE Job: Order Date: 8/18/09
Line
I tern Nimiber Descr.i t i on Order.
t qt Maas': p Price. .P
m x
'Price
1 800737 HP G60 -441US NOTEBOOK PC 1 EA 1 625.03 625.03
F reight:, ax o a
Total' 625:03
Purchase
DescriAtion LA(�T(_N P Nj C: 7A Q�' ,1 a,r P.Q. I Pa,��o 2 8 1009
G.L. 4 goo ioo
Budget
Line Descr YY7.'�• P/
Purchaser
Approval b
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
0016912 0044218 0000004
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An inv6ice 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
22414 F 128.60
8115109 3123511119 Office supplies AO 625.03
8122109 3123783682 Laptop MC 22454 F
Total 753.63
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
Voucher No. Warrant No.
361528 Staples Business Advantage Allowed 20
Dept DET 2368
P.O. Box 83689
Chicago, IL 60696 -3689 In Sum of
753.63
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 3123511119 4230200 128.60 1 hereby certify that the attached invoice(s), or
1047 3123783682 4463200 625.03 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
10 -Sep 2009
G. LLL��
Signature
753.63 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund