220205 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 364115 Page 1 of 1
ONE CIVIC SQUARE INK HEADS
CARMEL, INDIANA 46032 PO BOX 501574 CHECK AMOUNT: $10.99
•., c� INDIANAPOLIS IN CHECK NUMBER: 220205
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4230200 IH2O935 10 . 99 OFFICE SUPPLIES
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P.O. Box 501574 Approv Date
Order Noy IH-20935 r
Indianapolis, IN 46250 Towne Meadow Elementary
USA Cus_to_m_er Email dkoepper @carmelclayparks.com
(317)841-8302 LCustomer Name Carmel Clay Parks&Recreation
Bill To: Ship To:
Towne Meadow Elementary Towne Meadow Elementary `b��' ����
Carmel Clay Parks&Recreation Carmel Clay Parks&Recreation APB Zp13
10850 Towne Road 10850 Towne Road
Carmel,IN 46032 Carmel, IN 46032 BY -.
USA US
(317)733-2645 (317)733-2645
:Ship Via —_--Terms !Salesperson
Free Shipping Available$(0.00) 1 CreditCard Visa
iCreated P.O.# Status T
4/18/2013 7:16:15 AM J IH-20935 Authorized
Q Descri tion IReference7 Vendor SKU Unit Price I Extended
€,'*Premium Quality Remanufactured Black
Inkjet Cartridge compatible with the HP(HP 92)
! 1 IR HPC9362W I 10.99! 10.99
C9362WN
-y C9362WN HP 92)(Black)
i
1
Message to customer: — Subtotal $10.99
I
Shipping&Handling $0.00
$0.77
_ Total $11.76
Your tracking number is: ()
I of 1 4/18/2013 10:18 AM
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
4/18/13 IH2O935 Supplies $ 10 99
Total $ 10.99
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
Voucher No. Warrant No.
364115 Ink Heads Allowed 20
P.O. Box 501574
Indianapolis, IN 46250
In Sum of$
$ 10.99
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#or
Dept# INVOICE NO. CCT#/TITL AMOUNT Board Members
1081-9 IH2O935 4230200 $ 10.99 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
16-May 2013
Signature
$ 10.99 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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