215343 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1
ONE CIVIC SQUARE INK HEADS
CARMEL, INDIANA 46032 PO BOX 501574 CHECK AMOUNT: $135.92
INDIANAPOLIS IN CHECK NUMBER: 215343
CHECK DATE: 12/1112012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4230200 7690 135 . 92 OFFICE SUPPLIES
INVOICE
w , 11/26/2012 Page 1 of 1
Gust. Acc.
P.O- # F0002972
Charge Sale
Ink Heads Ph: (317) 841-8302
Fax: (317) 841-8304
PO Box 501574
Indianapolis, IN 46250
id 10: Carmel Clay Parks & Recreation Ship Orchard Park Elementary
1411 E. 116th St. 10404 Orchard Park Dr. S.
Carmel, IN 46032 Attn: Jennifer Holder
rnrmal IN
es Person: Randy Order Date: 11/26/2012 Snip via:
rt Number I Description. r_ere. Shipped Price Total
P 936 22.9 .9
PIR 9362 92 B 0.9 43.9
Purchase
Description
P.O.
Line !•1
APPICT211%, Dare.
NET 10 Sub Total $135.92
ontact: Sales Tax 7% $0.00
awn Koepper
17) 573-4026 Total
$135.92
Signed: Date:
L
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
11126112 7690 Toner cartridges $ 135.92
Total $ 135.92
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$
$ 135.92
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-6 7690 4230200 $ 135.92 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
6-Dec 2012
Signature
$ 135.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund