212647 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1
ONE CIVIC SQUARE INK HEADS CHECK AMOUNT: $183.84
CARMEL, INDIANA 46032 PO BOX 501574
INDIANAPOLIS IN CHECK NUMBER: 212647
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4230200 7300 109 . 90 OFFICE SUPPLIES
1081 4230200 7319 73 . 94 OFFICE SUPPLIES
INVOICE
"i 8/14/2012 Page 1 of 1
Invoice # 7300
us . Acct.
P.(1. # Fon02767A
Charge Sale
Ink Heads Ph: (317) 841-8302
PO Box 501574 Fax: (317) 841-8304
Indianapolis, IN 46250
Carmel Clay Parks & Recreation tinip West Clay Elementary
1411 E. 116th St. 3495 West 126th Street
Carmel, IN 46032 Carmel IN
IL
aFn��
es Person: Randy Order Date: 8/13/2012 bnip via:
rt Number escription Ordered Shipped rice Total
HPCB436A P CB436A 2 547F 1 g.9
_...,v IM I
I AUb 14 ZUlZ I
P1 lr'h�ca
acrr' i I VIVA-1�
A
G.L.0 ,.®•�
uaae
Purchaser a e
Approval Date
rms: NET 10
Sub Total $109.90
ontact: Sales Tax 7% $0.00
awn Koepper $109.90
Total
17) 573-4026
Signed: Date:
L
V INVOICE
6 8/20/2012 IPajd'1 of 1
Invoice# 7319
AUG 2 7 2012 cct
E0002784A
P.O. #
harge Sale i
Ink Heads ,b i -z l 2 j pz0 O Ph. (317) 841-8302
PO_Bbx.501574 � Fax: (317) 841-8304
Indianapolis, IN.46250 �� �� ���'�CS
Sold To: Carmel Clay Parks & Recreation hip TO Cherry Tree Elementary
1411 E. 116th St. 13989 Hazel Dell Parkway
Carmel, IN 46032 Carmel IN
46033
ales Person: Randy Order Date: 8/16/2012 Ship Via:
Part Number Description Ordered Shipped Pricel Total
R HPC9362W HP 92 BK 4 4 10.991 43.96
R HPC9361W HP 93 TC 2 2 14.99 29.98
FVchase
Description c
• P kF
Una
Pure
b �• v�l
e
arms: NET 10
Sub Total $73.94
Contact: Sales Tax 7% $0.00
Dawn Koepper
(317) 573-4026 Total d"7-3.94
Signed: _Date:
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jr
¢i*•� air(+e .�
:fit; - - `?'."���'��•
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
8/14/12 7300 Toner $ 109.90
8/20/12 7319 Supplies $ 73.94
Total $ 183.84
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.
I
364115 Ink Heads Allowed 20
P.O. Box 501574
Indianapolis, IN 46250
In Sum of$
$ 183.84
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-10 7300 4230200 $ 109.90 1 hereby certify that the attached invoice(s), or
1081-2 7319 4230200 $ 73.94 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
23-Aug 2012
Pf�alvlfiulza
Signature
$ 183.84 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund