207504 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1
ONE CIVIC SQUARE INK HEADS
INDIANA 46032 PO BOX 501574 CHECK AMOUNT: $268.77
t
CARMEL
INDIANAPOLIS IN
CHECK NUMBER: 207504
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4230200 6835 164.85 OFFICE SUPPLIES
1081 4230200 6844 103.92 OFFICE SUPPLIES
9 V I NV OICE
3/7/2012 jPage 1 of 1
r I Invoice 835
ust. Acct. It I
P.O. IA0000092
Charge Sale
Ph: (317) 841 -8302
Ink Heads Fax: (317) 841 -8304
PO Box 501'574
Indianapolis,;IN`46250!
S old T Carmel Clay Parks Recreation hip To:
1411 E. 116th St. (BAR 112012
Carmel, IN 46032
BY........................
Sales Person: Kevin Order Date: 3/7/2012 Ship Via:
Part Number Description Ordered Shipped Price Total
CT HPCB436A HP CB436A 2K 3 3 54.95 164.85
P1 jrch-28E)
,..i.#
.;rc, a ^�r Date
nV2,l
a
arms: NET 10 Sub Total $164.85
Contact:'. Sales Tax 7% $0.00
Dawn Koepper
(317) 573 -4026 Total $1
Signed: Date:
9 INVOICE
3/13/2012 jPage 1 of'1
Invoice 6844
Cust W.
P:O.
Charge Sale
01-Cty -to Po Ph: (317) 841 -8302
Ink Heads 1 Fax: (317) 841 -8304
PO Box 501574 pc X0229 I 2
Indianapolis, IN 46250
1y1
S old T Carmel Clay Parks Recreation S hip T Orchard Park Elementary
1411 E. 116th St. 10404 Orchard Park Dr. S.
Carmel, IN 46032 Attn: Jennifer Holder
Carmel IN
Sales Person: Kevin Order Date: 3/12/2012 Ship Via:
Part Number Description Ordered Shipped Pricel Total
R HPC9361W HP 93 TC 4 4 14.991 59.96
R HPC9362W HP 92 BK 4 4 10.99 43.96
H urch ase
cpin
Po F
G.L. GO
Budc t
ine escr
MAR 15 2012 Purch ser Dat
Approjal
erms: NET 10
Sub Total $103.92
onlact. Sales Tax 7% $0.00
awn Koepper i
Total 1 03-92
17) 573 -4026
igned:
Date:
fi.
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.
364115 Ink Heads Terms
P.O. Box 501574
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/7/12 6835 Toner cartridges 164.85
3/13/12 6844 Ink cartridges OP 103.92
Total 268.77
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.
364115 Ink Heads Allowed 20
P.O. Box 501574
Indianapolis, IN 46250
In Sum of
268.77
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 1 108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 6835 4230200 164.85 1 hereby certify that the attached invoice(s), or
1081 -6 6844 4230200 103.92 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
22 -Mar 2012
Signature
268.77 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund