213065 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1
ONE CIVIC SQUARE INK HEADS
l' CARMEL, INDIANA 46032 PO BOX 501574 CHECK AMOUNT: $231.80
INDIANAPOLIS IN CHECK NUMBER: 213065
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4230200 7416 231 . 80 OFFICE SUPPLIES
Sep 12 12 11:42a Ink Heads 317-841-8304 p.1
INVOICE 911212012 IPa ge 1 of 1
`J Invoice# 7415
C uu-fit. _
P.O._# ED002825__�
Charge Sale
Ph: (317)841-8302
Ink Heads Fax: (317)841-8304
PO Box 501574
Indianapolis,IN 46250
Sold T°: Carmel Clay Parks & Recreation ship ro: Mohawk Trails Elementary
1411 E. 116th St. 4242 East 126th ST.
Carmel, IN 46032 Carmel IN
46033
Sales Person: Kevin Order Date 9/712012 Ship Via:
!Part Number IDescription _ Ordered Shippe d Price Total
CT HPCE320A HP CE32DA BK 2K �— — 1 1 57.95: 57.95
rCT HPCE321A IHP CE321 A C 1.3K 1 1 57.95! 57.95
;CT HPCE322A HP CE322A Y 1.3K 1! 1 57.951 57.95
w ro z °s,rw Tom_
�CT HPGE323A HP CE323A M 1.3K '``- S "� °�—" 1 1 57.951 57.95
SEP 13
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cr; cripiion
P.O.# _
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Approval
I
erms: NET 10
Sub Total $231.80
Contact: Sales Tax 7% $0.00 _
Dawn Koepper R
(317) 573-4026 Total $231 .80.
Signed: Date:
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
9/12/12 7416 Toner cartridges $ 231.80
Total $ 231.80
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$
$ 231.80
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-5 7416 4230200 $ .231.80 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
20-Sep 2012
Signature
$ 231.80 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund