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212777 09/12/2012 a CITY OF CARMEL, INDIANA VENDOR: 00351432 Page 1 of 1 ONE CIVIC SQUARE SPECTRUM JANITORIAL SUPPLY ? CHECK AMOUNT: $178.45 CARMEL, INDIANA 46032 PO BOX 336 INDIANAPOLIS IN 46206 CHECK NUMBER: 212777 CHECK DATE: 9/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 408167 178 .45 OTHER MISCELLANOUS Invoice 408167 Page 1 of 1 ' 4 Date. 31-Aug-20'1.2`.Remit To: Spectrum Janitorial Supply Corp. PO Number ROBERT ROBINSON P.O.Box 336 Order Date 30-Aug-2012 Indianapolis,IN 46206 Ship Date 31-Aug-2012 (317)788-2020 Terms Net 30 FAX:(317)788-2021 Due Date 30-Sep-2012 Carrier Spectrum Bill T6.- :` Ship.To: CITY OF CARMEL POLICE DEPARTMENT CITY OF CARMEL POLICE DEPARTMEN QUARTERMASTER RBT. ROBINSON QUARTERMASTER RBT. ROBINSON 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 Description" . '; x:'; lterrYCode "'" ' Ordered `Shipped ; B/O. Price:- --Amount ', PL 2ply Toilet Tissue BT501 CASE 1 1 0 49.35 $49.35 500 Sheets/Roll 96/Case Hi-D 38x60 Liner 17Mic Clear NR386017N CASE 1 1 0 33.52 $33.52 38x60 250/Cs 60Gal Acclaim white Multifold Towel 20204 CASE 1 1 0 33.77 $33.77 9.25" x 9.5" 16/250/cS Preference Perforated Towel CS 27385 CASE 1 1 0 30.07 $30.07 white,11" x 8.8" Sheet, 30/cs Hi-D 24x24 Liner 8Mic Clear NR242408N CASE 1 1 0 26.74 $26.74 24x24 Hi-D 1000/cs 7-10 Gal A service charge of 1.5?1./month(18%1yr) Merch Total $173.45 will be charged on all past due accounts Taxable Sales $0.00 7.0% Sales Tax $0.00 $0.00 Fuel Chg/Frt $5.00 Salesman JUAN Ppd Deposit $0.00 CustAcct CARME110 Total Due $178.45 VOUCHER NO. WARRANT NO. ALLOWED 20 Spectrum Janitorial Supply Corp. IN SUM OF $ P.O. Box 336 Indianapolis, IN 46206 $178.45 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#J Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1110 I 408167 I 42-390.99 I $178.45 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 Wednesday, September 05, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 08/31/12 408167 janitorial supplies $178.45 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