208752 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1
ONE CIVIC SQUARE INK HEADS
CARMEL, INDIANA 46032 PO BOX 501574 CHECK AMOUNT: $271.82
INDIANAPOLIS IN CHECK NUMBER: 208752
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4230200 6982 271.82 OFFICE SUPPLIES
INVOICE
/26/2012 Page 1 of 1
Invoice 982
IGUSt. ACCL 1V I
P.O.
Charge Sale
Ph: (317) 841 -8302
.Ink.HeadS Fax: (317) 841 -8304
`PO "Box 501574
Indianapolis, IN 46250
Sold To: Carmel Clay Parks Recreation S hip To:
1411 E. 116th St.
Carmel, IN 46032
Sales Person: Kevin Order Date: 4/25/2012 Ship Via:
Part Number Description Ordered Shipped Price Total
CT HPQ2612AHY HP Q2612A HY 3K 2 2 59.95 119.90
C HPC9391A HP 88 C HY 2 2 17.99 35.98
C HPC9392A HP 88 M HY 2 2 17.99 35.98
C HPC9393A HP 88 Y HY 2 2 17.99 35.98
C HPC9396A HP 88 BK HY 2 2 21.99 43.98
P urchase
D escriptio n
P.O.
I�.
Budoet Q
Line Descr OR �o 6 2012
Purchaser Date
Date
arms: NET 10 Sub Total $271.82
Contact: Sales Tax 7% $0.00
Dawn Koepper
(317) 573 -4026 Tota 2 7 1
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 (or note attached invoice(s) or bill(s)) PO Amount
4/26/12 6982 Printer ink toner 30700 271.82
Total 271.82
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
271.82
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 6982 4230200 271.82 1 hereby certify that the attached invoice(s), or
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
3 -May 2012
Signature
271.82 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund