209789 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1
ONE CIVIC SQUARE INK HEADS CHECK AMOUNT: $982.25
CARMEL, INDIANA 46032 PO BOX 501574
INDIANAPOLIS IN CHECK NUMBER: 209789
CHECK DATE: 6/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4230200 7048 982.25 OFFICE SUPPLIES
INVOICE
5/21 /2012 IPagp 1 of 1
Invoice 17048
ust. Acct.
P.O.
Charge Sale
Ink Heads Ph: (317) 841 -8302
:PO Box 501'574 Fax: (317) 841 -8304
1,ndianaWis;1N:46250
Sold To: Carmel Clay Parks Recreation Ship To:
1411 E. 116th St.
Carmel, IN 46032
Sales Person: Kevin Order Date: 5/17/2012 Ship Via:
Part Number Description Ordered Shipped Pricel .Total
CT HPCE285A HP CE285A 1.6K 2 2 54.951 109.90
CT HPQ2612AHY HP Q2612A HY 3K 4 4 59.95 239.80
CT HPCB436A HP CB436A 2K 4 4 54.95 ;219.80
CT HPQ5949X HP Q5949X 6K 4 4 79.95 319.80
CT DL330 -2209 DL 330 -2209 BK 6K 1 1 92.95 92.95
Purchase
DescrIlption
P or
I MAY 2 2 21w
Approval Data_
erms: NET 10 Sub Total $982.25
Contact: Sales Tax 7% $0.00
Dawn Koepper
(317) 573 -4026 Total $982.25
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
5/21/12 7048 Toner 30833 982.25
Total 982.25
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
982.25
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 7048 4230200 982.25 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
14 -Jun 2012
Signature
982.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund