215065 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1
` ONE CIVIC SQUARE INK HEADS
CARMEL,INDIANA 46032 PO BOX 501574 CHECK AMOUNT: $444.65
?` INDIANAPOLIS IN
CHECK NUMBER: 215065
CHECK DATE: 1214/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4230200 7654 444 . 65 OFFICE SUPPLIES
INVOICE
11/12/2012 Page 1 of 1
Invoice # 7654
I£'I>�Y(iFf�'�i. �
mow/ lu'J�.�r�...r Gust. Acct.
P.n- # 29154
Charge Sale
Ink Heads Ph: (317) 841-8302
PO Box 501574
Fax: (317) 841-8304
Indianapolis, IN 46250
Carmel Clay Parks & Recreation Ship
1411 E. 116th St.
Carmel, IN 46032
es erson: Randy r er a e: 11/12/2012 Snip via:
rt Number escnption Ordered Shipped rice Total
w c 4K 69.9
chin
26 2 1 1 5 59.9
HPCB436A P CB436A 2 54.9E 164.8
HPQ5949X IP Q5949X 1 1-597- 59.9
BRDR350 3R DR350 1 8 89.9
Purchase
lonw-
P.0 it
G: .crio,i�n
1v I� cr
v iva ate
Date
rms: NET 10 771 Sub Total $444.65
ontact: Sales Tax 7% $0.00
iwn Koepper $444.65
17) 573-4026 Total
Signed: Date:
. 1
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
11/12112 7654 Toner cartridges 29154 $ 444.65
Total $ 444.65
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
20_
Clerk-Treasurer
Voucher No. Warrant No.
364115 Ink Heads Allowed 20
P.O. Box 501574
Indianapolis, IN 46250
In Sum of$
$ 444.65
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 7654 4230200 $ 444.65 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
29-Nov 2012
Signature
$ 444.65 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund