209070 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 027850 Page 1 of 1
ONE CIVIC SQUARE JAMES BRAINARD
CARMEL, INDIANA 46032 CHECK AMOUNT: $79.00
CHECK NUMBER: 209070
CHECK DATE: 5/2212012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4239099 79.00 OTHER MISCELLANOUS
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Order Number: W232706573 Print
Items to be Shipped
Shipping Contact Jim Brainard Shipping Method 2 Business Days $10.00
3175712401
Shipping Address City of Carmel
1 Civic So
Mayor Office 3rd Floor
CarmellN46032 -2584
United States
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Apple Wireless Keyboard English S69.00 1 869.00
I Delivers May 14 May 15 by 2 Business Days
Part number: MC184LL /B
Payment
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Billing Contact JamesBrainard Payment Method
3175712401
j cmartin @carmel.in.gov
Billing Address
12662 Royce Court
CarmellN46033
United States
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Cart subtotal S69.00
Shipping S10.00///``` ..1/
Estimated Tax
I i �w�10U1Y`� YVIY'\arC Order Total -53
Frequently Asked Questions �uCC (J\ .0
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Packing List
Ship To Ship From
Jim Brainard Online Apple Store
1 Civic Sq
Mayor Office 31d Floor
Carmel, IN 460322584 Sold To
US James Brainard
IIIIIIIII�IIIII�IIIIIIIIIII IIII Order Summary
8203373933 Order Number: W232706573
Order Date: 10 MAY 2012
Shipment Date: 10 MAY 2012
Ship Via: FEDERAL EXPRESSES
Line Number Quantity Shipped Part Number Description
000010 1 MC184LL /B APPLE WIRELESS KEYBOARD -USA
Total Qty Shipped 1
Total Weight 11 Ibs
Your Orders
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Page 1 of 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mayor Jim Brainard
IN SUM OF
One Civic Square
Carmel, IN 46032
$79.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
1160 Receipt 42- 390.99 $79.00 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
Friday, May 18, 2012
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/10/12 Receipt $79.00
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