216254 01/10/2013 "y CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1
ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE
0 CHECK AMOUNT: $0.30
CARMEL, INDIANA 46032 DEPT DIET PO BOX 83689 CHECK NUMBER: 216254
CHICAGO IL 60696-3689
CHECK DATE: 1/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4230200 3187830708 . 30 OFFICE SUPPLIES
R—EC ED INVOICE DATE` CUSTOMEW I SUMMARY:INVOICE
DEC 7 2012
12/08 12 DET 1061088 8023927632
1/07/13 Net 30 Days 1,100.10
IIC s DETAIL
Staples Advantage Federal ID #:04-3390816
CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: MANDY SPADY
1411 E 116TH ST 1235 CENTRAL PARK DR E
CARMEL, IN 46032 DLV BEFORE 4PM
CARMEL, IN 46032
Bill to Account: 1030597 Ship to Account: 1235 CNTRL PK E
Budget Ctr: 1091-4230200 I—ice Number: 3187830708
P 0 Number: MC003587 Release: Order: 7093112974-000-001
Ordered by: MANDY SPADY Job: Order Date: 12/07/12
r r Order m ip m x e
Line Item Number. Description Qt Qt Meas Qt Price• 'Pr ice
1 AVE8395 INK JET NAME BADGES 3 PK 3 16.85 50.55
2 433263 PILOT VRAZOR LID INK AST 08 1 PK 1 10.38 10.38
3 736810 LOGI LS-11 2.0 STEREO SPEAKERS 1 EA 1 14.56 14.56
4 PIL26050 PEN.ROLLBALL.PRECISE.V5. 2PK 1 1 PK 5. 29 .00
rei Fax: 00()C) Sub-Tota
Total: 75.49
Balance to follow
i�;lrcilase
i�'ion
# inc r F
G.L.# /09/ Z/2 34280
I',C1Cr`
._iI.J Lescr
Date
Customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 1
Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696-3689
0005405-0046137-0000005
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.
361528 Staples Business Advantage Terms
Dept DET 2368
P.O. Box 83689
Chicago, IL 60696-3689
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
12/8/12 3187830706 Office supplies MCC 29228 $ 939.92
12/8/12 3187830708 Office supplies MCC $ 75.49
12122112 3188626551 Office supplies AO 29282 $ 1,261.11
12/22112 3188626554 Chair mats 29282 $ . 344.94
12/22/12 3188626555 Chair mats 29282 $ 65.79
12/5/12 3187830707 Office supplies MCC .29228 $ 84.69
12/15/12 3188215093 Office supplies MCC $ 5.29
12/22/12 3188626549 Office supplies MCC 29228 $ 112.76
12/22112 3188626550 Office supplies MCC 29307 $ 350.30
Total $ 3,240.29
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.
361528 Staples Business Advantage Allowed 20
Dept DIET 2368
P.O. Box 83689
Chicago, IL 60696-3689 In Sum of$
$ 3,240.29
ON ACCOUNT OF APPROPRIATION FOR
101 General & 109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 3187830706 4230200 $ 939.92 1 hereby certify that the attached invoice(s), or
1091 3187830708 4230200 $ 75.49 bill(s) is (are)true and correct and that the
29282 3188626551 4230200 $ 1,261.11 materials or services itemized thereon for
29282 3188626554 4230200 $ 344.94_ which charge is made were ordered and
29282 3188626555 4230200 $ 65.79 received except
1091 3187830707 4230200 $ 84.69
1091 3188215093 4230200 $ 5.29
1091 3188626549 4230200 $ 112.76
1091 3188626550 4230200 $ 350.30 i
3-Jan 2013
Signature
$ 3,240.29 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund