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210911 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1 ONE CIVIC SQUARE INK HEADS ` CARMEL, INDIANA 46032 CHECK AMOUNT: $976.21 Po sox sois�a INDIANAPOLIS IN CHECK NUMBER: 210911 CHECK DATE: 7117/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4230200 7167 434 . 65 OFFICE SUPPLIES 1082 4239039 7172 51 . 96 GENERAL PROGRAM SUPPL 1091 4230200 7176 489 . 60 OFFICE SUPPLIES INVOICE , ± 6/28/20.12 jPage 1 of 1 t '<< fnvoice-# 7167 uCcct. P.O. # ICb3 r Charge Sale ' Ph: (317) 841-8302 "'PO�Box '501574 Fax: (317) 841-8304 Indianapolis, IN 46250 Sold To: Carmel Clay Parks & Recreation hip To: 1411 E. 116th St. Carmel, IN 46032 ales Person: Kevin Order Date: 6/27/2012 Ship Via: Part Number Description Ordered Shipped Price .Total CT HPQ2613X HP Q2613X w/c 4K 1 1 69.95 69.95 w/chip CT HPQ2612AHY HP Q2612A HY 3K 2 2 59.95 119.90 CT HPCB436A HP CB436A 2K 3 3 54.95 164.85 CT HPQ5949X HP Q5949X 6K 1 1 79.95 79.95 1 .______ Purchase Description P.O.# 1©Q P r F Une'bescr arms: NET 10 Sub Total $434.65 Contact: Sales Tax 7% $0.00 Dawn Koepper (317) 573-4026 Total $434.65 Signed: Date: °r INVOICE /28/2012 IPage 1 of 1 x Invoice# 17172 JUUSt. ACCt. P.O. # f Charge Sale Ph: (317) 841-8302 Ink Heads Fax: (317) 841-8304 PO Box 501574 Indianapolis, IN 46250 old To: Carmel Clay Parks & Recreation hip To: Monon 1411 E. 116th St. 1235 Central Park Drive East Carmel, IN 46032 Carmel IN 46032 Sales Person: Kevin Order Date: 6/28/2012 Ship Via: Part Number Description Ordered Shipped Price .Total R HPC9361W HP 93 TC 2 2 14.99 29.98 R HPC9362W HP 92 BK 2 2 10.99 21.98 urc ase tc)lror esc p ion P.O.# or Budget Line Deg cr Purchaser Date Approval Date erms: NET 10 Sub Total $51 .96 Contact: Sales Tax 7% $0.00 Dawn Koepper (317) 573-4026 Total $051 .96 Signed: Date: INVOICE 7/2/2012 IPage 1 of 1 Invoice# 17176 =z = cust. cct � . P.O. # 131016 Charge Sale Ph: (317) 841-8302 Ink Heads Fax: (317) 841-8304 PO Box 501574 Indianapolis, IN 46250 Sold To: Carmel Clay Parks & Recreation hip To: Monon 1411 E. 116th St. 1235 Central Park Drive East Carmel, IN 46032 Carmel IN 46032 ales Person: Kevin Order Date: 6/29/2012 Ship Via: Part Number Description Ordered Shipped Price Total CT HPCB436A HP CB436A 2K 6 6 54.95 329.70 - CT-HPQ5949X HP Q5949X 6K 2 2 79.95 159.90 arms: NET 10 Sub Total $489.60 Contact: Sales Tax 7% $0.00 Dawn Koepper f� (317) 573-4026 Total $489°6® Signed: Date: k _ 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 6128112 7167 Toner for AO F 31003 $ 434.65 6/28/12 7172 Toner ESE $ 51.96 -----7/2/12- - 7176 Toner MCC 31016 $ 489.60 Total $ 976.21 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$ $ 976.21 ON ACCOUNT OF APPROPRIATION FOR 101-General/ 108-ESE/109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 7167 4230200 $ 434.65 1 hereby certify that the attached invoice(s), or 1082-1 7172 4239039 $ 51.96 bill(s) is (are)true and correct and that the 1091 7176 4230200 $ 489.60 materials or services itemized thereon for which charge is made were ordered and received except 12-Jul 2012 p.�Ch(LI C aLty Signature $ 976.21 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund