177864 09/29/2009 a CITY OF CARMEL, INDIANA VENDOR: 354051 Page 1 of 1
ONE CIVIC SQUARE TECH DEPOT
1. PO BOX 33074 CHECK AMOUNT: $207.01
CARMEL, INDIANA 46032
HARTFORD CT 06150 CHECK NUMBER: 177864
CHECK DATE: 9/29/2009
DEPARTMENT AC COUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION
601 5023990 B09096326V1 207.01 6300.03
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invoice
g Customer ID: 060316076
by Office DEPOT Invoice 1309096326V1
Bill to: Ship to:
CITY OF CARMEL COURT HOUSE CITY OF CARMEL COURT HOUSE
t MICHELLE BREEDLOVE MICHELLE BREEDLOVE
78 WATER DEPT. 3450 WEST 131 ST
3450 WEST 131ST WATER DEPT.
WESTFIELD IN 46074 WESTFIELD IN 46074
.a g"C r E ...r x.� I
tnvo�ce Date,Customer,PO Tect►Deot Order Shipped 1/ia Terms Due Date
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91912009- 090909MB B09096326 UPSGROUND NF_T30 --10191200q
;Cost Center
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200 090909M B
ITEM DESCRIPTION QTY UNIT PRICE TOTAL
S4547003 Brother TN 550 toner cartridge 1 $71.14 $71.14
S4547005 Brother DR 520 drum kit 1 $135.87 $135.87
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Please Remit to: Subtotal: $207.01
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: $207.01
Payment Amount. $0.00
Total Amount Due: $207.01
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
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 9/21/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/21/2009 B09096326V $207.01
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
`3 X. S/P
Date Officer
VOUCHER 093001 WARRANT ALLOWED
354051 r IN SUM OF
ECHDEPOT
PD BOX 33074
HARTFORD, CT 06150 -3074 OpEvk
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
609096326Vi 01- 6200 -03 $207.01
Voucher Total $207.01
Cost distribution ledger classification if
claim paid under vehicle highway fund