212248 08/28/2012 °�. CITY OF CARMEL, INDIANA VENDOR: 146000 Page 1 of 1
ONE CIVIC SQUARE I C C BUSINESS PRODUCTS CHECK AMOUNT: $84.50
CARMEL, INDIANA 46032 P.O.BOX 2345
'v o ca INDIANAPOLIS IN 46206 CHECK NUMBER: 212248
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 SI-584554 84 . 50 OFFICE SUPPLIES
INVOICE Invoice Number: SI-584554
RS_j e.�.§ Produc Invoice Date: Due Date
..
gince 1,030 Page: 1 8/8/2012 101712012
ICC Business Products Customer ID Contact SalesPerson
3164 N. Shadeland Avenue 23755 Robert Robinson Bob Ray
Indianapolis, IN 46226-0058 Cust Phone Cust Fax
317-571-2559
Bill Robert Robinson Ship Robert Robinson
To: CITY OF CARMEL POLICE DEPT To: CITY OF CARMEL POLICE DEPT
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL, IN 46032 Carmel, IN 46032
Terms Order Date Order No. Ship Via Budget Code Web OrderNo. - Cust.
NET 60 DAYS 8/8/2012 SO-560737 ]CC Delivery 112857 Robert
Item/Description Order Qty Unit Quantity Unit Price Total Price
7-CC53ONDU HP COLOR LJ CP2025 COMPAT BLACK TONER 3.5K PG YLD 1.00 EA 1.00 84.50 84.50
works in 2320
Website: www.iccbusinessproducts.com Phone: 800-547-2233 Fax: 317-543-5738
PLEASE PAY FROM THIS INVOICE Subtotal: 84.50
MAIL PAYMENT TO: Shipping & Handling: 0.00
P.O. BOX 2345 Order Processing: 0.00
INDIANAPOLIS, IN 46206 Total Sales Tax: 0.00
Net Terms Total: . 84.50
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))
08/08/12 SI-584554 toner $84.50
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.
ALLOWED 20
ICC Business Products
IN SUM OF $
P.O. Box 26058
Indianapolis, IN 46226-0058
$84.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I SI-584554 I 42-302.00 I $84.50 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
Thursday, August 23, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund