HomeMy WebLinkAbout220358 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 1
i ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $4,013.01
�I?o CARMEL, INDIANA 46032 DEPT DET
o� PO BOX 83689 CHECK NUMBER: 220358
CHICAGO IL 60696-3689
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4230200 3197485215 368 . 20 OFFICE SUPPLIES
1091 4463000 3197920716 2, 795 . 40 FURNITURE & FIXTURES
1701 4230200 3198377651 39 . 50 OFFICE SUPPLIES
1091 4230200 3198377653 89 . 82 OFFICE SUPPLIES
1091 4230200 3198377655 59 .49 OFFICE SUPPLIES
911 4230200 3199055344 99 . 89 OFFICE SUPPLIES
1301 4230200 3199055345 519 . 27 OFFICE SUPPLIES
1701 4230200 3199055346 41 .44 OFFICE SUPPLIES
INVOICE<:DATE. ;CUSTOMER:::>' SUMMARY<INVOICE`
5754/13 DET 1061088 8025503372
PLEASE..PAY BY. TERMS: AMOUNT.:DUE
6/03/13 Net 30 Days 660-60
INVOICE 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: 3199055344
P 0 Number: Release: Order: 7099734213-000-001
Ordered by: MARIE DOAN Job: Order Date: 5/02/13
Urcler nit Ship Unit. Exf&zgdF�
Line Item Number Description' Qty Qty Meal. Qty Price ' Price
1 917913 BROTHER TZE-1312PK 12MM BLKCLR 1 PK 1 28.39 28.39
2 917881 BROTHER TZE-2312PK 12MM BKWHT 2 PK 2 28.39 56.78
3 917879 BROTHER TZE-232 12MM RED ON WH 1 EA 1 14.72 14.72
rep ax. - o a
Total: .. 99.89`
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
0001988-0049879-0000003
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))
05/04/13 3199055344 $99.89
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
Staples Advantage
Dept. DET IN SUM OF $
P.O. Box 83689
Chicago, IL 60696-3689
$99.89
ON ACCOUNT OF APPROPRIATION FOR
Project 2013-911 Task 2013-2
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
911 I 3199055344 I 42-302.00 I $99.89 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
Wednesday, May 15, 2013
a'rl� -D-X-le
Major
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
tNVO10E DATE.. CUSTOMER SUMMARY INVOICE.
5/04/13 DET 1061088 8025503372
6/03/13 Net 30 Days 660.60
INVOICE 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
Bill to Account: 1030382 Ship to Account: 1 CIVIC SQUARE
Budget Ctr: 130 - CITY COURT Invoice Number: 3199055345
P 0 Number: Release: Order: 7099652603-000-001
Ordered by: BONNIE LEWIS Job: Order Date: 5/01/13
Urcier. Urder ni ip ni x
Lirie''-Item Number 'Description Qt Qt Meas Qt 'Pricece Price
1 915714 KLEENEX FACIAL TISSUE 36/CT 1 CT 1 63.01 63.01
2 234062 XEROX 8.5X11 COPY/PRINT CS 4 CT 4 44.72 178.88
3 640031 VELOCITY MECH PENCIL .5MM 1 DZ 1 12.48 12.48
4 804574 HP CE255A BLACK TONER 2 EA 2 132.45 264.90
Freight: - ax' - o a
Total: 519.27
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
0001989-0049879-0000004
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
(5:;, D
P Purchase Order No.
D EPT 1��"r- 1 g� Terms
Co loo Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
S 3f9?0S�39 ' F iC-C w r S 5 a?
Total 5 � -
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
Dc_ P D61 B (Y 4 v9
C Y1iCfq(�,0 E
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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
20
TgTN�
le
Cost distribution ledger classification if
claim paid motor vehicle highway fund
` INVOICE DATE:.. SUMMARY:>INV.OICE
APR 17 2013 I
4/13/13 DET 1061088 8025281386
5/13/13 Net 30 Days 368.20
L
INVOICE 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: 3197485215
P 0 Number: MC003986 Release: Order: 7098479827-000-001
Ordered by: JEANINE POTTRIDGE Job: Order Date: 4/08/13
Order Orcler B/O Unit Ship Unit E-xTe—nB5a-j
Line Item Number Description Oty Oty Meas Oty Price Price
1 833860 *10 CASE* SPLS 8. 5X11 COPY 1 PK 1 368. 20 368. 20
#MC003986
Freight: ax - o a
Total: 368.20
Purchase f- n
Dsscript;on (,;(� J P�
P.O.# , �Q PorF
G.L.#
BudjGet
Line uescr
Purchaser Date
Approval Da"
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
0013566-0014569-0000003
C 77 A�"T�� INVOICE%DATE" CUSTOMER "'<> ' SUMMARY"INVOICE
d� 4/20/13 DET 1061088 8025352700
AP y
R 2 5 2013 5 20 13 Net 30 Das 2,795.40
.Y.
INVOICE DETAIL
Staples Advantage Federal ID #:04-3390816
CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: DAWN KOEPPER
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: 1125-4230200 Invoice Number: 3197920716
P 0 Number: 29545 Release: Order: 113997427-000-002
Ordered by: DAWN KOEPPER Job: Order Date: 3/22/13
r order Unit Ship- Unit -Extended,
Line-Item Number Description Qty Qty Meas Qty Price Price
Kit -Linear Mat Chrome 3pack
HLINEARC3
OPTION 2
Furn. Ref . No. 0003586074-0011
?0011?
13 421074 34 Lgth Modesty Panel for 1 EA 1 269.55 269.55
P e n i n s u I a F r o s I e d N i c k I
HPC180G
OPTION 2
Furn. Ret . No. 0003586074-0012
?0012?
rep '. . . - o a
Total'. 2 795.40
Backorder of 0113997427
Purchase
Lewiption dFFICL FQ(4)qQ IZE-jyIC DlV Mc_1R
P.O.# aC154a P orb
G.L.# 1091-UL465co�o
Budget
Line Descr Ed 1� LCD �L� �c 1017 u�S
t � �
Purchaser Date
Approval Date
Customer Service inquiries # 877-826-7755 Invoice Payment Inquiries 888-753-4104 Page: 3
Make checks payable to Staples Advantage, Dept DIET PO Box 83689, Chicago IL 60696-3689
0015195-0044395-0000005
r.
tECEI r✓ ED 4 20113 DATE: . EUSDIET 1061088 SUS 80253 27 011E
APR 2 5 2013 5/20/13 Net 30 Days 2,795.40
INVOIC DETAIL
Staples Advantage Federal ID #:04-3390816
CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: DAWN KOEPPER
1411 E 116TH ST 1235 CENTRAL PARK DR E
CARMEL, IN 46032 DLV BEFORE 4PM
CARMEL, IN 46032
'I Bill to Account: 1030597 Ship to Account: 1235 CNTRL PK E
Budget Ctr: 1125-4230200 Invoice Number: 3197920716
P 0 Number: 29545 Release: Order: 113997427-000-002
Ordered by: DAWN KOEPPER Job: Order Date: 3/22/13
r order Unit
Ship- m x
Line Item Number Descri ption Qty Qty Meas Qty Price Price
2 421074 Mobile Full Height Ped BBF 1 EA 1 320.40 320.40
15-58W x 22-34D
H105102
.Z LAM: Columbian Walnut
Z LAM: Columbian Walnut
OPTION 2
Furn. Ret . No. 0003586074-0001
?0001?
3 421074 72Wx3042Dx29-12H Rudder 1 EA 1 418.95 418.95
Peninsula wEnd Pnl LH
H105206L
.Z LAM: Columbian Walnul
Z LAM: Columbian Walnul
OPTION 2
Furn. Ref . No. 0003586074-0002
?0002?
4 421074 Bookcase Hutch 36'W x 37-18'H 1 EA 1 213.75 213.75
H105292
.Z LAM: Columbian Walnut
Z LAM: Columbian Walnut
OPTION 2
Furn. Ref. No. 0003586074-0003
?0003?
5 421074 72Wx14-58Dx37-18H Slack-on 1 EA 1 623. 70 623.70
Slg - Frosted Doors
H10534G
.Z LAM: Columbian Walnut
Z LAM: Columbian Walnut
OPTION 2
Furn. Rei . No. 0003586074-0004
?0004?
6 421074 Bridge 47W x 24D x 29-12H 1 EA 1 138.60 138.60
H10570
.Z LAM: Columbian Walnut
Z LAM: Columbian Walnut
OPTION 2
Furn. Ref . No. 0003586074-0005
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
0015193-0044395-0000003
INVOICE DATE. CUSTOMER:::::.:: SUMMARY JNVOICE:
P CRIVED —47-275 -13 DET 1061088 8025352700
AMOUNT�::DDY-. .
APR 5 Z013
5/20/13 Net 30 Days 2.795.40
2
iwoic TAIL
Staples Advantage Federal ID #:04-3390816
CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL
PAULA SCHLEMMER ATTN: DAWN KOEPPER
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: 1125-4230200 Invoice Number: 3197920716
P 0 Number: 29545 Release: Order: 113997427-000-002
Ordered by: DAWN KOEPPER Job: Order Date: 3/22/13
FIYFae-r Order B/O Unit Sh'ip Unit hxf6535T1
Line Qty '.Price Price
Item Nurnber -Description Qt y Qt y Mess
?0005?
7 4 2 1 0 7 4 B a c k e n c l o s u r e f o r 72'W S t a c k 1 EA 1 87.75 87.75
on Slorage
H 1 05856
.Z LAM: Columbian Walnut
OPTION 2
Furn. Ref. No. 0003586074-0006
?0006?
8 421074 72Wx24Dx29-1 2H Single Ped 1 EA 1 465.30 465.30
Credenza RH FF Ped
H105903R
.Z LAM: Columbian Walnut
Z LAM: Columbian Walnut
OPTION 2
Furn. Ref. No. 0003586074-0007
?0007?
9 421074 Tackboard for 72'W Stack on 1 EA 1 110. 25 110. 25
S t o r a g e Back E n c l o s u r e
H90056
$(3) GRADE: Fabric Grade III
.PN FABRIC: Appoint
15 COLOR: Dune
OPTION 2
Furn. Ref . No. 0003586074-0008
?0008?
10 421074 Tasklight 42W 1 EA 1 88.20 88.20
HH870942
OPTION 2
Furn. Ref. No. 0003586074-0009
?0009?
11 421074 Field Install DwrDt 2 EA 2 1845 36.90
Kit-Linear Mat Chrome 2pack
HLINEARC2
OPTION 2
Furn. Ref. No. 0003586074-0010
?0010?
12 421074 Field Install D w r D r 1 EA 1 22.05 22.05
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
0015194-0044395-0000004
RE 'F,TN F+�D INVOICE DATE CUSTOMER SUMMARY.INVOICE
MAY 0 2 2013 4 27 13 DET 1061088 8025425375 PAY B7 TERMS AMOUNT D
5 27 13 Net 30 Days 149.31
BX:
lNVOl 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: 3198377653
P 0 Number: MC004039 Release: Order: 7099340694-000-001
Ordered by: JEANINE POTTRIDGE Job: Order Date: 4/25/13
r r r r Fs/u. unit Ship Unit Exte
Line Item Number Description City Oty Meas Oty Price Price
1 744100 3TAB 14PT MAN FF LTR 50CT 1 BX 1 9.04 9. 04
2 324337 NIKO MECH PENCIL 0.7MM ASST 1 DZ 1 8. 44 8.44
3 512685 NOTE CUBE 2X2 3PK 1 PK 1 7. 10 7. 10
4 452170 THERMAL POS ROLLS - 10/PK 1 PK 1 21.68 21. 68
5 AAGSW200-00 2013 NINTH ATAGLNC DESKPD 22X17 3 3 EA 14.69 .00
6 677045 SPLS LTR LAMINATING POUCH 50PK 3 PK 3 4. 50 13.50
7 480114 144CT SMALL BINDER CLIPS 6 PK 6 1. 78 10.68
8 525923 CLIP PAPER STL GIANT .045 12 BX 12 .34 4.08
9 566942 CLIP MINI BINDER 315 BK 144CT 6 PK 6 1 . 29 7.74
10 525881 CLIP PAPER STL #11.034 12 BX 12 .02 . 24
11 899631 23X17 PERPETUAL CALENDAR 1 1 EA 59.49 .00
12 852479 REMARX DE MARKER 6PK ASST 1 PK 1 5.49 5.49
13 272153 ERASER-DRY ERASE 1 EA 1 1 .83 1 .83
Freight: Tax:( - o a :
Total: 89.82
Balance to follow
P:lrchasa r Ree suPP>JEs MCC_
P.O.# _Qor F
G.L.# I0Rl-4-a�aC
�a+rlet
De.scr
Purchaser Cate
Approval __Cute
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
0003803-0034479-0000003
EHY4 CE DATE CUSTOMER SUMMARY INVOICE
9 0 A" 13 DET 1061088 8025425375
WOW13 Net 30 Days 149.31
INVOICE 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: 3198377655
P 0 Number: MC004039 Release: Order: 7099340694-000-003
Ordered by: JEANINE POTTRIDGE Job: Order Date: 4/25/13
FD_r_(Rir Urder B/U Unit Ship Unit Extended
Line Item Number Description Qty Qty Meas Qty Price Price
11 899631 23X17 PERPETUAL CALENDAR 1 EA 1 59.49 59.49
Freight: ax:( .0000 .00 Sub-Total:
Total: 59.49
- D-C-scla$e OKICE sUPPU is Mac
i�,. rripuon
P.o.# me 004039 P o�
�.L.# 1 O`i l - 423o200
C,iat@
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
0003804-0034479-0000004
i
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 DIET 2368
P.O. Box 83689
Chicago, IL 60696-3689
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO # Amount
4/13/13 3197485215 Copy paper 29620 $ 368.20
4/20/13 3197920716 Office Furniture MCC Div Mgr 29542 $ 2,795.40
4/27/13 3198377653 Office supplies MCC $ 89.82
4/27/13 3198377655 Office supplies MCC $ 59.49
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 TOTAL $ 3,312.91
20_
Clerk-Treasurer
Voucher No. _—. Warrant No.
361528 Staples Business Advantage
Allowed 20
Dept DIET 2368
P.O. Box 83689 in Sum of$
Chicago, IL 60696-3689
$ 3,312.91 Total
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1091 3197485215 4230200 $ 368.20 1 hi s hereby certify that the correct as d invoice
that the or
1091 3197920716 4463000 $ 2,789.$0 materials or services itemized thereon for
1091 3198377653 4230200 $
1091 3198377655 4230200 $ 59.49 which charge is made were ordered and
received except
16-May 2013
Signature
$ 3,312.91 Accounts Payable Coordinator
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
INVOICE DATE-.:: CUSTOMER SUMMARY':INVOICE
1w 4/27/13 DET 1061088 8025425374
PLEASExPAY BY TERMS
5727/13 Net 30 Days 39.50
INVOICE 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: 3198377651
P 0 Number: COUNCIL WATER Release: CARMEL COUNCIL H2O Order: . 7099255085-000-001
Ordered by: JEFF BARNES Job: Order Date: 4/23/13
r IF Ur der B/U Unit Ship Unit ERT&05T]
Line Item Number Description Qty Qty Meas Oty Price Price
1 571863 WATER PURFIED PURE LIFE .5LBOT 10 CT 10 3.95 39.50
Freight: ax: . - o a :
Total: 39-50
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
0013689-0014638-0000003
INVOICE DATE CUSTOMER -- SUMMARY INVOICE
574/13 DET 1061088 8025503372
PLEASE PAY BY TERMS - AlMOUNT :DOE—
wwwwwomm-
6/03/13 Net 30 Days 660.60
INVOICE 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 Number: 3199055346
P 0 Number: Release: Order: 7099615423-000-001
Ordered by: ANN DAVIS Job: Order Date: 5/01/13
F17"Er r ni Ship Un i t ERfaidli5a_l
Line Item Number Description Qty Oty Meas Qty Price Price
1 163352 FOLDER HGING LGL STD 1/3 3 BX 3 7. 25 21 .75
2 636025 POST- IT SS NOTES 3X3 TROP BRZ 1 PK 1 17.07 17.07
3 202648 SOFT SOAP 7.5 OZ PUMP 1 EA 1 1 .59 1 .59
4 380435 SPLS 2IN HANG TAB CLEAR 50 1 PK 1 1 .03 1 .03
IF reig Tax:( _00 Sub-Total:
Total: 41.44
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
0001990-0049879-0000005
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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)) /
to
r!
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
s
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
�
S Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
5UV
DEPT.# I 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
20
Signat r
I' Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund