225761 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 362272 Page 1 of 1
j,. ONE CIVIC SQUARE BUSINESS FURNITURE, LLC. CHECK AMOUNT: $975.00
CARMEL, INDIANA 46032 PO BOX 856300 DEPT 129
LOUISVILLE KY 40285-6300 CHECK NUMBER: 225761
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4350900 31337 421256 975 . 00 MOVING STORING CRC FU
Business Furniture LLC Invoice
6102 Victory Way
Indianapolis,IN 46278
PLEASE REMIT TO:
nBusiness Furniture,LLC
o Business Furniture PO Box 856300 317.216.1600 Page 1 of 1
Dept No 129 800.774.5544
Louisville,KY 40285-6300 BUSINESS FURNITURE INDIANA
www.businessfurniture.net FAX 317.216.1601
Invoice Invoice Sales Ship Account
Number Date Customer Order Number Order No. Date Representative
421256 10/24/201 SIGNED QUOTE 231616 10/23/2013 DAINEN TOLMAN
SOLD TO: MATTHEW WORTHLEY SHIP TO: MATTHEW WORTHLEY
CARMEL REDEVELOPMENT COMM. CARMEL REDEVELOPMENT COMM.
30 W. MAIN ST 30 W. MAIN ST
SUITE 220 SUITE 220
Carmel, IN 46032 Carmel, IN 46032
P: 1.317.571.2788 P: 1.317.571.2788
mworthley @carmel.in.gov —
Due Date: 11/23/201: Project: 11546
Terms: NET 30 DAYS CARMRE
Quote: 209579
Extended
Line Quantity Catalog Number/Description Unit Price Amount
Invoice Messages
All invoices are subject to 1 1120 monthly
finance charge after terms. A 300 restocking
fee will be assessed for all non-customized
returns.
1 1.00 JOB BFCINSTA 975.00 975.00
PICK UP (3) EXT DESKS COMPONENTS STORED
AT WAREHOUSE
457 3rd Ave SW, Carmel IN
46030
i
BRING PRODUCT TO NEW SPACE LOCATED AT:
30 west Main Street Carmel
INSTALL (3) DESK PER PRINT.
*COMPLETE 10/23/23 C SHULL*
INVOICE TOTALS
Sub Total 975.00
INDIANA SALES TAX EXEMPT 0.00
Please Pay This Amount: 975.00
*******End of Invoice*******
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 ii
FuW JQr� L Z_ C Purchase Order No.
5 6 Dql A I27 Terms
L w'i5 V d k , 0 ' Oz 8-5-- 63 00 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
J 1 n nc'w ci l
Total 17500
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
IASIIlPSS �urnl���'e �-LC IN SUM OF $
I'U 8o� 065-06 1 Pq IAlj 129
Lou-,5 ju/je , KK X 02 X S— 006
$ 975, of
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
-j 3 ,5 L 435 Q U) 5 CC 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
/0-3>)— 2013
nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund