207923 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1
ONE CIVIC SQUARE INK HEADS
CARMEL, INDIANA 46032 PO BOX 501574 CHECK AMOUNT: $182.66
INDIANAPOLIS IN CHECK NUMBER: 207923
CHECK DATE: 411 012 01 2
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4230200 6839 173.85 OFFICE SUPPLIES
1081 4230200 6875 9.01 OFFICE SUPPLIES
I 311312012 Page 1 of 1
V In v_gic e 6839
Cust. Acct.
P.O.
Charge Sale
Ph: (317) 841 -8302
Ink Heads Fax: (317) 841 -8304
PO-Box�
Ind ianapolisAN 46250
Sold To: Carmel Clay Parks Recreation hip TOE Forest Dale Elementary
1411 E. 116th St. 10721 Lakeshore Dr. W
Carmel, IN 46032 Carmel IN
46032
Sales Person: Kevin Order Date: 3/9/2012 Ship Via:
Part Number Description Ordered Shi pped Price Total
CT HPCE321A HP CE321A C 1.3K 1 1 57.95 57.95
CT HPCE322A HP CE322A Y 1.3K 1 1 57.95 57.95
CT HPCE323A HP CE323A M 1.3K 1 1 57.95 57.95
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G.L.
udge I
Line.Descr-
Purchaser
Approv -a e
OEM[ %�:P-Loj-u 1
Vp
i
i
i
(Terms: NET 10
Sub Total $173.85
Contact: Sales Tax 7% $0.00
Dawn Koepper
(317) 573 -4026 Total
Signed: Date:
INVOICE
3/22/2012 Page 1 of 1
Invoice 168 75
Gust. Acct
P.O.
Charge Sale
InR.Heads Ph: (317) 841 -8302
To Box: 501574 Fax: (317) 841 -8304
Indianapolis,
sold To: Carmel Clay Parks Recreation Ship To: 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: 3/21/2012 Ship Via:
Part Number Description Ordered Shi pped Price Total
R HPC9361 W HP 93 TC -4 4 14.99 -59.96
O HPC9361WN HP 93 TC 3 3 22.99 68.97
Pu
lass
D1111 en :�s 7 c y�
Po
t
Line_
Purchaser
Dated =f-i'
ens: NET 10 Sub Total $9.01
Contact: Sales Tax 7% $0.00
Dawn Koepper Q
(317) 573 -4026 T otal 9
Signed: Date:
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 (of note attached invoice(s) or bill(s)) PO Amount
3/13/12 6839 Supplies FD 173.85
3/22112 6875 Supplies 9.01
Total 182.86
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.
364115 Ink Heads Allowed 20
P.O. Box 501574
Indianapolis, IN 46250
In Sum of
182.86
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO# or INVOICE NO. ACCT#1TITLE AMOUNT Board Members
Dept
1081 -4 6839 4230200 173.85 1 hereby certify that the attached invoice(s), or
1081 -6 6875 4230200 9.01 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
5 -Apr 2012
Signature
182.86 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund