214690 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 366712 Page 1 of 1
ONE CIVIC SQUARE INDIANA BUSINESS SOLUTIONS LLC CHECK AMOUNT: $158.49
CARMEL, INDIANA 46032 8227 NORTHWEST BLVD
SUITE 200 CHECK NUMBER: 214690
INDIANAPOLIS IN 46278
CHECK DATE: 11120/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 14368 158 .49 OTHER EXPENSES
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Indiana
INVOICE
Business Solutions LLC
Document Management Made Easy
8227 Northwest Blvd, Suite 200 Invoice No: INVI4368
Indianapolis, IN 46278 Date: 10/19/2012
P: 317-471-9735 F: 317-471-0710 Account No: C005
Bill To: City of Carmel Water and Sewer Ship To: City of Carmel Water and Sewer
9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy
Indianapolis, IN 46280 Indianapolis, IN 46280
Sales Order,No' P.o:'Number Ship Method' Payment Terms' Payment Due
UPS Due Upon Receipt 10/19/2012
Remarks '.Sales Person'
Item,No_ ''Description ,Serial.No Order Ship . ` BkO UM: Price':.. Disc Amount
108R00930 8570 Black Ink(4 box) 1.0 1.0 0.0 EACH $154.99 $154.99
Equipment/SN: IN 1985/XFN-133235
Model:8570/DN
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All balances over 30 days will be subject to a 1.5%per month finance charge. ! Subtotal $154.99
!\� Discount $0.00
Freight 3.50
Sales Tax
Invoice Total $169.58
Balance Due $169.58
WWW.INDYBIZ.NET-
Page 1 of 1
VOUCHER # 126143 WARRANT # ALLOWED
00352699 s mow,,, IN SUM OF $
INDIANA BUSINESS
8,1-37 Northwest Blvd, Ste 200
Indianapolis, IN 46278
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
l�
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
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INV14368 01-7202-05 $158.49
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Voucher Total $158.49
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00352699
INDIANA BUSINESS EQUIPMENT Purchase Order No.
8337 Northwest Blvd, Ste 200 Terms
Indianapolis, IN 46278 Due Date 11/14/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/14/201; INV14368 $158.49
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
Date Officer