173045 05/27/2009 a CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1
ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $172.93
CARMEL, INDIANA 46032 DEPT DET2368
PO BOX 83689 CHECK NUMBER: 173045
CHICAGO IL 60696 -3689
CHECK DATE: 512712009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
1047 4238000 3118858651 149.75 SMALL TOOLS MINOR E
1125 4230200 3118858651 23.18 OFFICE SUPPLIES
r
INVOICE. DATE..:!::CUSTOMEI9 SUMMARY'':INVOICE.
5/02/09 DET 1045462 8012406722
6/01/09 Net 30 Days 172.93
IWOIC.E 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: 3118858651
P 0 Number: 20772 Release: Order: 7051902837 000 001
Ordered by: SERRA GARSKE Job: Order Date: 4/29/09
r r
Order Unit ..Ship Unit x
Line 'Item Number 'Description Qt Qt Meas< -0# Price Price
1 490317 WRIST COIL 5 PACK BLACK 25 BX 25 5.99 149.75
2 ESSDDF40X FILE,EVEAYDAY,CLR TAB 1 EA 1 23.18 23.18
F reight ax,. Sub-Total:
Total- 172.93
Purchase
P Olt Nd
Bud c
Line es
cr1�J i
D ate.___�_
Purchaser Date----
APPMV
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
0002562- 0051613 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
512109 3118858651 Office supplies 20772 23.18
512109 3118858651 Office supplies 20772 149.75
Total 172.93
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.
361528 Staples Business Advantage Allowed 20
Dept DIET 2368
P.O. Box 83689
Chicago, IL 60696 -3689 In Sum of
172.93
ON ACCOUNT OF APPROPRIATION FOR
101 General fund 104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 3118.858651 4230200 23.18 1 hereby certify that the attached invoice(s), or
1047 3118858651 4238000 149.75 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
21 -May 2009
Signature
172.93 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund