219224 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 364469 Page 1 of 1
ONE CIVIC SQUARE BANK SUPPLIES
CARMEL, INDIANA 46032 43430 N 1-94 SERVICE DRIVE CHECK AMOUNT: $37.95
BELLEVILLE MI 48111 CHECK NUMBER: 219224
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4230200 1309510000 37 . 95 OFFICE SUPPLIES
BankSupplies n�oice
COUNT ON US. banksupplies.eom F Date - a e.::::.: .;:.> Number
43430 N.1-94 Service Dr. 800-968-7868 04/09/2013 1 1309510000
Belleville,Ml 48111 fax:800-699-1426
Bill To . hi T
0
Attn: Dawn
Carmel Clay Parks & Recreat=ions Carmel Clay Parks & Recreation
1411 East 116th Street � D 1411 East 116th Street
CARMEL IN 46032 APR 1 2 2013 CARMEL IN 46032
USA USA
__
. :.::::.:::. .:.:::::::.:::::::..::::::..
Account;::::::;Ordered_>:: hi ed Customer P0# "'`'' wTe3e hone :. '>»Smart Terms :of 'Sal`e:;;:<Shi ,:.;Method.:
pp P.. .: :.: :..........:::.:::..:........... .... ... ........ :. .:...:::. .::.:.P:...::... _.:
_...._. . ... ... .... ... ..... ............ ... ......... .. ........ . ............. .. .......... . ...._...... ... ..... .......
168270 04/05/13 04/08/13 317. 843 .3875 70 Net 30 Days UPS Ground
_......
Iaem:# Description.,. » : : :::. ::>.: ::; :.., : :-;:....:: >:::>.UM.. .' QQR ::' :::.QBO:::<:. QSH :.: '°:,Price :.:..::Amount
10:1..-.;10025::NB Bi11:::Stra Black 2.5::;:: Serf: >::: >: i1M: i ::>:>:':1.
:0.`r :.,...:.1::. :: 4 ::7:3:. 4..:,7.3.
p $....:.....:: .. ... :_:..:....:. :. ......................... .... ....... .. _... _... ....
Seal
' ... : :zer..S stra p or ani:125-32:579:NB: ' EZaa P:B. i11 EA: 1 `'21.:.9. 5
. .... ...
_ _.... _ .................
Comments:::.Thank OU .: Or:>:, :OUr:.Or.der::,:;;> :::.
y. .. .. X
:::;USE::THIS PACKI:NG LIST TO':::<RE=ORDER
Sign:::this, packing list arid,. fax t,o. .
1-800-699-1428 and we will duplicate your
:>.o r
der* .::::
Re-Order Signature:
Re-Order Date:
Purchase
I CE
f;escriptio
G.L.#
Bud
» t:
E
Line D
escr
Pius
a
.. ...:`�`S01"ii::�::i::':;i;i� i;i;i>ii:2`::'Y '� i�..::�: �»>- .:.
;:.;:.;:.;:::. Date ,..
«:::>:. .:ApProva►. Date::
Merchandise Shipping Add Amt `COD Charge Other Charge Tax Invoice Total
26. 68 11.27 0. 00 0 .00 0.00 0.00 37 . 95
Want to receive your invoice via email
or efax? Email stevep @banksupplies.com .
with your Client# and email address or
efax number to direct future invoices.
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.
364469 Bank Supplies Terms
43430 N. 1-94 Service Dr.
Belleville, MI 48111
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
419/13 1309510000 Office supplies $ 37.95
I
Total $ 37.95
I hereby certify that the attached invoice(s),or bill(s) is(are)true and correct and I have audited same in accordance
with 1C 5-11-10-1.6
. 20_
Clerk-Treasurer
Voucher No. Warrant No.
364469 Bank Supplies Allowed 20
43430 N. 1-94 Service Dr.
Belleville, MI 48111
In Sum of$
$ 37.95
ON ACCOUNT OF APPROPRIATION FOR
101 - General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 1309510000 4230200 $ 37.95 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
18-Apr 2013
Signature
$ 37.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund