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Home My WebLink About208877 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1 F ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $2,220.91 CARMEL, INDIANA 46032 DEPT DIET PO BOX 83689 CHECK NUMBER: 208877 CHICAGO IL 60696 -3689 CHECK DATE: 5/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1301 4230200 3173026147 240.82 OFFICE SUPPLIES 2201 4230200 3173026148 203.28 OFFICE SUPPLIES 2201 4463000 3173026148 294.62 FURNITURE FIXTURES 2201 4464000 3173026148 375.25 OFFICE EQUIPMENT 1081 4239039 3173026149 35.41 GENERAL PROGRAM SUPPL 1125 4230200 3173026150 149.99 OFFICE SUPPLIES 1125 4230200 3173026151 5.29 OFFICE SUPPLIES 651 5023990 3173373745 43.02 OTHER EXPENSES 1081 4239039 3173373746 68.07 GENERAL PROGRAM SUPPL 1125 4230200 3173373747 42.12 OFFICE SUPPLIES 1110 4230200 31733773744 216.99 OFFICE SUPPLIES 1110 4239099 31733773744 54.78 OTHER MISCELLANOUS 1701 4230200 3173732536 491.27 OFFICE SUPPLIES ANV0ICE::{3A sm 4/14/12 DET 1061088 8021602866 5/14/12 Net 30 Days 1,113.97 EW 01 CE DETAIL Staples Advantage Federal ID #:04- 3390816 .CITY OF CARMEL -NJPA CITY OF CARMEL JIM SPELBRING ATTN: BONNIE LEWIS 1 CIVIC SQUARE 1 CIVIC SQUARE CARMEL, IN 46032 DELIVER BY 4PM CARMEL, IN 46032 Bill to Account: 1030382 Ship to Account: 1 CIVIC SQUARE Budget Ctr: 130 CITY COURT Invoice Number: 3173026147 P 0 Number: Release: Order: 7084520730 000 -001 Ordered by: BONNIE LEWIS Job: Order Date: 4/10/12 Urder order Unit ip m Line Item .Number Description 0 0 Meas 0 Price Price. 1 804574 HP CE255A BLACK TONER 2 EA 2 120.41 240.82 rei ax Sub-iota]: Total: 240.82 Customer Service inquiries 877 826 -7755 Invoice Payment Inquiries 888 753 -4104 Page: 1 Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689 0014867. 0032983- 0000003 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) CITY OF CARMEL An invoice or 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 d SfiA PL- 1 ��.n �—`I e_' Purchase Order No. LDS P r 06� r ,moo 9' rci Terms r 11 A&0 �L (O Date Due Invoice Invoice Description Amount P atq Number (or note attached invoice(s) or bill(s)) _r0/ OF Total c o 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. ALLOWED 20 3 A PA IN SUM OF DUMP F,3 A ICA 60 ON ACCOUNT OF APPROPRIATION FOR 1A- I-,) Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1 36) 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 20 Si d ;7 Cost distribution ledger classification if TI claim paid motor vehicle highway fund )NV.OICE >DATE CUSTOMER SUMMARY ::INVOICE:: wo 4/14/12 DET 1061088 8021602867 5/14/12 Net 30 Days 190.69 INVOICE DETAIL Staples Advantage Federal ID #:04- 3390816 CARMEL CLAY PARKS AND RECREATION PRAIRIE TRACE ELMENTARY SCHOOL PAULA SCHLEMMER ATTN: DAWN KOEPPER 1411 E 116TH ST 14200 N RIVER RD CARMEL, IN 46032 MEAGAN DECKER CARMEL, IN 46033 Bill to Account: 1030597 Ship to Account: PRAIRIETRC ELEM Budget Ctr: 1081 -7- 4230200 PRAIRIE TRACE ELEMENTARY Invoice Number-: 3173026149 P 0 Number: E0002359 Release: Order: 7084569006 000 -001 Ordered by: DAWN KOEPPER Job: Order Date: 4/11/12 ended Line Itete.Number- ;Descri tion ,Qt Qt Meas -'`Qt Price Price 1 356332 POWEREXTREME ELEC SHARPENER 1 EA 1 34.99 34.99 2 771352 STPL ARRWHD CAP ERASER ASST 12 1 DZ 1 .42 .42 rei aoc c o a 35.4i'�' APR 3 2012 Purchase Descriptions P.O. 48 UCC P F G. L. 10 7 H► 3 Ci C) 9 Budget Line Descr r�l II %r Y, 3M fx) p «s Purchaser Date Approval Dgtc Customer Service inquiries 877 826 -7755 Invoice Payment Inquiries 888- 753 -4104 Page: 1 Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689 0008393 0042654 0000003 LNV:OICE:::DATE CUSTOMER SUMMARY:INVOICE. 4/14/12 DET 1061088 8021602867 5/14/12 Net 30 Days 190.69 INVOICE DETAIL Staples Advantage Federal ID #:04- 3390816 CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL PAULA SCHLEMMER ATTN: DAWN KOEPPER 1411 E 116TH ST 1411 E 116TH ST CARMEL, IN 46032 CARMEL, IN 46032 Bill to Account: 1030597 Ship to Account: 1411 E 116TH ST Budget Ctr: 1125 100 010 4230200 ADMINISTRATION Invoice Number: 3173026150 P 0 Number: Release: 30619 Order: 7084458738 -000 -001 Ordered by: DAWN KOEPPER Job: Order Date: 4/09/12 tem Qty Qt Meas Qt Price Price -.Line �I Numbe r Descr..,i t i on 1 870264 12SHEET CROSSCUT HIGHSPEED SDR 1 EA 1 149.99 149.99 Freight 149:99' APR 3 201 Purchase BAY`: Purchase r a��& P.O.# 30&1 q P oF G.L. I dS 1 DD, I I cZ��c11`�(� Line bescr qAC' C �aU.I` W 5 Purchaser Date Approval- Customer Service inquiries 877 826 -7755 Invoice Payment Inquiries 888 753 -4104 Pagel 1 Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689 0008394 0042654- 0000004 LNVOICE<UATE CUSTOMER SUN[MARYINVOICE: 4/14/12 DET 1061088 8021602867 5/14/12 Net 30 Days 190.69 INVOICE DETAIL Staples Advantage Federal ID #:04- 3390816 CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL PAULA SCHLEMMER ATTN: DAWN KOEPPER 1411 E 116TH ST 1411 E 116TH ST CARMEL, IN 46032 CARMEL, IN 46032 Bill to Account: 1030597 Ship to Account: 1411 E 116TH ST Budget Ctr: 1125 100 -010- 4230200 ADMINISTRATION Invoice Number: 3173026151 P 0 Number: A0000095 Release: Order: 7083788107 000 -002 Ordered by: DAWN KOEPPER Job: Order Date: 3/20/12 Urde 1 .:P r� ni, ip ni x Liner Item' Number� °Descri ton Qt Qt Mess "Qt Price Price 12 860821 50 WATT BULBRITE HALOGEN DESK I EA 1 5.29 5.29 rei ax Sub Tota l.: N: Total 5.29 Backorder of 7083788107 rte) 5 za 777 APR 2 3 Purchase Description IC!E OU PPLIeC P.O.# AOW--0O95 PorF G.L.# Budget Line 1�1 a bescr l�1 Purchaser Date Approval Customer Service inquiries 877 826 -7755 Invoice Payment Inquiries 888 753 -4104 Page: 1 Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689 0008395 0042654- 0000005 INVOICE DATE CUSTOMER SUhAMARY::INVOICE 4/21/12 DET 1061088 8021665052 5/21/12 Net 30 Days 110.19 INVOICE DETAIL Staples Advantage Federal ID #:04- 3390816 CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL PAULA SCHLEMMER ATTN: DAWN KOEPPER 1411 E 116TH ST 1411 E 116TH ST CARMEL, IN 46032 CARMEL, IN 46032 Bill to Account: 1030597 Ship to Account: 1411 E 116TH ST Budget Ctr: 1125 100 010 4230200 ADMINISTRATION Invoice Number: 3173373747 P 0 Number: 30619 Release: Order: 7084212966 000 003 Ordered by: DAWN KOEPPER Job: Order Date: 4/02/12 r r Order Unit Ship Unit ERT005T] Line Item Number Description Qty Oty Meas Qty Price Price 5 556359 GUST SELF INK STAMP314X1 -7/81N 2 LA 2 21.06 42.12 ?2632685? Freight: ax .0000 *A) .00 Sub-Total: Total:. 42.12 Backorder of 7084212966 Item H 751262 is currently not avialable for purchase A sub item k 895419 Please contact Customer Service for further assistance PE APR 2 7 1012 ft 1306 P O(F) i rchese r.rc�on C'- i�l'f�2J'7�tk1i 62 1 4930 00 �ascr �1CQ��11 d :�zser Date oval Date Customer Service inquiries 877 826 -7755 Invoice Payment Inquiries 888 753 -4104 Page: 1 Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689 0000136 0033326 0000004 INVOICE... DATE CUSTOMER `i: SUMMARY:::INVOfCE: 472 12 DET 1061088 8021665052 WON 5/21/12 Net 30 Days 110.19 INVOICE DETAIL Staples Advantage Federal ID #:04- 3390816 CARMEL CLAY PARKS AND RECREATION CARMEL ELEMENTARY SCHOOL PAULA SCHLEMMER ATTN: DAWN KOEPPER 1411 E 116TH ST 101 4TH AVE SE CARMEL, IN 46032 ATTN: SHAVONNE HOLTON CARMEL, IN 46032 Bill to Account: 1030597 Ship to Account: CARMEL ELEM SCH Budget Ctr: 1081 1 4230200 CARMEL ELEMENTARY Invoice Number: 3173373746 P 0 Number: E0002376 Release: Order: 7084852069 000 001 Ordered by: DAWN KOEPPER Job: Order Date: 4/19/12 r r Order Unit Ship m xt ended Line Item Number Description Qty Oty Meas Oty Price Price' 1 821767 GLOVES VINYL POWDER -FREE LG 2 BX 2 3.54 7.08 2 554359 EXPO LO CHSL ASST 12 1 PK 1 12.03 12.03 3 116657 3 -TAB FLDR LTR MANILA 100 1 BX 1 7.41 7.41 4 135848 SPLS 8.5X11 COPY CS 1 CT 1 35.77 35.77 5 187013 ENV COMM 24LB #10 WE 1 BX 1 5.78 5.78 rei ax .0000 1 .00 Sub-Tota Total: 68.07 P 7:7TR Purchase APR 2 7 2011 Description P.O. ]BY: G.L.# 1081 -1- 42 MO39 Budget t Line Descr �r�r ilfl� 1' /1(�IC Purchaser Date Approval Date J./-wj Customer Service inquiries 877 826 -7755 Invoice Payment Inquiries 888 753 -4104 Page: 1 Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689 0000135- 0033326 0000003 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. 361528 Staples Business Advantage Terms Dept DET 2368 P.O. Box 83689 Chicago, IL 60696 -3689 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4/14/12 3173026149 Pencil sharpener 35.41 4/14/12 3173026150 Shredder 30619 149.99 4114112 3173026151 Office supplies 5.29 4/21/12 3173373747 custom stamps 30619 42.12 4/21/12 3173373746 Supplies CE 68.07 Total 300.88 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. 361528 Staples Business Advantage Allowed 20 Dept DET 2368 P.O. Box 83689 Chicago, IL 60696 -3689 In Sum of 300.88 ON ACCOUNT OF APPROPRIATION FOR 101 General 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -7 3173026149 4239039 35.41 1 hereby certify that the attached invoice(s), or 1125 3173026150 4230200 149.99 bill(s) is (are) true and correct and that the 1125 3173026151 4230200 5.29 materials or services itemized thereon for 1125 3173373747 4230200 42.12 which charge is made were ordered and 1081 -1 3173373746 4239039 68.07 received except 3 -May 2012 Signature 300.88 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund INVOICE :DATE CUSTOMER .SUMMARY :::INVOICE. 4/21/12 DET 1061088 8021665051 5/21/12 Net 30 Days 314.79 INVOICE DETAIL Staples Advantage Federal ID #:04- 3390816 CITY OF CARMEL -NJPA CITY OF CARMEL JIM SPELBRING ATTN: ROBERT ROBINSON 1 CIVIC SQUARE 3 CIVIC SQUARE CARMEL, IN 46032 DELIVER BY 4PM CARMEL, IN 46032 Bill to Account: 1030382 Ship to Account: 3 CIVIC SQUARE Budget Ctr: 110 POLICE DEPARTMENT Invoice Number: 3173373744 P 0 Number: Release: Order: 7084883347 000 001 Ordered by: ROBERT ROBINSON Job: Order Date: 4/20/12 r Order nit Ship Unit ETf5F06aFj Line 'Item Number Description Oty Oty Meas Qty Price Price 1 389085 PUFFS FLT -BX FACIAL TISSUE 1 CT 1 54.78 54.78 2 878738 INDX DIVIDR MKR 8TAB UP LTR WH 3 PK 3 21.84 65.52 3 492072 SPLS 8.5X11 30% REC COPY CS 2 CT 2 37.74 75.48 4 333054 1OPK 5.25 EXP. LTR. WALLET 3 BX 3 25.33 75.99 Freight: ax: .00100%) .00 Sub-Total: Total: 271.77 Customer Service inquiries 877 826 -7755 Invoice Payment Inquiries 888 753 -4104 Page: 1 Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689 0000131 0033325 0000003 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04/21/12 31733773744 kleenex $54.78 04/21/12 3173373744 office supplies $216.99 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. ALLOWED 20 Staples Advantage Detp DET IN SUM OF P.O. Box 83689 Chicago, IL 60696 -3689 $271.77 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 31733773744 42- 390.99 $54.78_ I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1110 3173373744 42- 302.00 $216.99 materials or services itemized thereon for which charge is made were ordered and received except Wednesday, May 02, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund INVOICE; DATE CUSTOMER SUMMARY INVOICE 4/14/12 DET 106 8021602866 5/14/12 Net 30 Days 1,113.97 INVOICE DETAIL Staples Advantage Federal ID #:04- 3390816 CITY OF CARMEL -NJPA CITY OF CARMEL JIM SPELBRING ATTN: BONNIE CALLAHAN 1 CIVIC SQUARE 3400 W 131ST ST CARMEL, IN 46032 DELIVER BY 4PM CARMEL, IN 46074 Bill to Account: 1030382 Ship to Account: 3400 W 131ST ST Budget Ctr: 201 STREET DEPT Invoice Number: 3173026148 P 0 Number: Release: Order: 7084518474 000 -001 Ordered by: BONNIE CALLAHAN Job: Order Date: 4/10/12 r r m= z ip,� Unit Ex tencledl Line 'Item Number` Description- Q qt Meas Qt `Price Price 1 768864 TABLE 18X72 FOLDING MAHOGANY 2 EA 2 147.31 294.62 2 719627 LAMINAT SHT SELFADHSVE 9X12 10 3 PK 3 5.78 17.34 3 648083 XEROX DOCUMATE 152 AUTO DOC 1 EA 1 375.25 375.25 4 260604 ENV COMM 24LB #10 RECY WE 1 BX 1 15.00 15.00 5 122374 COPYPLUS 8.5X11 COPY CS 3 CT 3 47.24 141.72 6 689309 POST -IT 1.5X2 PASTEL 24 1 PK 1 12.50 12.50 7 893503 PAPERMATE 300 BP BLACK FINE DZ 1 DZ 1 5.15 5.15 8 816187 Z -1 STICK BP PEN 1 DZ 1 6.58 6.58 9 859783 ENERGEL PINK RIBBN BILK MED 3PK 1 PK 1 4.99 4.99 rei ax- o a Total.:- 873 U3 0) Customer Service inquiries 877 826 -7755 Invoice Payment Inquiries 888 753 -4104 Page: 1 Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689 0014868- 0032983- 0000004 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04/14/12 8021602866 $375.25 04/14/12 8021602866 $203.28 04/14/12 8021602866 $294.62 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. ALLOWED 20 Staples Advantage Dept DET IN SUM OF P O Box 83689 Chicago, IL 60696 -3689 $873.15 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT A Board Members 2201 X802=1601 6 2201 -640.0 $375.25 1 hereby certify that the attached invoice(s), or 2201 8021602866- 42- 302.00 $203.28 _,y bill(s) is (are) true and correct and that the 2201 802i1 86'6 2201 630.0 $294.62 materials or services itemized thereon for I which charge is made were ordered and received except /Wednesday, May 02 2012 )-(All Street Commissioner Stree' 'lssioner Cost distribution ledger classification if claim paid motor vehicle highway fund INVOICE DATE_ ::CUSTOMER SUMMARY INVOICE: sops 4/21/12 DET 1061088 8021665051 5/21/12 Net 30 Days 314.79 I1 W OIC DETAIL Staples Advantage Federal ID #:04- 3390816 CITY OF CARMEL -NJPA CITY OF CARMEL JIM SPELBRING ATTN: TERESA LEWIS 1 CIVIC SQUARE 9609 HAZEL DELL PKWY CARMEL, IN 46032 DELIVER BY 4PM INDIANAPOLIS, IN 46280 Bill to Account: 1030382 Ship to Account: 9609 HAZEL DELL Budget Ctr: 651 UTILITES Invoice Number: 3173373745 P 0 Number: Release: Order: 7084788305 000 -001 Ordered by: TERESA LEWIS Job: Order Date: 4/18/12 order Order E;/O Unit Ship Unit Extended -Line Item Number Description Oty Qty Meas Oty Price Price 1 464190 NOTEBOOK EXECUTIVE BLK 11X8.5 6 EA 6 7.17 43.02 Freight: ax: .0000 .00 Sub-Total: Total: 43.02 Customer Service inquiries 877 826 -7755 Invoice Payment Inquiries 888 753 4104 Page: 1 Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696 -3689 I 0000132 0033325 0000004 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 361528 STAPLES BUSINESS ADVANTAGE Purchase Order No. DEPT DET Terms PO BOX 83689 Due Date 5/2/2012 CHICAGO, IL 60696 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/2/2012 8021665051 $43.02 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 117266 WARRANT ALLOWED 361528 IN SUM OF STAPLES BUSINESS ADVANTAGE DEPT DET PO BOX 83689 CHICAGO, IL 60696 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code -3 (7313 7 q ,.;802166505`1 01- 7202 -05 $43.02 Voucher Total $43.02 Cost distribution ledger classification if claim paid under vehicle highway fund INVOICE DATE CUSTOMER SUMMARY:: INVOICE: Emu 4/28/12 DET 1061088 8021727092 5/28/12 Net 30 Days 491.27 ww INVOICE DETAIL Staples Advantage Federal ID #:04- 3390816 CITY OF CARMEL -NJPA CITY OF CARMEL JIM SPELBRING ATTN: ANN DAVIS 1 CIVIC SQUARE 1 CIVIC SQUARE CARMEL, IN 46032 DELIVER BY 4PM CARMEL, IN 46032 Bill to Account: 1030382 Ship to Account: 1 CIVIC SQUARE Budget Ctr: 140 COMMON COUNCIL Invoice Number: 3173732536 P 0 Number: Release: Order: 7085023613 000 001 Ordered by: ANN DAVIS Job: Order Date: 4/25/12 r r Order U nit ip Unit Extended Linef .Item Mm�er i�� Descri tion oty Qty Meas Qty Price Price 1 026993 HAM COLOR COPY 11X17 28/98 RM 3 RM 3 28.83 86.49 2 491532 BINDR ROUNDRING LOCKING 21N WE 10 EA 10 8.49 84.90 3 733485 INDEX MAKER BULK 3TAB LASER 1 BX 1 69.05 69.05 4 791749 INDEX MAKER BULK 5 TABS LTR WE 3 BX 3 83.61 250.83 F rei r ax: o a Total 491.27 Customer Service inquiries 877 826 -7755 Invoice Payment Inquiries 888 753 -4104 Page: 1 Make checks payable to Staples Advantage, Dept DIET PO Box 83689, Chicago IL 60696 -3689 0012840- 0014323- 0000003 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) CITY OF CARMEL An invoice or 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. t Sk�& Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) C Total 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. ALLOWED 20 IN SUM OF c L o �o d� ON ACCOUNT OF APPROPRIATION FOR 3�Z 4 GU Board Members PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I 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 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund