218105 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1
ONE CIVIC SQUARE INK HEADS
CARMEL, INDIANA 46032 PO BOX 501574 CHECK AMOUNT: $211.80
INDIANAPOLIS IN
„o CHECK NUMBER: 218105
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4230200 7930 211 . 80 OFFICE SUPPLIES
INVOICE /26/2013 jPage 1 of 1
Invoice# 17930
Gust. ACCt. It
P.O. # MC003862
Charge Sale
Ph: (317) 841-8302
Ink Heads Fax: (317) 841-8304
PO-Box 501574
Indianapolis, IN 46250
Sold To: Carmel Clay Parks & Recreation Ship To: Monon
1411 E. 116th St. 1235 Central Park Drive East
Carmel, IN 46032 Carmel IN
46032
ales Person: Randy Order Date: 2/26/2013 Ship Via:
Part Number Description Ordered Shipped Price Total
CT HPC39_03A HP C3903A 4K 2 2 45.95 91.90
CT HPQ2612AX HYHP Q2612X 3K 2 2 59.95 119.90
MAR 0 12013
germs: NET 10
Sub Total $211 .80
Contact: Sales Tax 7% $0.00
Dawn Koepper
(317) 573-4026 Total $211 .80
Signed: Date:
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.
364115 Ink Heads Terms
P.O. Box 501574
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
2/26/13 7930 Toner- MCC Printers $ 211.80
Total $ 211.80
1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in acc6rdance
with IC 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
364115 Ink Heads Allowed 20
P.O. Box 501574
Indianapolis, IN 46250
In Sum of$
$ 211.80
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 7930 4230200 $ 211.80 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
7-Mar 2013
r Signature
$ 211.80 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund