218309 03/14/2013 - CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1
ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE
CARMEL, INDIANA 46032 DEPT DET CHECK AMOUNT: $3,464.09
PO BOX 83689
«o CHECK NUMBER: 218309
CHICAGO IL 60696-3689
CHECK DATE: 3114/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 R4230200 29282 3192992025 3 , 464 . 09 OFFICE SUPPLIES
RECEIVED
INVOICE DATE:- CUSTOMER-- SUMMARY:,INVOICE
FEB 2 1 2013 2 16 13 DET 1061088 8024660111
3/18/13 Net 30 Days 3,517.11
I1 W®1 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 Number: 3192992025
P 0 Number: 29282 Release: Order: 7093696279-000-009
Ordered by: DAWN KOEPPER Job: Order Date: 12/17/12
Urder r B/O m Ship Unit -Ex-Te—n-c9U-j
Line Item Number :=Description Qty' Qt Meas Qt Price Price
20 710137 FIREKING 1HR 4DR LGL 1 EA 1 3,464.09 3,464.09
Ship to BI Indianapolis
Freight: Tax:(- -
Total: 3,464-09
Purchase n „ �^1
Description G
P.o.# 212$2. ®r F CC- 2
G.L.# \\a5 -1-Q2-J•230200
LUdG2t
Line[?escr�vo remLP V E.
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
0001394-0045052-0000004
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
1/26/13 3191035531 Ink toners $ 61.77
2/16/13 3192992024 Credit for return $ (33.14)
2/16/13- 3192992025 File cabinet 29282 $ 3,464.09
2/9/13 3192542701 Banner organization cube $ 43.66
2/23/13 3193377342 Copy paper MCC 29461 $ 368.20
2/9/13 3192542703 Easels $ 86.16
2/23/13 3193377346 Return $ (86.16)
2/16/13 3192992026 Easels $ 86.16
2/23/13 3193377344 Return $ (86.16)
Total $ 3,904.58
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.
361528 Staples Business Advantage Allowed 20
Dept DET 2368
P.O. Box 83689
Chicago, IL 60696-3689 In Sum of$
$ 3,904.58 TOTAL
ON ACCOUNT OF APPROPRIATION FOR
101 General 1108 ESE / 109 MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-11 3191035531 4230200 $ 61.77 1 hereby certify that the attached invoice(s), or
3192992024 4230200 $ (33.14) bill(s) is (are) true and correct and that the
29282 3192992025 4230200 $ 3,464.09 materials or services itemized thereon for
3192542701 4239039 $ 43.66 which charge is made were ordered and
1091 3193377342 4230200 $ 368.20 received except
1125 3192542703 4230200 $ 86.16 _
1125 3193377346 4230200 $ (86.16) _
1125 3192992026 4230200 $ 86.16 _
1125 3193377344 4230200 $ (86.16) _
7-Mar 2013
Signature
$ 3,904.58 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund