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Home My WebLink About216119 01/09/2013 f CITY OF CARMEL, INDIANA VENDOR: 00350676 Page 1 of 1 ` ONE CIVIC SQUARE MEDICAL ARTS PRESS CHECK AMOUNT: $492.09 CARMEL, INDIANA 46032 PO BOX 37647 PHILADELPHIA PA 1 91 01-0647 CHECK NUMBER: 216119 CHECK DATE: 1/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4230100 6139099 492 . 09 STATIONARY & PRNTD MA ffj1catarts 2143: tqCOMPMW press. Order Date : 12/14/2012 Ship Date : 12/17/2012 InvoiceDate : 12/17/2012 P.O.Box 37647 Philadelphia, PA 1 91 01-0647 TIN : 41-0842870 Customer Service: 1-800-328-2179 www.medicalartspress.com O 0 0003370 Ot SP 0.450 "SNGLP T 1551 46032 -C01-P03371-I o; Sold To: Ship To: o Carmel Fire Department Carmel Fire Department 2 Carmel Civic Sq 2 Civic Sq Carmel IN 46032-2584 Carmel IN 46032 II'II'I��'I'IIII�III'I"I�II � III�I�II�I'I'll��l��llll��ll��l� & Customer PO : sally Order# : 50617631 Invoice# : 6139099 Account# : C4262348 Itarzt-Number Description --(--Olor Qql shipped--I?rice!LIM Extended,_ ® 174-14117 #10 tch-N-Seal wndw env,500/bx 50 $9.19/ C $459.90 Remember you can check your order status&tracking print invoices and more in the Manage My Account section on Medicalartspress com Mdse Total: $459.90 n� ®n per month in Tax: $32.19 ptPROGRAM m up to ed1cat Arft Gash Freight: Free Go to Medicalartspress.com/inkrecycle To-!?elp:apply-ynu!,payment_Inr.QpQrly,_rar pmho.r_to_include�-your ace—,QLir±#># on your check and remit your payment to the address shown below. _ Amount Due: $492.09 Due Date: 01/16/2013 Customer is responsible for collection fees,court costs and reasonable attornev fees to collect unpaid accounts l arts A STAPLES°COMPANY press. Your single source for specialty UNIT OF MEASURE and general office supplies Please reference the table below for abbreviation descriptions. Unit Unit Description 100% satisfaction guaranteed! L Fifties Medical Arts Press® unconditional guarantee.You must be C Hundreds completely satisfied with every product you purchase. If M Thousands for any reason you are not, return it within 90 days for an BX Box immediate replacement, full credit or refund. CS Case CT Carton Returns are as simple as one toll-free-phone call! DZ Dozen Should you ever need to return an item, you can always EA Each expect it to be hassle-free. Replacements, credits, help PD Pad arranging the return...whatever you need will be handled PK Pack immediately. Call the number below, and we will solve the PR Pair problem—no questions asked! RL Roll RM Ream For hassle free returns, call: 1-800-328-2179 ST Set You have 90 days to return any merchandise (computer peripherals must be returned within 30 days) for full credit, CONTACTING US refund or replacement. Software must be returned in the Send Payments To: Medical Arts Press original unopened package within 30 days for a full credit, P.O. Box 37647 refund or replacement. Defective software must be Philadelphia, PA 19101-0647 returned within 30 days and will be exchanged for the Mail Orders: Medical Arts Press exact same software. P.O. Box 43200 Products not for resale.We reserve the right to refuse orders from distributors,dealers or Minneapolis, MN 55443-0200 warehouse stores.We reserve the right to correct printing and/or pricing errors.No additional Phone Orders: 1-800-328-2179 discounts or other offers can be used in combination with any sale priced merchandise. Internet: www.medicalartspress.com Important information for tax exempt customers: If you are tax exempt and are new to MAP or setting up an additional account, you will need to send a copy of your tax exempt letter by e-mail or mail. The fastest methods are via e-mail to tax.exempt @medicalartspress.com or by fax to 1-800-499-8805. Our Tax Exempt mailing address is: P.O. Box 102412 Columbia, SC 29224 Attention: MAP Tax Department Your orders will be taxed until we receive a copy of your tax exempt letter.Once we have received your valid tax exemption certificate, any tax that has been charged to your account will be credited.To address any questions or concerns, please call our tax department at 1-888-831-2306 between 8:00am -4:30pm EST. VOUCHER NO. WARRANT NO. ALLOWED 20 Medical Arts Press IN SUM OF $ P.O. Box 37647 Philadelphia, PA 19101-0647 $492.09 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members 1120 I 6139099 I 42-301.00 I $492.09 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 Ilk Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Irescribed by State Board of Accounts City Form No 201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL %n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by vhom, 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)) 6139099 Billing Envelopes $492.09 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