215620 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 357525 Page 1 of 1
ONE CIVIC SQUARE ELECTRONIC STRATEGIES INC CHECK AMOUNT: $208.65
CARMEL, INDIANA 46032 6855 HILLSDALE COURT
INDIANAPOLIS IN 46250 CHECK NUMBER: 215620
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4230200 68207 208 . 65 OFFICE SUPPLIES
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0855 B|LLSDAL8CODRT Invoice Number: 68207
INDIANAPOLIS,' ' |nvn/ua Date: Nov 30.2012
rEzxwuoou,AnvSom page: 1
(317)596-9891 FAX(317)596-9894 www.miuohud,i»ory.00m
Carmel Fire Department
Janet Am one
I Attn-. Denise Bristol Attn: Denise Bristol
Carmel, IN 46032
Carmel, IN 46032
Customer RO. Payment Terms
LSales Rep ID Shippi.ng Method Ship Date Date
Ground 12/15/12
civantity Item Description Serial Number UnitPrice � –4m—ount—.
1.00 CC 531 A Hp CM2320 Cyan Toner 65.001 65.00 ,
1.00 CC532A Hp CM2320 Yellow Toner 65.00 65.00
1.00 CC533A Hp CM2320 Magenta Toner 65.001 65.001
Subtotal $ 195.00,
Sales Tax 13.651
Freight
/
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Check/Credit Memo No: Total I.nvoice 208.65
Payment/Credit Applied
Accounts not paid within 30 days cf invoice are subject kza1.5%finonoechrg
VOUCHER NO. WARRANT NO.
ALLOWED 20
Electronic Strategies, Inc.
IN SUM OF $
6855 Hillsdale Court
Indianapolis, IN 46250
$208.65
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT
Board Members
1202 68207 42-302.00 $208.65
I hereby certify that the attached invoice(s), or
I
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
Monday, Dece b' r 17, 2012
Director , IS
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
11/30/12 68207 $208.65
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