HomeMy WebLinkAbout225927 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 362032 Page 1 of 1
ONE CIVIC SQUARE PAPER-LITE CHECK AMOUNT: $85.00
CARMEL, INDIANA 46032 1711 WOOD VALLEY DRIVE
CARMEL IN 46032 CHECK NUMBER: 225927
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4237000 4868 85 . 00 REPAIR PARTS
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Invoice
1711 Wood Valley Drive
Carmel, IN 46032 DATE INVOICE#
10/25/2013 4868
BILL TO
City of Carmel-DOCS
One Civic Square
Carmel,IN 46032
Attn:L.Stewart
P.O. NO. TERMS DUE DATE
L Stewart Net 30 11/24/2013
DESCRIPTION QTY RATE AMOUNT
Fujitsu Scanner Replacement Pick Rollers 1 50.00 50.00
Fujitsu Scanner Replacement Pad Assembly 1 20.00 20.00
Freight 1 15.00 15.00
Subtotal $85.00
Sales Tax (0.00) $0.00
Total $85.00
Phone# Fax# E-mail
812-350-5044 317-581-9409 nancv@gopaperlite.com gopaperlite.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Paper-Lite
IN SUM OF $
1711 Wood Valley Drive
Carmel, IN 46032
$85.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1192 4868 42-370.00 $85.00
I hereby certify that the attached invoice(s), or
I I
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
Friday, November 01, 2013
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
10/25/13 4868 Replacement parts for small scanner BCE $85.00
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