221558 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 146000 Page 1 of 1
t' ONE CIVIC SQUARE I C C BUSINESS PRODUCTS
CHECK AMOUNT: $79.99
CARMEL, INDIANA 46032 P.o BOX 26058
INDIANAPOLIS IN 46226-0058 CHECK NUMBER: 221558
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 SI610358 79 . 99 OFFICE SUPPLIES
INVOICE Invoice Number: SI-610358
� ��� 9�•� �-g-� Invoice Date: Due Date
Wnf' 1930 Page: 1 6/20/2013 8119/2013
ICC Business Products Customer ID Contact SalesPerson
3164 N. Shadeland Avenue 23755 Robert Robinson Bob Ray
Indianapolis, IN 46226-0058 Cust Phone Cust Fax
317-571-2559
Bill Robert Robinson Ship Robert Robinson
To: CITY OF CARMEL POLICE DEPT To: CITY OF CARMEL POLICE DEPT
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL, IN 46032 Carmel, IN 46032
i
I
Terms Order Date Order No. Ship Via Budget Code Web Order No. Cust.PO#
NET 60 DAYS 6/19/2013 SO-584328 ICC Delivery 120720 Robert
Item/Description Order Qty Unit Quantity Unit Price Total Price
7-CE278A HP LJ P1606 TONER 2100 PG YLD 1.00 EA 1.00 79.99 79.99
I
e: 800-547-2233 Fax: 317-543-5738
Subtotal: 79.99
Remit payments to: Shipping & Handling: 0.00
Order Processing: 0.00
ICC Business. Products Total Sales Tax: 0.00
P.O. BOX 26058 Net Terms Total: 79.99
Indianapolis, Indiana 46226
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))
06/20/13 S1610358 toner/Robinson $79.99
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
ICC Business Products
IN SUM OF $
P.O. Box 26058
Indianapolis, IN 46226-0058
$79.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1110 I S1610358 I 42-302.00 I $79.99 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
Tuesday, June 25, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund