213515 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1
ONE CIVIC SQUARE INK HEADS CHECK AMOUNT: $217.75
�t . CARMEL, INDIANA 46032 PO BOX 501574
INDIANAPOLIS IN CHECK NUMBER: 213515
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4230200 7434 173 . 85 OFFICE SUPPLIES
1081 4230200 7435 43 . 90 OFFICE SUPPLIES
Sep 14 12 10:03a Ink Heads 317-841-8304 p.1
INVOICE
9/12/2012 !Page 1 of 1
Invoice# 17434
ust.Acct.
P.O.#
Charge Sale
Ph: (317) 841-8302
Irk Heads Fax: (317) 841-8304
PO Box 501574
Indianapolis,IN 46250
Sold To: Carmel Clay Parks & Recreation hip To: Forest Dale Elementary
1411 E. 116th St. 10721 Lakeshore Dr. W
Carmel, IN 46032 Carmel IN
46032
ales Person: Kevin Order Date: 9112/2012 Ship Via:
Part Number Description Ordered ___Shipped Price Total
CT HPCE321A HP CE321A C 1.3K 1 1 57.95 57.95
CT HPCE322A HP CE322A Y 1.31 1 11 57.95 57.95
CT HPCE323A HP CE323A M 1.3K 1 11 57.95 57.95
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JAppluval Date —
erms: NET 10
Sub Total $173.85
Contact: Sales Tax 7% S0.00
Dawn Koepper
(317) 573-4026 Total $173.85
Signed: Date-
1
INVOICE 9/12/2012 jPage 1 of 1
Invoice# 7435
Gust. ACCt.
P.O. #
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: Woodbrook Elementary
1411 E. 116th St. 4311 E 116th St.
Carmel, IN 46032 Carmel IN
46033
ales Person: Randy Order Date: 9/12/2012 Ship Via:
Part Number Description Ordered Shipped Price Total
C HPCC654AN HP 901XL BK 1 1 22.95 22.95
C HPCC656AN HP 901 TC 1 1 20.95 20.95
i
1B Y: i
erms: NET 10
Sub Total $43.90
Contact: Sales Tax 7% $0.00
Dawn Koepper
(317) 573-4026 Total 190
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 7434 Toner cartridges r $ 173.85
9/12/12 7435 Toner cartridges $ 43.90
Total $ 217.75
I 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
120
Clerk-Treasurer
Voucher No. Warrant No.
364115 Ink Heads ` Allowed 20
P.O. Box 501574
Indianapolis, IN 46250
In Sum of$
$ 217.75
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-4 7434 4230200 $ 173.85 1 hereby certify that the attached invoice(s), or
1081-11 7435 4230200 $ 43.90 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
4-Oct 2012
Signature
$ 217.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
4