169164 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1
ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE
L 0 1 CHECK AMOUNT: $213.18
CARMEL, INDIANA 46032 DEPT DET 2368
oN ip PO BOX 83689 CHECK NUMBER: 169164
CHICAGO IL 60696 -3689
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4230200 19695 3114121891 75.72 OFFICE SUPPLIES
x,125 4230200 19695 3114121892 137.46 OFFICE SUPPLIES
11NIVOICE; >pATE CUSTOMEW :.SUMMARY: INVOICE
y
1/17/09 DET 1045462 8011565225
EAS6'F.AY'BY` TERMS
PL :AMOUNT: DLIE
2/16/09 Net 3- Days 753.25
11 WDICE DETAIL
Staples Business Advantage, 500 Staples Drive, Framingham, MA 01702 Federal ID #:04 2896127
CARMEL CLAY PARKS RECREATION 1- 4 CARMEL CLAY PARKS RECREATION
PAULA SCHLEMMER ATTN: COURTNEY SCHLAEGEL
1411 E 116TH ST 1427 E 116TH ST
CARMEL, IN 46032 ��0v9 M
CARMEL, 46032
Bill to Account: 1018527 Ship to Account: MAINTENANCE
Budget Ctr: Invoice Number: 3114121891
P O Number: 19695 Release: Order: 7048825598 000 001
Ordered by: COURTNEY SCHLAEGEL Job: Order Date: 1/12/09
Wd r Unit Ship Unit x 11
Line Itein'INmber� scrip tion
Qt Qt Nleas Qt Price Price
1 681269 09 AAG YR ERASE WALL 48X32 3 EA 3 25.24 75.72
2 757125 Z -GRIP GEL RETR. .7MM BLK 3 3 DZ 11.86 .00
3 707038 RTS 756978 STAPLES 11 X1 7 PRINT 1 1 RM 18.16 .00
4 679524 8 -DIGIT DISPLAY CALCULATOR 3 3 EA 1.77 .00
5 707358 RECYCLED SMOOTH91 10001PK 2 2 PK 3.01 .00
6 BRTTZ231 TAPE LABEL 12MM BKIWE 2 2 EA 12.95 .00
7 TOP74880 PAD,LGL,8.5X11.75,12PK._WE 1 1 PK 35.50 .00
8 486330 STAPLES STD SHEET PROT 20OCT 1 1 BX 10.99 .00
reig ax: Tota l-
75.72_1
Total.: 75 '72:
Balance to follow
Backorder of 7048825598
Purchase
R CF,IV P c p 1 n
P dr f
JAN 2 9 2009 G.L.
Budget
Line Descr
B Purchaser Date c,
Approval
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
0007008 0048468 0000007
'1NV010E<DATE CIIST0MIER SIJNINIARY.>II�iV010E
1/17/09 DET 1045462 8011565225
P,LiEA Em.P..AY BY-:::TEFtll/l'S AIVkOUNT'<:D E .:'i.l
2/16/09 Net 30 Days 753.25
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: COURTNEY SCHLAEGEL
1411 E 116TH ST 1427 E 116TH ST
CARMEL, IN 46032 MAINTENANCE
CARMEL, IN 46032
Sill to Account: 1018527 Ship to Account: MAINTENANCE
Budget Ctr: Invoice Number: 3114121892
P 0 Number: 19695 Release: Order: 7048825598- 000 -002
Ordered by: COURTNEY SCHLAEGEL Job: Order Date: 1/12/09
r Unit ip� n1 x e
r.,
Lurie,.Item`Number Descri tion' Qt Qt` °Mews Qt` Price Price
2 757125 Z -GRIP GEL RETR. .7MM BILK 3 DZ 3 11.86 35.58
3 707038 RTS 756978 STAPLES 11X17 PRINT 1 RIM 1 18.16 18.16
4 679524 8 -DIGIT DISPLAY CALCULATOR 3 EA 3 1.77 5.31
5 707358 RECYCLED SM00TH #1 1000/PK 2 PK 2 3,01 6.02
6 BRTT7231 TAPE LABEL 12MM BKJWE 2 EA 2 12.95 25.90
7 TOP74880 PAD,LGL,8.5X11.75,12PK,WE 1 PK 1 35.50 35.50
8 486330 STAPLES STD SHEET PROT 20001 1 BX 1 10.99 10.99
refer ax:, o a
_`Total .131:48'-
Purchase
Description
P.O.
P rF
G-L_
Bud et
Line
f :LL Purchaser
Approva Data
JAN 2 Q 2009 Date t —o
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
0007009 0048468 0000008
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)) Amount
1/17/09 3114121891 Maintenance office supplies 19695 F 75.72
1117109 3114121892 Maintenance office supplies 19695 F 137.46
Total 213.18
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
213.18
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
19695 3114121891 4230200 75.72 1 hereby certify that the attached invoice(s), or
19695 F 3114121892 4230200 137.46 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
13 -Feb 2009
Signature
213.18 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund J