178884 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 354051 Page 1 of 1
ONE CIVIC SQUARE TECH DEPOT CHECK AMOUNT: $176.90
CARMEL, INDIANA 46032 PO BOX 33074
w. oN a HARTFORD CT 06150 CHECK NUMBER: 178884
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
`601 5023990 09106068V1 176.90 OTHER EXPENSES
T `C DE POT® I nvoice
Customer ID: 060316076
by Offi DE POT.
Invoice B09106068V1
Bill to: Ship to:
CITY OF CARMEL CITY OF CARMEL
MICHELLE BREEDLOVE MICHELLE BREEDLOVE
CITY IF CARMEL 3450 W 131ST ST
1 CIVIC SQ DISTRIBUTION/COLLECTIONS
CARMEL IN 46032 -2584 WESTFIELD IN 46074 -8267
,,''Inva>ice Date' y Customer °PO Ted, Depot Order# Shi'
p
ed 'Terms° Due Date
1018/2009 090909MB 809106068 Ur'SGROJND NET30
ta g at v
648 090909M B
ITEM DESCRIPTION QTY UNIT PRICE TOTAL
S7467770 Brother TN 620 toner cartridge 1 $58.95 $58.95
S7467769 Brother DR 620 drum kit 1 $117.95 $117.95
Please Remit to: Subtotal: $176.90
PO Box 33074 Discount: $0.00
Hartford, CT 06150 -3074
tel (800} 937 -3559 Shipping &Handling: $0.00
SalesTax: $0.00
Misc: $0.00
Please include invoice on all remittances. Invoice Total. $176.90
Payment Amount: $0.00
Total Amount Due: $176.90
THANK YOU FOR YOUR ORDER!
Solutions4SURE.com (dba Tech Depot) is a Corporation. Federal Taxpayer Identification (TIN or FEIN #061526627
10
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER F.
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354051
TECHDEPOT Purchase Order No.
PO BOX 33074 Terms
HARTFORD, CT 06150 -3074 Due Date 10/21/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/21/2005 09106068V1 $176.90
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
Date Officer
VOUCHER 093394 WARRANT ALLOWED
354051 IN SUM OF
TECHDEPOT
PQ BOX 33074
H RTFORD, CT 06150 -3074
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
09106068V1 01- 6200 -03 $176.90
J Voucher Total $i 76.90
Cost distribution ledger classification if
claim paid under vehicle highway fund