210134 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1
ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE
y CHECK AMOUNT: $427.67
CARMEL, INDIANA 46032 DEPT DET
PO BOX 83689 CHECK NUMBER: 210134
CHICAGO IL 60696 -3689
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4230200 3175360640 406.38 OFFICE SUPPLIES
1301 4230200 3175360641 21.29 OFFICE SUPPLIES
:tNVOICE:E)ATE CUS.T. -OMER S0MM[ARY: ::jNVOICE:
5/26/12 DET 1061088 8021994185
to
6/25/12 Net 30 Days 1,018 38
ll ICE 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: 3175360640
P 0 Number: Release: Order: 7086081413 000 -001
Ordered by: BONNIE LEWIS Job: Order Date: 5/25/12
r Order B/O Unit Ship m t Extended
Line Item Number Description Oty Oty Meas oty Price Price
1 804574 HP CE255A BLACK TONER 1 EA 1 120.41 120.41
2 458456 MONO CORR TAPE 4PK -WHITE 2 PK 2 9.42 18.84
3 396411 G2 GEL INL BP REFILL BILK F 2PK 3 PK 3 1.57 4.71
4 129957 POST IT 1.5 X 2 YW 2 DZ 2 3.85 7.70
5 165787 3TAB FILE FLDR LBL 1 PK 1 2.77 2 77
6 489408 FLDR LTR 11PT 113 REC MLA 4 BX 4 21.36 85.44
7 062596 NOTE POST -IT 4X6 RULED YELLOW 1 PK 1 24.97 24.97
B 526012 FASTENER SELF ADHESIVE 2.75X2 6 BX 6 3.58 21.48
9 234062 XEROX 8.5X11 COPY/PRINT CS 3 CT 3 39.12 117.36
ref .00 Tax:( Total
Total 403.68
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
0008098 0053795- 0000004
INV ICE: >DATE GUST MER SUMMARYINUQ7CE:
IV 5/26/12 DET 1061088 8021994185
6/25/12 Net 30 Days 1,018 38
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
�e
Bill to Account:. 1030382 Ship to Account: CIVIC SQUARE
Budget Ctr: 130 CITY COURT Invoice Number: 3175360641
P 0 Number: Release: Order: 7086081413 001 -001
Ordered by: BONNIE LEWIS Job: Order Date: 5/25/12
r Urder B/O Unit Ship Uni
Line Item Number Description Oty Oty Meas Oty Price Price
10 867473 BATTERY AAA ALKALINE 24PK 1 PK 1 21.29 21.29
rei ax: oa:
Total- 21.29
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
0008099. 0053795 0000005
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,
5 T� P LE,5 Purchase Order No.
DEP T b e r A 13 oX F3i G ci Terms
6 0 qco Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 7 53 064 oFr-ic-c SL) po /Q Cs 0 3,69
175.36 Ley LI A-L IN6_ �"►2; a
Total 7
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
I)E too 13 6Y ?3 to 9
Ai CA 6( D Coo 3�
ON ACCOUNT OF APPROPRIATION FOR
Our
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached .invoice(s), or
1 50 I7 53(c0 30=2- 4()3,69 bill(s) is (are) true and correct and that the
30 I 17 53 3 09 materials or services itemized thereon for
which charge is made were ordered and
received except
20
aW S'
Cost distribution ledger classification if
itle
claim paid motor vehicle highway fund