HomeMy WebLinkAbout216189 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 366820 Page 1 of 1
t ONE CIVIC SQUARE SCANSTORE
.' CARMEL, INDIANA 46032 PO BOX 548 CHECK AMOUNT: $111.00
-0 KNOXVILLE TN 37901-0548 CHECK NUMBER: 216189
(TRH G
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4350000 2B18CII606 111 . 00 EQUIPMENT REPAIRS & M
0"htore
Invoice
P.O. Box 548
Putting paper in its place Date Involve#
Knoxville, TN 37901-0548
12/19/2012 2818011606
ScanStore is owned by Meta Enterprises,LLC.
Bill To Ship To
Ann Davis<mailto:adavis@carmel.in.gov> City of Carmel
One Civic Square ATTN:Ann Davis<mailto:adavis @carmel.in.
Carmel,IN 46033 PO 9:26485
United States One Civic Square
317-571-2414 Carmel,IN 46033
P.O. No. 26485 Terms Net 15 Due Date 1/3/2013
Item Description Qty Rate Amount
CG01000-524801 ScanAid Cleaning and Consumables Kit for fi-6140/6240 Scanners 97.00 97.00
Shipping and Handling Shipping and Handling 14.00 14.00
Finance charges of 12%annually will begin accruing on unpaid balances,after the due date,in states
where allowed. There is a minimum charge of$5 Subtotal $111.00
Contact us for more information.
REMIT TO ADDRESS: Sales Tax(0.0%) $0.00
ScanStore
P.O.Box 548
Knoxville,TN 37901-0548 $1 1 1.00
Balance Due
Make checks payable to:ScanStore and include invoice number with payment
For questions please call 877-355-4141 Ext 104 or email<lauren @scanstore.com>
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev 1995)
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))
Total
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.
n n/� ALLOWED 20
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund