171094 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1
a ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $1,742.03
CARMEL, INDIANA 46032 DEPT DIET 2368
}Fow.2o. PO BOX 63669 CHECK NUMBER: 171094
CHICAGO IL 60696 -3689
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4230200 3116777102 128.50 OFFICE SUPPLIES
1047 4230200 3116777.103 1,588'.03 OFFICE SUPPLIES
1047 4230200 3117039475 25.5E OFFICE SUPPLIES
INVOICE DATE. >CUST,OMER SUMMARY:': INVOICE
3/21/09 DET 1045462 8012079209
PI EASE. PAY .BY..< TERMS ..AMOQNT: DUE
4/20/09 Net 30 Days 267.17
IV Y. OI CEi 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 Number: 3117039475
P 0 Number: 3/9/09 Release: Order: 7050471133-000 002
Ordered by: MANDY SPADY Job: Order Date: 3/09/09
Order i0rder ni ip, nit x e
Line Item Number Descri pt ion` Q Q Mess' Qty Price Price.
21 610273 X- STAMPER PKT STAMP 9116 °X2' 1 EA 1 25.50 25.50
?1292755?
F reight: ax o a
Total 25_.50
Backorder of 7050471133
Purchase
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Purchaser patA
gpprovai BY
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
0018272 0044303 0000005
aNV010E: DATE Ct1STOMER' S.UIMMARY INVOICE
y 3/14/09 DET 1045462 8012025958
PLEASE "::PAY BY: TERMS AM Ultl: DUE
4/13/09 Net 30 Days 1,716.53
11WOICsE 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 Number: 3116777103
P 0 Number: 3/9/09 Release: Order: 7050471133 -001
Ordered by: MANDY SPADY Job: Order Date: 3/09/09
Orde urder 13/0 Unit Ship U nit lERTe
Line Item Number Description Oty Qty Meas Oty Price Price
1 729554 STPL FILE FLDR HANG LAM 113LTR 2 BX 2 13.04 26.OB
AUDREY
2 418335 5.251N FILE PCKT LTR SRN 10 2 BX 2 11.38 22.76
3 480114 144CT SMALL BINDER CLIPS 1 BX 1 1.15 1.15
4 395200 BINDER CLIPS MEDIUM 144CT 1 BX 1 3.69 3.69
5 657187 SPLS SOFTGRIP MED CLP BLK 1 2C 4 PK 4 2.79 11.16
6 135848 SPLS 8.5X11 COPY CS 5 Cl 5 31.45 157.25
7 614587 TONER COLOR LASER LJ 4700 YEL 1 EA 1 253.99 253.99
8 614584 TONER LASER LJ 4700 BLACK 1 EA 1 178.99 178.99
9 614585 TONER COLOR LASER LJ 4700 CYAN 1 EA 1 253.99 253.99
10 614589 TONER COLOR LASER LJ 4700 MAG 1 EA 1 253.99 253.99
11 643160 HP 49A TONER 2 PK 2 PK 2 122.99 245.98
12 395894 ROUND STIC GRIP BP FINE BLUE12 1 DZ 1 1.48 1.48
13 037927 SHARPIE FINE INDUSTRIAL BK DZ 1 DZ 1 8.96 8.96
14 502677 FOLDER DT 113CUT MANILA 250 CT 2 BX 2 31.35 62.70
15 633352 DUST -OFF 100Z 2PK 2 PK 2 10.29 20.58
16 519018 STAPLES CORRECTION TAPE 10PK 1 PK 1 8.99 8.99
17 487493 ENVELOPE CLASP 9X12 KRAFT 1 BX 1 14.49 14.49
18 113324 INDEX TAB LASER INSERTABLE 1' 3 PK 3 2.49 7.47
19 486803 TAPE LABEL 12MM BKIWE 4 EA 4 12.95 51.80
20 711762 121N FINGER GRIP RULER 1 EA 1 1.05 1.05
21 610273 X- STAMPER PKT STAMP 9116 "X2' 1 1 EA 25.50 .00
?1292755?
22 612668 PEN ROUND STIC GRIP PURPLE 1 DZ 1 1.48 1.48
Freight lax:( o a
Total.: 15'88.03
Balance to follow
Purchase l�
Description
or F
G1. I�
Budget
MAR
Una escr S' 2009
Purchaser 1
Approv Datil
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
0000454 0044622 0000005
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized
rate per hourknumbe srvice, where
price per etc.
dates service rendered, by
whom, rates per day, number of hours,
Payee Purchase Order No.
Terms
361528 Staples Business Advantage
Dept DET 2368
P.O, Box 83689
Chicago, IL 60696 -3689
Invoice invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
PO 20219 128.50
3114/09 3116777102 Office supplies 25.50
3/21/09 3117039475 Office supplies 20260 F 1,588.03
3/14/09 3116777103 Office supplies
Total 1,742.03
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 DET 2368
P.O. Box 83689
Chicago, IL 60696 -3689 In Sum of
1,742.03
ON ACCOUNT OF APPROPRIATION FOR
101 General funs! 104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 3116777102 4230200 128.50 1 hereby certify that the attached invoice(s), or
1047 3117039475 4230200 25.50 bill(s) is (are) true and correct and that the
1047 3116777103 4230200 1,588.03 materials or services itemized thereon for
which charge is made were ordered and
received except
8 -Apr 2009
Signature
1,742.03 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund