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Home My WebLink About216203 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 2 ` ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CARMEL, INDIANA 46032 DEPT DIET CHECK AMOUNT: $6,617.10 '? PO BOX 83689 CHECK NUMBER: 216203 CHICAGO IL 60696-3689 CHECK DATE: 119/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1401 4239099 3187830704 39 . 69 OTHER MISCELLANOUS 1701 4230200 3187830705 145 .40 OFFICE SUPPLIES 1091 4230200 3187830706 939 . 92 OFFICE SUPPLIES 1091 4230200 3187830707 84 . 69 OFFICE SUPPLIES 1091 4230200 3187830708 75 . 19 OFFICE SUPPLIES 911 4230200 3188215087 202 . 37 OFFICE SUPPLIES 1301 R4230200 26686 3188215088 2, 130 . 63 OFFICE SUPPLIES 1301 R4230200 26686 3188215089 129 . 99 OFFICE SUPPLIES 1301 R4230200 26686 3188215090 120 .30 OFFICE SUPPLIES 1701 4230200 3188215091 132 . 14 OFFICE SUPPLIES 1091 4230200 3188215093 5 .29 OFFICE SUPPLIES 1205 4230200 3188626542 399 . 99 PRINTER 1701 4230200 3188626547 76 . 60 OFFICE SUPPLIES «- CITY OF CARMEL, INDIANA VENDOR: 361528 Page 2 of 2 ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $6,617.10 . ?a CARMEL, INDIANA 46032 DEPT DIET PO BOX 83689 CHECK NUMBER: 216203 CHICAGO IL 60696-3689 CHECK DATE: 1/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4230200 3188626549 112 . 76 OFFICE SUPPLIES 1091 4230200 3188626550 350 .30 OFFICE SUPPLIES 1125 R4230200 29282 3188626551 1, 261 . 11 OFFICE SUPPLIES 1125 R4230200 29282 3188626554 344 . 94 OFFICE SUPPLIES 1125 R4230200 29282 3188626555 65 . 79 OFFICE SUPPLIES INVOICE DATE CUSTOMER SUMMARY;INVOICE 12/08/12 DET 1061088 8023927631 � . AMOUNT.DUE 1/07/13 Net 30 Days 185.09 14wo SCE DETAIL Staples Advantage Federal ID #:04-3390816 CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: JEFF BARNES 1 CIVIC SQUARE 1 CIVIC SQUARE CARMEL, IN 46032 DELIVER BY 4PM CARMEL, IN 46032 Bill to Account: 1030382 Ship to Account: 1 CIVIC SQUARE Budget Ctr: 1205-DOA Invoice Number: 3187830704 P 0 Number: COUNCIL WATER Release: Order: 7093094505-000-001 Ordered by: JEFF BARNES Job: Order Date: 12/04/12 F-PFae-r r r B/U,,, Unit Ship,;, m x e Line' Item Number. Description Qt ..,. Qf Meas Qty, Price -Price ; 1 571863 WATER PURFIED PURE LIFE . 5LBOT 7 CT 7 5.67 39.69 COUNCIL WATER Freight.,:, ax - o a : c.TOtal. 39.69 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 0006355-0035166-0000003 INVOICE DATE CUSTOMER I SUMMARY::INVOiCE 12/08/12 DET 1061088 8023927631 PLEASE PAY TERMS 1/07/13 Net 30 Days 185.09 INVOICEDETAIL Staples Advantage Federal ID #:04-3390816 CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: ANN DAVIS 1 CIVIC SQUARE 1 CIVIC SQUARE CARMEL, IN 46032 3RD FL/DELIVER BY 413M CARMEL, IN 46032 Bill to Account: 1030382 Ship to Account: 1 CIVIC 3RD FL Budget Ctr: 140 - COMMON COUNCIL Invoice Number: 3187830705 P 0 Number: Release: Order: 111637557-000-001 Ordered by: ANN DAVIS Job: Order Date: 12/03/12 F r , r r. r Unit ,,. Ship m Line .Item Number Descri tion Qt qt" Mess Qt Price Price 1 892232 SMEAD ET YR LABEL 2013 SHEET 1 PK 1 3.76 3.76 2 233593 INDEX CARD 3X5 WHT BLANK 50OCT 1 PK 1 1 .65 1.65 3 796670 HP 36A TONER DUAL PACK 1 PK 1 139.99 139.99 Freight: ax _ - o a : ,,Total.: 145.40 . 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 0006356-0035166-0000004 INVOICE DATE ` CUSTOMER SUMMARY:.INVOICE 12F22/12 DET 1061088 1 8024067274 AMOUNT PLEASE PAY TERMS 1/21/13 Net 30 Days 5DUE 11W0ICE DETAIL Staples Advantage Federal ID #:04-3390816 CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: ANN DAVIS 1 CIVIC SQUARE 1 CIVIC SQUARE CARMEL, IN 46032 DELIVER BY 4PM CARMEL, IN 46032 Bill to Account: 1030382 Ship to Account: 1 CIVIC SQUARE Budget Ctr: 140 - COMMON COUNCIL Invoice Nuunber: 3188626547 P 0 Number: Release: Order: 7093688650-000-001 Ordered by: ANN DAVIS Job: Order Date: 12/17/12 r r r Unit 1p Unit x e Line Item Number Description oty Qty Meas Qty Price Price 1 922364 13 VO MTH FLORL DSKPD 22X17 1 EA 1 12.70 12.70 2 502677 FOLDER DT 1/3CUT MANILA 250 CT 1 BX 1 32.55 32.55 3 343112 BIG BU3 RETRACTABLE GEL PEN 1 DZ 1 9.99 9.99 4 489408 FLDR LTR 11PT 1/3 REC MLA 1 BX 1 21 .36 21.36 rei Tax:( - o a : Total':'- 76.60 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 0008840-0051180-0000008 INVOICE DATE CUSTOMER SUMMARY: INVOICE 12/15/12 DET 1061088 8023997129 PLEASE PAY-9T TERMS AMOUNT 5UE—,. 1/14/13 Net 30 Days 2,715.43 I V®ICE DETAIL Staples Advantage Federal ID #:04-3390816 CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: ANN DAVIS 1 CIVIC SQUARE 1 CIVIC SQUARE CARMEL, IN 46032 3RD FL/DELIVER BY 4PM CARMEL, IN 46032 Bill to Account: 1030382 Ship to Account: 1 CIVIC 3RD FL Budget Ctr: 140 - COMMON COUNCIL Invoice Number: 3188215091 P 0 Number: Release: Order: 111877462-000-001 Ordered by: ANN DAVIS Job: Order Date: 12/13/12 FWa-er r r ni _ Ship Unit x Line Item Number Descri t'ion Qt Qt Meas - Qt Price Price 1 365538 2. 25X4 REFILL CARD WHITE 10OCT 1 PK 1 2. 10 2.10 2 465930 LABEL-FILE FOLDER LSR/ INK WE 1 BX 1 28.49 28.49 3 922331 13 VO MTH WALLCAL 15 112X22314 1 EA 1 11 . 41 11 .41 4 224568 BLUE LEGAL SIZE FOLDERS 100 CT 1 BX 1 14. 21 14. 21 5 636025 POST- IT SS NOTES 3X3 TROP BRZ 1 PK 1 17.07 17.07 6 813903 SPLS 8.5X11 30%REC MULTI 20HCS 1 CT 1 58.86 58.86 Total: 132-14 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 0010993-0055376-0000008 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 no 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. ALLOWED 20 IN SUM OF $ 7h-i W Od) L L006�,- ag� $ 3 ON ACCOUNT OF APPROPRIATION FOR D� � (h-"n CJ -Z)02- Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# �D, I hereby certify that the attached invoice(s), or 1�1� D�a ID bill(s) is (are) true and correct and that the 197930-7v5 309, materials or services itemized thereon for 318,3(,AO54 —7L ,W G which charge is made were ordered and 3i 8,V 1 5091 vZ ( t - received except 20 uff Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund UOlI.�,C E IVE < SLJ( [(i1EARX<::I) VC710E: 12/15/12 DET 1061088 8023997129 DEC 2 1 2�Ug 1/14/13 Net...3O.Days...... 2,715.43 AW01 DETAIL Staples Advantage Federal ID #:04-3390816 CITY OF CARMEL-NJPA J CITY OF CARMEL JIM SPELBRING 0 _ a LP ATTN: BONNIE LEWIS 1 CIVIC SQUARE 1 CIVIC SQUARE CARMEL, IN 46032 DELIVER BY 4PM CARMEL, IN 46032 Bill to Account: 1030382 Ship to Account: 1 CIVIC SQUARE Budget Ctr: 130 - CITY COURT Invoice INILimber- 3188215088 P 0 Number: Release: Order: 7093551583-000-001 Ordered by: BONNIE LEWIS Job: Order Date: 12/13/12 r r r m Ship m Line Item Number Description Oty Oty Meas oty Price Price 1 224519 FOLDR SNGL TOP LTR 113 RD 1 BX 1 11.15 11. 15 2 224527 FOLDR SNGL TOP LTR 113 BLE 1 BX 1 11 , 15 11 15 3 429174 PILOT G2 RET FINE BLACK 12 3 DZ 3 14.50 43.50 4 379168 LABEL FILE FOLD RMV 2/3X3-7116 1 PK 1 17.75 17.75 5 458456 MONO CORR TAPE 4PK-WHITE 3 PK 3 9.42 28. 26 6 461216 BIC ATLANTIS FIT BLK DZ 2 DZ 2 9.92 19.84 7 119966 STEELMASTER COMBO HORIZ/VERT 1 EA 1 35.63 35.63 8 521401 FLDR HGING BOX BOTM LET 2 EXP 2 BX 2 19.35 38.70 9 534990 ENV CLASP RECY 28LB 6.5X9.5 5 BX 5 7.48 37.40 10 562896 POST- IT SUPER STICKY NOTES 4 PK 4 12.72 50.88 11 509588 FOLDER SNGL TOP LTR 1/3 MA 8 BX 8 9.14 73.12 12 826830 TISSUE FACIAL BOUTIO 6/PK 1 PK 1 9.77 9.77 13 585456 BROTHER TN-350 BLACK TONER 2 EA 2 43.86 87.72 14 585966 BROTHER DR-350 DRUM 2 EA 2 80. 23 160.46 15 815080 DPS PERF PAD 8.5X11 .75 LGL YW 1 1 DZ 19.96 .00 16 385744 SMALL CUP BLACK 1 EA 1 1.90 1 .90 17 812480 RECYCLED DRAWER ORGANIZER 1 EA 1 3.52 3.52 18 574160 FOOTREST ADJUSTABLE ROTATING 1 EA 1 35.37 35.37 19 438073 SHARP EL1801P PRINTING CALC 1 EA 1 31.27 31 .27 20 323354 DAB N SEAL 50ML 4-PACK 1 PK 1 5.97 5.97 21 187021 ENV CLASP RCY 28LB 9 X 12 2 BX 2 6.23 12.46 22 490883 STAPLES BLUE COVER STOCK 2 PK 2 7.98 15.96 23 490886 STAPLES GREEN COVER STOCK 2 PK 2 7.98 15.96 24 620700 SPLS 67# COVER 8.5X11 CREAM 2 PK 2 7.98 15.96 25 804574 HP CE255A BLACK TONER 6 EA 6 120.41 722.46 26 234062 XEROX 8.5X11 COPY/PRINT CS 7 CT 7 40.65 284.55 27 758312 SEAGATE BACKUP PLS DSKTP 2TB 1 1 EA 129.99 .00 28 ACC54119 DATA BINDER 54119 EX RED 95X11 14 EA 14 6. 23 87.22 29 779066 BINDER DATA W/HKS 9.5X11-LTBLE 14 EA 14 7.35 102.90 30 526012 FASTENER SELF ADHESIVE 2.75X2 12 BX 12 3.58 42.96 31 643687 STAPLES METAL MONITOR STAND 1 EA 1 13.37 13.37 32 370843 PEN BALLPOINT R.S.V.P. MED BLE 4 DZ 4 6.26 25.04 33 932600 STAPLES HIGHLIGHTERS ASST DZ 1 DZ 1 1.83 1 .83 34 490882 STAPLES WHT COVER STOCK 81991 2 PK 2 7.98 15.96 35 AVE16219 TAB, INDX, 1 ' .PRE-CUT, 25/PK 30 30 PK 4.01 .00 36 607841 PURELL ADVANCED 8OZ ORG 12/CT 1 CT 1 45.30 45.30 37 ESSE1534G POCKET 100%RECY 5 114 EXP LTR 200 200 EA 2.00 .00 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 0010989.0055376-0000004 iNUOIG£:::UliTE:>::> 12/15/12 DET 1061088 8023997129 1 14 13 Net 30 Days 2,715.43 INVOICEDETAIL Staples Advantage Federal ID #:04-3390816 CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: BONNIE LEWIS 1 CIVIC SQUARE 1 CIVIC SQUARE CARMEL, IN 46032 DELIVER BY 4PM CARMEL, IN 46032 Bil-7 to Account: 1030382 Ship to Account: 1 CIVIC SQUARE Budget Ctr: 130 - CITY COURT Invoice Number. 3188215088 P 0 Number: Release: Order: 7093551583-000-001 Ordered by: BONNIE LEWIS Job: Order Date: 12/13/12 r Order Unit Ship Unit Line Item Number Description QtY Oty Meas oty Price Price 38 652595 STAPLES BLK GEL MOUSE REST 1 EA 1 6.39 6.39 39 683875 3M BLACK GEL WRIST REST 1 EA 1 18.95 18.95 rei - ax" -Total Total" 2,130-63 Balance to follow Customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 2 Make checks payable to Staples Advantage, Dept DET PO Box 83689, Chicago IL 60696-3689 0010990-0055376-0000005 tNtlO.I.GE::t➢:ATE::::::? 12/15/12 DET 1061088 8023997129 s 1/14/13 Net 30 Days 2,715.43 HWOICE DETAIL Staples Advantage Federal 10 #:04-3390816 CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: BONNIE LEWIS 1 CIVIC SQUARE 1 CIVIC SQUARE CARMEL, IN 46032 DELIVER BY 4PM CARMEL, IN 46032 -Bil-1 to Account: 1030382 Ship to Account: 1 CIVIC SQUARE Budget Ctr: 130 - CITY COURT Invoice Number: 3188215089 P 0 Number: Release: Order: 7093551583-000-003 Ordered by: BONNIE LEWIS Job: Order Date: 12/13/12 FMTWe-r r B/O Unit Ship Unit Line Item Number Description Oty Qty Meas oty Price Price 27 758312 SEAGATE BACKUP PLS DSKTP 2TB 1 EA 1 129.99 129.99 Fret: Tax:( - o Total: 129.99 t)LP - - a 5�o z 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 0010991-0055376-0000006 tNV.(?I0£::.:DATE::>:: iGl tSTOMER >:<>»«::s ;:;: <: SlJlti fttli4£iY:::INit ICE: 10 12/157-12 DET 1061088 8023997129 1/14/13 Net 30 Days 2,715.43 j E DETAIL Staples Advantage Federal ID #:04-3390816 CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: BONNIE LEWIS 1 CIVIC SQUARE 1 CIVIC SQUARE CARMEL, IN 46032 DELIVER BY 4PM CARMEL, IN 46032 Bi-11-to Account: 1030382 Ship to Account: 1 CIVIC SQUARE Budget Ctr: 130 - CITY COURT Invoice Number: 3188215090 P 0 Number: Release: Order: 7093551583-000-005 Ordered by: BONNIE LEWIS Job: Order Date: 12/13/12 r r B/__0 Unit Ship Unit Extended-] Line Item Number -Description Oty Qty Meas Qty Price Price 35 AVE16219 TA13, INDX, 1 ' ,PRE-CUT,25/PK 30 PK 30 4.01 120.30 Freight: ax- Sub-Iota[: Total- 120.30 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 0010992-0055376-0000007 VOUCHER NO. WARRANT NO. ALLOWED 20 Staples Advantage IN SUM OF $ Dept DIET PO Box 83689 Chicago, it 40696 $2,380.92 ON ACCOUNT OF APPROPRIATION FOR Carmel City Court PO#/Dept. INVOICE N0. I ACCT#/TITLE AMOUNT Board Members Prior Year I hereby certify that the attached invoice(s), or 26686 R 3188215089 42-302.00 $129.99 Prior Year bill(s) is (are) true and correct and that the 26686 3188215088 42-302.00 $2,130.63 Prior Year materials or services itemized thereon for 26686 I 3188215090 I 42-302.00 I $120.30 which charge is made were ordered and received except r' ay, ry 04, 2013 Judge 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)) 12/31/12 3188215089 Miscellaneous Office Supplies $129.99 12/31/12 3188215088 Miscellaneous Office Supplies $2,130.63 12/31/12 I 3188215090 I Miscellaneous Office Supplies I $120.30 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 INVOICE DATE C1:iS.TOMER .::> SUMMARY.INVOICE DEC 17 2012 12 8 12 DET 1061088 8023927632 PLF4ASE.PAY BY I TERMS -,MQUNT DO 1 7 13 Net 30 Days 1,100.10 I ®l CEi 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 Invoice Number: 3187830706 P 0 Number: MC003573 Release: Order: 7092931204-000-001 Ordered by: MANDY SPADY Job: Order Date: 12/05/12 r r Urder m ip Unit Extended,, Line Item Number `Descri tion Oty Qt Meas Qty Price Price 1 833860 *10 CASE* SPLS 8.5X11 COPY 1 PK 1 368. 20 368. 20 2 921820 POUCH ECONOMY LTR SZ 3 MIL 1 1 BX 84.69 .00 3 123679 PEN BALL PT FIND STIC FN BLE 12 DZ 12 .66 7.92 4 564231 POST- IT 3X3 ULTRA NOTES 14PK 2 PK 2 13.59 27. 18 5 452170 THERMAL POS ROLLS - 10/PK 2 PK 2 21 . 68 43.36 6 917860 BROTHER TZE-231 12MM BLK ON WT 2 EA 2 9.83 19.66 7 733084 BRIGHTS 8.5X11 PINK RM 4 RM 4 12.28 49.12 8 490935 PASTELS 8.5X11 PINK PAPER RM 4 RM 4 4.92 19.68 9 039210 STAPLE SF3 5M/BOX 35440 5 BX 5 3.52 17.60 10 356697 DUST OFF 7 OZ. 12 PK 2 PK 2 83. 24 166.48 11 229690 3PK SCISSORS 2 PK 2 1 .93 3.86 12 678826 PASTELS 8.5X11 LILAC PAPER RM 2 RM 2 5. 14 10.28 13 806701 COAT HOOK MESH PARTITION 2 EA 2 15.41 30.82 14 453839 OVER THE DOOR COAT HOOK 1 EA 1 13.59 13.59 15 466465 STAPLES 230 DESKTOP CALCULATOR 2 EA 2 3. 21 6.42 16 827733 MESH LETTER TRAY BLK-34154 3 EA 3 9.39 28. 17 17 429025 SHARPIE ULTRA FINE 8 COLOR 1 PK 1 7.49 7.49 18 814950 DURAMARK MARKER ULTRAFINE BLK 1 DZ 1 7.49 7.49 19 295253 CABINET 30 KEY 1 EA 1 30.01 30.01 20 281063 SANFORD EXPO DRY ERASE SET 2 ST 2 8.41 16.82 21 610273 X-STAMPER PKT STAMP 9/16'X2' 4 4 EA 28. 19 .00 ?2948287? 22 433263 PILOT VRAZOR LIO INK AST 08 1 PK 1 10.38 10.38 23 807812 FLUENT MECH PENCIL .7MM BL/BK 1 DZ 1 6.59 6.59 24 479880 MULTI WHT LBL 1X2 5/8 3000PK 5 BX 5 9.76 48.80 re i g Jew:• - - o a Total 939-92 Balance to follow Purchase G U ascription P.O.# -__�9 r F G.L.# X 2302-0 y Eu"Aaet Liras L�escr 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 0005403-0046137-0000003 =°'�VD INVOICE DATE CUSTOMER: SUMMARY:INVOICE 12/08/12 DET 1061088 1 8023927632 DEC 17 2012 PLEASE 1/07/13 Net 30 Days 1,100.10 INVOICEDETAIL 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 Invoice Number: 3187830708 P 0 Number: MC003587 Release: Order: 7093112974-000-001 Ordered by: MANDY SPADY Job: Order Date: 12/07/12 r r Urcler Unit Ship Unit Exte Line Item Number Description Oty Qty Meas . Qty. Price 'Pr ice. . ? 1 AVE8395 INK JET NAME BADGES 3 PK 3 16.85 50.55 2 433263 PILOT VRAZOR LIO 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 ax: _ - o a Total: 75.49 BaIan a to follow "urchase P.tJ.# P r F G.L.# 12091 4-12 362 Line Descr 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 INVOICE DATE' CUSTOMER SUMMARY INVOICE' 12/22/12 DET 1061088 8024067275 PLEASE :PAY:BY TERMS : AMOUNT DUE 1/21/13 Net 30 Days 2,762.99 IWOIC i DETAIL Staples Advantage Federal ID #:04-3390816 CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL PAULA SCHLEMMER ATTN: DAWN KOEPPER 1411 E 116TH ST 1411 E 116TH ST CARMEL, IN 46032 CARMEL, IN 46032 Bill to Account: 1030597 Ship to Account: 1411 E 116TH ST Budget Ctr: 1125-100-010-42300200 ADMINISTRATION Invoice Number: 3188626551 P 0 Number: 29282 Release: Order: 7093696279-000-001 Ordered by: DAWN KOEPPER Job: Order Date: 12/17/12 r r Order B/O Unit Ship Unit ExTaiaga Line Item Number Descrilption Oty Oty Meas Qty Price Price 35 606041 KEYBOARD TRAY ADJUSTABLE 1,/ EA 1 162. 77 162.77 36 917860 BROTHER TZE-231 12MM BILK ON WT 2✓ EA 2 9.83 19.66 37 647748 MEMORY FOAM WRIST PILLOW-BLK 1 ✓ EA 1 20.80 20.80 38 SET UP/DELIVERY SET UP/DELIVERY 1 1 EA 130.00 .00 Frei ax- -0Q Sub-Total , Total: 1,261':11 Balance to follow Purchase r� Pro FJPT—�-: C�r" Description O F� M S 1 ` L P.O.# aCGsa (P rF G►'a0�_ DEC 28 2012 C�266j G.L.It 1�d.5—l— 02— 423222F Budget ,,rrC�Sl�(�LIES °`ar Line Descr (91 " �--- Purchaser Date Approval Date Customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 2 Make checks payable to Staples Advantage, Dept DIET PO Box 83689, Chicago IL 60696-3689 0007833-0053021-0000007 INVOICE DATE CUSTOMER' -: SUMMARY:INVOICE. 12/2272 DET 1061088 8024067275 e PLEASE PAY BY TERMS AMOUNT DUr 1/21/13 Net 30 Days 2,762.99 I NV®I CE DETAIL Staples Advantage Federal ID #:04-3390816 CARMEL CLAY PARKS AND RECREATION 4 T�� TN: CIOF CARMEL KOEPPER PAULA SCHLEMMER I/ CARMEL,IINTH6032 4 :DEC Lt �n�� E 116TH ST 9i CAR MEL, IN 46032 Bill to Account: 1030597 Ship to Account: 1411 E 116TH ST Budget Ctr: 1125-100-010-4230200 ADMINISTRATION Invoice Number_ 3188626551 P 0 Number: 29282 Release: Order: 7093696279-000-001 Ordered by: DAWN KOEPPER Job: Order Date: 12/17/12 r order, Unit Ship m x e Line Item Number, Description Qty Oty, Meas Qty Price. Price 1 374814 1 .51N WHITE VIEW BINDER 24 EA 24 1. 77 42.48 2 358168 11N WHITE VIEW BINDER 1✓ CT 1 23.99 23.99 3 358166 .51N WHITE VIEW BINDER 1 ,/ CT 1 23.99 23.99 4 463109 INDX DIVIDR 1-10TAB BKWE 18 ✓ ST 18 2.71 48.78 5 534925 ENV CAT TYVEK 14LB 10X13 PLN 2,e BX 2 32.77 65.54 6 764134 INKJET SHIP 3 1/3 25PK 6UP 1 ✓ PK 1 10.02 10.02 7 465930 LABEL-FILE FOLDER LSR/ INK WE 1 "/ BX 1 28.49 28.49 8 570621 STAPLES ACADIA BLACK. MESH TASK 3 3 EA 162.69 .00 Ship to: BI Indianapolis 9 870256 STRD LIP CHAIRMAT W/GRIP 36X48 6 6 EA 66. 38 .00 10 JOJ8274 SAFE TRAVEL FIRST AID KIT 70PC 1 " EA 1 7.49 7.49 11 AGM40001 FIRST AID REFILL KIT 96 PC BX 1 12.74 12.74 12 833860 *10 CASE* SPLS 8.5X11 COPY 1 - PK 1 368. 20 368.20 13 163865 STAPLES PAD PERF LTR WHITE 12 1/ DZ 1 4.09 4.09 14 809865 BETTER PERF PAD 8.5X11 YLW 1 - DZ 1 18.76 18.76 15 328501 POSTIT 3X3 FLLADHSV BRGHT 12PK 2✓ PK 2 10.75 21 .50 16 332866 2X2 ELCTRC GLW SUPERSTICKY 8PK 4✓ PK 4 6.37 25.48 17 642254 2X2 CANRY YEL SPR POP-UP NOTES 2✓ PK 2 7. 19 14.38 18 MMM6605PKAST NOTES 4X6 LINED 5PK ASSTPASTEL 1 '/ PK 1 13. 44 13.44 19 517524 INDEX CARD PLN RECY 3X5 WE 2�/ PK 2 .47 .94 20 710137 FIREKING 1HR 4DR LGL 1 1 EA 3.464.09 .00 Ship to BI Indianapolis 21 364756 MS/AVY MAG FILE BROWN 8 ✓ EA 8 13. 19 105.52 22 682080 ROLODEX TWO TONE MESH ROTARY 1 , EA 1 44.99 44.99 23 449460 POINTER LASER CLASS 3 1 1 EA 24.75 .00 24 826360 BAR MAP 8FT ALUMINUM EACH 15 15 EA 31 .45 .00 25 826356 HOOK MAP W/CLIPS AL 30 30 EA 2.51 .00 26 794958 FILE CABINET LOCK 5 LAT 36W BK 3 3 EA 689.70 .00 BI Indianapolis 27 555286 GUTLESS FILEFLDR LTR 100/BX 4 BX 4 15.39 61.56 28 508978 FOLDR DBLE TOP LTR RD 2✓ BX 2 38. 15 76.30 29 870259 WIDE LIP CHAIRMAT W/GRIP 45X53 1 1 EA 92.99 .00 30 471514 SHARPIE CHISEL DZ BLK 1I DZ 1 13.08 13.06 31 051165 HI -LITER 25025 BROAD TIP F/YE 1 ✓ DZ 1 6.53 6.53 32 049025 HIGHLIGHTER MAJOR ACCENT ORANG 1✓ DZ 1 6.53 6.53 33 049024 HIGHLIGHTER MAJOR ACCENT FLGN 1✓ DZ 1 6.53 6.53 34 049022 HIGHLIGHTER MAJOR ACCENT PNK 1 / DZ 1 6.53 6.53 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 0007832-0053021-0000006 INVOICE DATE CUSTOMER::.;::' SUMMARY INVOICE so 12/22/12 DET 1061088 8024067275 PLEASE PAY TERMS , : :1 AMOUNT DUE., 1 21 T1 3 Net 30 Days 2,762.99 IWOI CE DETAIL Staples Advantage Federal ID #:04-3390816 CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL PAULA SCHLEMMER ATTN: DAWN KOEPPER 1411 E 116TH ST 1411 E 116TH ST CARMEL, IN 46032 CARMEL, IN 46032 Bill to Account: 1030597 Ship to Account: 1411 E 116TH ST Budget Ctr: 1125-100-010-4230200 ADMINISTRATION Invoice Rkmtber: 3188626554 P 0 Number: 29282 Release: Order: 7093696279-004-001 Ordered by: DAWN KOEPPER Job: Order Date: 12/20/12 order r Unit- - Ship m x Line It Number Description Oty Qty Meas Qty Price Price 40 768561 CHAIRMAT 36X48 W/LIP INTM 6 EA 6 57.49 344.94 Freight:, ax - o a : Total: 344.94 1t.l�CTT-,- Purchase DEC 2 8 2012 D ascription `�r F �0/°S P.o.# E:udcet Line Cescr Date —Purchaser -,p Cate proval 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 0007836-0053021-0000010 )NVOICE:.DATE 'CUSTOMER.; SUMIMARY NVOICE 10 .12/22/12 DET 1061088 8024067275 PLEASE PAY 9Y. TERMS AMOUNT DU5.. 1/21/13 Net 30 Days 2,762.99 II V OI C DETAIL Staples Advantage Federal ID #:04-3390816 CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL PAULA SCHLEMMER ATTN: DAWN KOEPPER 1411 E 116TH ST 1411 E 116TH ST CARMEL, IN 46032 CARMEL, IN 46032 Bill to Account: 1030597 Ship to Account: 1411 E 116TH ST Budget Ctr: 1125-100-010-4230200 ADMINISTRATION Invoice Nimiber: 3188626555 P 0 Number: 29282 Release: Order: 7093696279-004-002 Ordered by: DAWN KOEPPER Job: Order Date: 12/20/12 r r order B/p Unit Ship Unit- x e Line Item Number Description Qt Qty Meas.: Qty, Price .Price 42 768562 CHAIRMAT 45X53 W/LIP INTM 1 EA 1 65.79 65.79 Freight: 00 Tax: 0000 V .00, Sub-Total. . Total: 65.79 -'rs� Purchase ��PD De cription a p r F �a0� DEC 2 2012 O P.O.# Q� C.L.# �� . Budget _" �- Line bescr Purchaser Date Approval 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 0007837-0053021-0000011 LUC �TE DAT£ CUSTOMER:::: S UMMARY:::INVOICE 2 O 12 DET 1061088 8023927632 201 1 07 13 Net 30 Days 1, 100DETAIL -- - 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 Invoice Number_ 3187830707 P 0 Number: MC003573 Release: Order: 7092931204-000-003 Ordered by: MANDY SPADY Job: Order Date: 12/05/12 Order Order Unit Ship m x Line - Item Number - Description Qty Oty Meas �Qty Price Price"- " 2 921820 POUCH ECONOMY LTR SZ 3 MIL 1 BX 1 84.69 84.69 Freight: ax :Sub-Total: Total..- 84.69 _ Purchase R^ .riFlttti I ;..i3Otl P.G. G.L.# lQ9/• 2 30200 udc el :Jne Descr I`urchaser _ ---Dat 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 0005404-0046137-0000004 INVOICE DATE CUSTOMER. SUMMARY::::INVOICE 12/15/12 DET 1061088 8023997130 PLEASE PAY� BY :T59MS AMOUNT DDY 1/14/13 Net 30 Days 54.87 IIWOlCE DETAIL Staples Advantage Federal ID #:04-3390816 CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL PAULA SCHLEMMER ATTN: MANDY SPADY 1411 E 116TH ST � �T � 1235 DR E DLV BEFORE CARMEL, IN 46032 g��s �s J DEC qq n 2012 CARMEL, IN 46032 Bill to Account: 1030597 Ship to Account: 1235 CNTRL PK E Budget Ctr: 1091-4230200 Invoice Number: 3188215093 P 0 Number: MC003587 Release: Order: 7093112974-000-002 Ordered by: MANDY SPADY Job: Order Date: 12/07/12 r r r r nit Ship Unit ETfEFOEEI Line Item Number Description Qty Qt Meas Oty Price "Price 4 PIL26050 PEW ROLLBALL,PRECISE.V5. 2PK 1 PK 1 5. 29 5. 29 Freight:_ ax Sub-Total. Total: 5.29 Purchase ,,c//'� De cript!.on UT e 7'G{,O�LC�_°5 P.O.# C�,35$[ P or F B daet Line Descr Purchaser-Al/1,� / Date Approval it0 DatG/_ 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 0005412-0034851-0000004 INVOICE DATE CUSTOMER SUMMARY INVOICE • 12/22/12 DET 1061088 8024067275 AMOUNT D 1/21/13 Net 30 Days 2,762.99 Il W®ICE 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 Invoice Number: 3188626549 P 0 Number: MC003573 Release: Order: 7092931204-000-002 Ordered by: MANDY SPADY Job: Order Date: 12/05/12 r , r Unit ip.: ni x Line Item NumbeIr Descri tion Qt Qt Meas" Qty Price Price 21 610273 X-STAMPER PKT STAMP 9116'X2' 4 EA 4 28. 19 112.76 ?2948287? rei ax• Total a Total- 112.76 Backorder of 7092931204 Purchase pon V 0 FC SI1 P M C^� TT Cascrit; �� '` y--- P.O.# PorF aCa G.L.# -- DEC 2 8 2012 j Sudcet Line Descr BY:_ + Purchaser Date �— Approval ___ -" 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 0007830-0053021-0000004 INVOICE DATE CUSTOMER SUMMARY INVOICE 12/22/12 DET 1061088 1 8024067275 PLI�ASE PAY BY:. TERMS AMOUNT.DOE 1/21/13 Net 30 Days 2,762.99 IA OI CE DETAIL Staples Advantage Federal ID #:04-3390816 CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL PAULA SCHLEMMER ATTN: JEANINE POTTRIDGE 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 MCC ADMINISTRATION Invoice Number: 3188626550 P 0 Number: Release: Order: 7093771817-000-001 Ordered by: JEANINE POTTRIDGE Job: Order Date: 12/20/12 FORFe r r Unit ip, unit x e Line Item Number Descri tion Qt Qty Meas Qty Price Price- 1 609764 MARKER DRYERASE FINEPOINT ASST 1 PK 1 5.29 5. 29 2 233601 INDEX CARD 3X5 WHT RULED 50OCT 1 PK 1 1 .18 1.18 3 729554 STPL FILE FLDR HANG LAM 1/31-TR 2 BX 2 13.98 27.96 4 358166 .5IN WHITE VIEW BINDER 4 CT 4 23.99 95.96 5 433263 PILOT VRAZOR LIQ INK AST 08 1 PK 1 10.38 10.38 6 585006 STYLE EDGE DIVIDERS BTAB 1 ST 1 4. 20 4. 20 7 502328 TAB DIVID CPR REINF 5TAB CLRD 1 ST 1 1 .26 1.26 8 922363 2013 MNTH ATAGLNC DESKPD 22X17 7 EA 7 14.79 103.53 9 875788 VELCRO TAPE ROUND 5/8 INCH WH 1 1 EA 2.79 .00 10 LOG920004088 LOGI K360 WRLESS KEYBOARD 1 EA 1 29.99 29. 99 11 652595 STAPLES BLK GEL MOUSE REST 1 EA 1 6.39 6.39 12 648234 STAPLES FLAT STACK STPLR-BLK 1 EA 1 13. 25 13. 25 13 711382 YELLOW PENCILS 48CT 1 BX 1 3.78 3.78 14 330250 X-ACTO ELECTRC PNCIL SHARPENER 1 EA 1 14.95 14.95 15 303628 SHARPIE MARKR FINE BLK 5PK 1 PK 1 7.49 7.49 16 496634 SHARPIE METALLIC SILVER 4PK 1 PK 1 5-82 5.82 17 711762 12IN FINGER GRIP RULER 1 EA 1 .99 .99 18 744100 3TAB 14PT MAN FF LTR 50CT 1 BX 1 8.91 8.91 19 490887 8 5X11 WHITE CARD STOCK 250 1 PK 1 8.97 8.97 reig : f.ax: - o a Total: 350.30 Balance to follow �.arcase OFI 5)PPIJ�` -N1CG P.OJrIFtion g7j�7 for F G.L.# 109 i -4230�o DEC 2 8 B.:rlaet 2��2 Line Descr ` Purchaser Date ApFroval 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 0007831-0053021-0000005 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 $ 11261.11 12/22/12 3188626554 Chair mats 29282 $ _ 344.94 12/22/12 3188626555 Chair mats 29282 $ 65.79 12/5/12 3187830707 Office supplies MCC 129228 $ 84.69 12/15/12 3188215093 Office supplies MCC $ 5.29 12/22/12 3188626549 Office supplies MCC 29228 $ 112.76 12/22/12 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 5-11-10-1.6 120_ 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 Board Members Dept# INVOICE NO. ACCT#/TITLE AMOUNT 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 3-Jan 2013 Signature $ 3,240.29 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund INVOICE DATE CUSTOMER SUMMARY..INVOICE ago 12 15/12 DET 1061088 8023997129 PLEASE PAY BY TERMS AMOUNT.DUE WON 1/14/13 Net 30 Days 2,715.43 IIWOICE DETAIL Staples Advantage Federal ID #:04-3390816 CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: MARIE DOAN 1 CIVIC SQUARE 3 CIVIC SQUARE CARMEL, IN 46032 DELIVER BY 4PM CARMEL, IN 46032 Bill to Account: 1030382 Ship to Account: 3 CIVIC SQUARE Budget Ctr: 110 - POLICE DEPARTMENT Invoice Number: 3188215087 P 0 Number: Release: Order: 7093489352-000-001 Ordered by: MARIE DOAN Job: Order Date: 12/12/12 FZFEFer Order Unit Ship, m x e Line Item Number Description Qty Oty Meas Oty Price Price 1 922226 2013 WKLY ATAGLNC RECY BLK 5X8 13 EA 13 13. 31 173.03 2 445845 2013 STAPLES DESKPAD 22X17 6 EA 6 4.89 29. 34 Freight: ax:( -0000 .00 Sub-Tota Totav: 202.37 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 0010988-0055376-0000003 VOUCHER NO. WARRANT NO. ALLOWED 20 Staples Advantage Dept. DIET IN SUM OF $ P.O. Box 83689 Chicago, IL 60696-3689 $202.37 ON ACCOUNT OF APPROPRIATION FOR Project 2013-911 Task 2013-2 PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Prior Year I hereby certify that the attached invoice(s), or 911 3188215087 I 42-302.00 I $202.37 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 Friday, January 04, 2013 azx" Major 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)) 12/15/12 3188215087 $202.37 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 INVOICE DATE CUSTOMER : SUMMARY INVOICE. to 12 22 12 DET 1061088 8024067274 PLEASE PAY BT-TERMS AMOUNT DUE 1/21/13 Net 30 Days 521.59 ITV®ICE DETAIL Staples Advantage Federal ID #:04-3390816 CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: JEFF BARNES 1 CIVIC SQUARE 1 CIVIC SQUARE CARMEL, IN 46032 DELIVER BY 4PM CARMEL, IN 46032 Bill to Account: 1030382 Ship to Account: 1 CIVIC SQUARE Budget Ctr: 1205-DOA Invoice Number: 3188626542 P 0 Number: JEFF BARNES Release: Order: 7093804593-000-001 Ordered by: JEFF BARNES Job: Order Date: 12/19/12 r order Unit Ship Unit Extended Line Item Number Description Oty Qty Meas Qt`,' Price Price 1 931275 SAMSUNG CLX-3305FW MFP PRINTER 1 EA 1 399.99 399.99 Freight:,., ax: - o a .Total: 399.99 D Q JAN 07 2013 By Customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 1 Make checks payable to Staples Advantage, Dept DIET PO Box 83689, Chicago IL 60696-3689 0008835-0051180-0000003 VOUCHER NO. WARRANT NO. ALLOWED 20 Staples Advantage IN SUM OF $ Dept DIET PO Box 83689 Chicago, IL 60696-3689 $399.99 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Prior Year I hereby certify that the attached invoice(s), or 1205 318862 2- $399.99 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 M day, January 07, 2013 Director, Administrati n 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)) 12/22/12 3188626542 $399.99 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