209630 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 366272 Page 1 of 1
ONE CIVIC SQUARE OFFICEFURNITUREMART.COM CHECK AMOUNT: $4,970.00
CARMEL, INDIANA 46032 220 E ST CLAIR ST
INDIANAPOLIS IN 46204 CHECK NUMBER: 209630
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
652 5023990 61216 4,970.00 OTHER EXPENSES
officefumituremarLcom
Downtown Showroom Warehouse Store
220 E. St. Clair Street 3448 Shelby Street
Indianapolis, Indiana 46204 Indianapolis, Indiana 46227
317- 636 -6696 317- 781 -1543
Toll Free 1- 800 272 -1975 Fax 317 781 -6753
Fax 317- 631 -5394
May 17, 2012
City of Carmel Utilities
Waste Water Treatment Facility
Jeff Cooper
Maintenance Foreman
9609 Hazel Dell Parkway
Indianapolis, In 46280
317- 571 -2634 ext 222
317 571 -2636 Fax
jcooperO ,)carmel. i n. gov
Section A
3 USD -HM AO 5'x 6' cubicle station consisting of: $575.00 $1,725.00
67 "h panels
30x60 worksurface
2442 return with box.box.file pedestal
30 "w overhead
Section B
3 USD -HM AO 5'x 6' cubicle station consisting of: 575.00 1,725.00
67 "h panels around desk area
46 "h panels along return
30x60 worksurface
24x42 return with box.box.file pedestal
30 "w overhead
Section C
1 USD -HM AO 5'x 6' cubicle station consisting of: 575.00
67 "h panels around desk area
46 "h panels along return
30x60 worksurface
2442 return with box.box.file pedestal
30 "w overhead
$4,025.00
Installation 945.00
Total $4,970.00
t S• X71.
Tax Exemption #0003120155 -001
TERMS: net 10
Purchase Agreement
Purchaser agrees to pay seller for the above described goods according to the terms and conditions stated above. Seller shall retain title to the goods
until the total price of the goods is paid in full. If buyer fails to pay the total price or breaches any other term or condition of this agreement, the seller or
its agent is authorized to take possession of the goods with or without legal process. Purchaser agrees to pay all costs of collection and/or reasonable
attorney's fees incurred by the seller as a *:suft of the purchaser's breach of this agreement. Failure of seller to take immediate action upon
purchaser's breach shall not result in a waiver of seller's right to take further action. Interest of 1 -1/2% per month (annual rate 18 will be charged on
all past due balances. Special ordered (non stocked) goods are subject to a 50% charge if returned for credit or exchange.
Purchase hereby acknowledges receipt of new goods in goods in good condition and factory seconds or used goods in "AS IS" condition.
INVOICE 61216
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
36272
OFFICEFURNITUREMART.COM Purchase Order No.
220 E ST CLAIR ST Terms
INDIANAPOLIS, IN 46204 Due Date 6/4/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/4/2012 61216 $4,970.00
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 125051 WARRANT ALLOWED
36272 IN SUM OF
OFFICEFURNITUREMART.COM
220 E ST CLAIR ST
INDIANAPOLIS, IN 46204
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
61216 $4,970.00
Voucher Tota l $4,970.00
Cost distribution ledger classification if
claim paid under vehicle highway fund