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Home My WebLink About226477 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 361528 Page 1 of 2 ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CARMEL, INDIANA 46032 DEPT DET CHECK AMOUNT: $2,427.69 PO BOX 83689 CHECK NUMBER: 226477 CHICAGO IL 60696-3689 CHECK DATE: 11/19/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 3212067134 70 . 81 GENERAL PROGRAM SUPPL 1081 4239039 3212067135 89 . 04 GENERAL PROGRAM SUPPL 1081 4230200 3212067136 100 . 92 OFFICE SUPPLIES 1091 4230200 3212067137 185 . 35 OFFICE SUPPLIES 1091 4230200 3212067138 4 . 69 OFFICE SUPPLIES 1125 4230200 3212067139 179 . 50 OFFICE SUPPLIES 1125 4230200 3212067410 102 . 90 OFFICE SUPPLIES 1081 4239039 3212548369 28 . 30 GENERAL PROGRAM SUPPL 1081 4230200 3212548370 54 . 13 OFFICE SUPPLIES 1081 4239039 3212548370 31 . 25 GENERAL PROGRAM SUPPL 1091 4230200 3212548371 30 . 00 OFFICE SUPPLIES 1091 4230200 3212548372 195 . 15 OFFICE SUPPLIES 1081 4230200 3213049299 1 . 79 OFFICE SUPPLIES ,ctif CITY OF CARMEL, INDIANA VENDOR: 361528 Page 2 of 2 ONE CIVIC SQUARE STAPLES BUSINESS ADVANTAGE CHECK AMOUNT: $2,427.69 CARMEL, INDIANA 46032 DEPT DET oN co PO BOX 83689 CHECK NUMBER: 226477 CHICAGO IL 60696-3689 CHECK DATE: 11/19/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4230200 3213049300 99 . 95 OFFICE SUPPLIES 1125 4230200 3213049301 58 . 43 OFFICE SUPPLIES 1110 4239099 3213832724 54 . 50 OTHER MISCELLANOUS 1110 4230200 3213832725 20 . 71 OFFICE SUPPLIES 1301 4230200 3213832726 955 . 76 OFFICE SUPPLIES 1301 4230200 3213832727 66 . 78 OFFICE SUPPLIES 1701 4230200 3213832728 49 . 97 OFFICE SUPPLIES 2201 4230200 3213832729 47 . 76 OFFICE SUPPLIES 1NVOICE..DATE. CUSTOMER SUMMARY::111IVOICEi 11 02 13 DET 1061088 8027540414 12/02/13 Net 30 Days 1,195.48 IWOI CE DETAIL Staples Advantage Federal ID #:04-3390816 CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: AMY LUNN 1 CIVIC SQUARE 3400 W 131ST ST CARMEL, IN 46032 DELIVER BY 4PM CARMEL, IN 46074 Bill to Account: 1030382 Ship to Account: 3400 W 131ST ST Budget Ctr: 201 - STREET DEPT Invoice Number: 3213832729 P 0 Number: Release: Order: 7108242279-000-001 Ordered by: AMY LUNN Job: Order Date: 11/01/13 Order . r r Unit i p Unit Extended Line Item Number '—Descri tion' Qty Qty Meas Qty Price - Price 1 DTM333511401 CALENDAR.WEEKLY FASH. BK 2 EA 2 23.88 47.76 .. rep 9 � � ax _ , � - o a _ Total. 47:76 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 0008811-0062802-0000008 VOUCHER NO. WARRANT NO. ALLOWED 20 Staples Advantage Dept DET IN SUM OF $ P O Box 83689 Chicago, IL 60696-3689 $47.76 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 3213832729 I 42-302.001 $47.7E; 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 � l Thurd y, 2013 LWW n St8k--dE e0mm'%''s wTer Title 5± 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)) 11/02/13 3213832729 $47.76 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 INVOICE D.ATE CUSTOIVIER SUNINIARY:>INVOICE 11/02/13 DET 1061088 8027540414 12/02/13 Net 30 Days 1,195.48 EW 01 CE DETAIL Staples Advantage Federal ID #:04-3390816 CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: ROBERT ROBINSON 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: 3213832725 P 0 Number: Release: Order: 7108022901-000-002 Ordered by: ROBERT ROBINSON Job: Order Date: 10/29/13 Order Order unit Ship Unit ETf5Fil6a Line Item 'Number Description ' Qt -Qt Meas Qt Price Price 2 490887 8. 5X11 WHITE CARD STOCK 250 1 PK 1 8.97 8.97 3 130229 POST- IT 3X5 CNRY 12PK 1 DZ 1 11 .74 11 .74 ax: � - o a Total: e,20_'71 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 0008807-0062802-0000004 INVOICE DATE GUSTOIVIER SUMMARY:JNVOICE: 11/02/13 DET 1061088 1 8027540414 12/02/13 Net 30 Days 1,195.48 Ili®ICE DETAIL Staples Advantage Federal ID #:04-3390816 CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: ROBERT ROBINSON 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= 3213832724 P 0 Number: Release: Order: 7108022901-000-001 Ordered by: ROBERT ROBINSON Job: Order Date: 10/29/13 Order Order Unit, Ship Unit x Line `Item Number Description Qty LQty Meas Qt Price Price 1 445267 PUFFS BSC 3PK FAMILY 180 SHEET 10 PK 10 5. 45 54.50 2 490887 8.5X11 WHITE CARD STOCK 250 1 1 PK 8.97 .00 3 130229 POST- IT 3X5 CNRY 1 2P 1 1 DZ 11 .74 .00 00 Sub-Tota Total,-, 54:50:. Balance to follow Backorder of 7108022901 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 0008806-0062802-0000003 , VOUCHER NO. WARRANT NO. ALLOWED 20 Staples Advantage Dept DET IN SUM OF $ P.O. Box 83689 Chicago, IL 60696-3689 $75.21 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 3213832724 42-390.99 $54.50 f hereby,certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1110 3213832725 42-302.00 $20.71 materials or services itemized thereon for which charge is made were ordered and received except Thursday, November 14, 2013 Chief of Police 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)) 10/29/13 3213832724 kleenex $54.50 11/02/13 3213832725 office supplies $20.71 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 INVOICE DA.TE CUSTOMER....... UMMARY:=INVOICE s 11/02/13 DET 1061088 8027540414 12/02/13 Net 30 Days 1,195.48 INVORCAIDf DETAIL Staples Advantage Federal ID #:04-3390816 CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: FRAN KNAPP 1 CIVIC SQUARE 1 CIVIC SQUARE CARMEL, IN 46032 DELIVER BY 4PM CITY COURT (2ND FLOOR) CARMEL, IN 46032 Bill to Account: 1030382 Ship to Account: 1 CIVIC SQUARE Budget Ctr: 130 - CITY COURT Invoice Number: 3213832727 P 0 Number: Release: Order: 7108265690-000-002 Ordered by: FRAN KNAPP Job: Order Date: 11/01/13 Order 'Order Unit Ship m E. x e Line ,Item Numberr Description Qty Qty Mess qt - Price Price 17 607593 WRIST REST PLATFORM WADJST GEL 1 EA 1 66.78 66.78 re,g ax: m -I o a 'Total: 66.78' 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 0008809-0062802-0000006 INVOICE DAT£ iCUSTONI£R SUMMARY>INVOICE: 11/02/13 DET 1061088 8027540414 .....:: .. ..::.... . AM 12/02/13 Net 30 Days 195.48 DETAIL Staples Advantage Federal ID #:04-3390816 CITY OF CARMEL-NJPA CITY OF CARMEL JIM SPELBRING ATTN: FRAN KNAPP 1 CIVIC SQUARE 1 CIVIC SQUARE CARMEL, IN 46032 DELIVER BY 4PM CITY COURT (2ND FLOOR) CARMEL, IN 46032 Bill to Account: 1030382 Ship to Account: 1 CIVIC SQUARE Budget Ctr: 130 - CITY COURT Invoice Number: 3213832726 P 0 Number: Release: Order: 7108265690-000-001 Ordered by: FRAN KNAPP Job: Order Date: 11/01/13 jo Order -, �•.*. Order Unit Ship ,,Unit x e Line_ Item`Mmiber Description Oty Qty,°' Meas` 'Oty Price Price ' 1 508374 BP COMFORTMATE STIC MED RED DZ 1 DZ 1 4.93 4.93 2 490948 PASTELS 8.5X11 CANARY PAPER RM 2 RM 2 4.92 9.84 3 711382 STAPLES YELLOW #2 PENCIL 48 1 B 1 3.78 3.78 4 490936 PASTELS 8.5X11 GREEN PAPER RM 1 RM 1 4.92 4.92 5 503707 HP 02613A BLACK TONER 2 EA 2 60.62 121 .24 6 516331 HP LASERJET 02612A CART 2 EA 2 60.37 120.74 7 515916 RUBBERBANDS PREM 1 L B #1176 2 B 2 2. 29 4.58 8 819373 REFILL INK 10 ML BLACK 2 EA 2 3. 19 6.38 9 863737 REINFORCED HANG FLDR BLUE 25 1 B 1 13.29 13.29 10 922308 14 AAG WALL CAL PAPER 24X36 1 EA 1 14. 10 14. 10 11 365998 DUST-OFF 7 OZ. DUSTER 2 EA 2 5.53 11 .06 12 490947 PASTELS 8.5X11 BLUE PAPER RM 1 RM 1 4.92 4.92 13 804574 HP CE255A BLACK TONER 4 EA 4 145.57 582. 28 14 703715 BATTERY AA ALKALINE 20PK 1 P 1 12.99 12.99 15 515572 14 AAG MNTH DESKPAD 18X11 1 EA 1 8.01 8.01 16 645492 2014 CLASSIC STYLE DESK PAD 4 EA 4 6. 61 26.44 17 607593 WRIST REST PLATFORM WADJST GEL 1 1 EA 66.78 .00 18 370868 PEN BALLPOINT RSVP MED RD DZ 1 DZ 1 6. 26 6. 26 Freight-, 00 ax Sub-.Tota ; b M, :• Total.: �955•�76 Balance to follow U 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 0008808-0062802-0000005 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 P Lc s 11--dvo ', * -q e- �� Purchase Order No. �T T c 0Y Terms CiC S Date Due Invoice Invoice Description Amount D to Number (or note attached invoice(s) or bill(s)) 38a>-),1a WRrs r /0,�s7' FM_ (0 7 Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. c ALLOWED 20 CJTI��Lc= S C % IN SUM OF $ PO 136X Ck 1 cA-6o $ i 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 /-?ft. k 20 `6 a Cost distribution ledger classification if Tit e claim paid motor vehicle highway fund J ��- CPTN7ED 1NVQICE:DATE CUSTOMER SUMMARY;:IIVVQICE: 10/12/13 DET 1061088 8027305796 OCT 18 2013 11/11/13 Net 30 Days 733.21 BY: I ®I CE DETAIL Staples Advantage Federal ID #:04-3390816 CARMEL CLAY PARKS AND RECREATION WEST CLAY ELEMENTARY SCHOOL PAULA SCHLEMMER ATTN: JENNIFER HAMMONS 1411 E 116TH ST 3495 W 126 ST CARMEL, IN 46032 JENNIFER HAMMONS CARMEL, IN 46032 Bill to Account: 1030597 Ship to Account: W CLAY ELEM Budget Ctr: 1081-10-4230200 WEST CLAY ELEMENTARY Invoice Number: 3212067134 P 0 Number: E0003775 Release: Order: 7106996344-000-002 Ordered by: DAWN KOEPPER Job: Order Date: 10/08/13 r r r _ B/p, _Unvt Snip,,, s..Unit tended L i ne .I tem Meer Description Qt Qt Mess Qty,.?Pr ce ice 2 793181 COMMAND MED SPHERA HOOK BLUE 2 PK 2 6.79 13.58 3 563226 PEN RETR Z-GRIP 1 .0MM BLACK 2 DZ 2 4.40 8.80 4 121772 STAPLES CLEAR CLIPBOARD 9X12 3 EA 3 1 .36 4.08 5 614314 MAGNETS HD ASSORTED COLORS 5 PK 5 8.87 44.35 a x relg a y a = Total °. 70_81 00003-1-5 I l�I - 0-�}23G03� 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 L 0014336-0055611-0000003 EBY: ��1'7 110NV.OIC3 :DATE CUSDEOMER061088 SLlIM 80 7305V010E: www18 2013 11 11 13 Net 30 Days 733.21 I NV OI CE DETAIL Staples Advantage Federal ID #:04-3390816 CARMEL CLAY PARKS AND RECREATION WEST CLAY ELEMENTARY SCHOOL PAULA.SCHLEMMER ATTN: JENNIFER HAMMONS 1411 E 116TH ST 3495 W 126 ST CARMEL, IN 46032 JENNIFER HAMMONS CARMEL, IN 46032 Bill to Account: 1030597 Ship to Account: W CLAY ELEM Budget Ctr: 1081-10-4230200 WEST CLAY ELEMENTARY Invoice Number: 3212067135 P 0 Number: E0003775 Release: Order: 7106996344-000-003 Ordered by: DAWN KOEPPER Job: Order Date: 10/08/13 r Or cler Unit, x e Line .,Item,Nuilber %Descri tion . Qt "" ' Qt �' Meas ,. Qt Price .� Price'= 6 689737 SCOTCH-BRITE FLOOR SWEEPER 2 EA 2 44.52 89.04 ref ° ,.. %WT ax s Total 4. 89.04 2#'or I 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 L 0014337-0055611-0000004 #NYOICE <DATE CUSTOMER >:> SUMMARY>INVOICE. ° OCT .l 2013 10/12/13 DET 1061088 8027305796 . _... ::. 11/11/13 Net 30 Days 733.21 BY: 1 N V ®ICE DETAIL Staples Advantage Federal ID #:04-3390816 CARMEL CLAY PARKS AND RECREATION PRAIRIE TRACE ELMENTARY SCHOOL PAULA SCHLEMMER ATTN: MEAGAN STORMS 1411 E 116TH ST 14200 N RIVER RD CARMEL, IN 46032 MEAGAN DECKER CARMEL, IN 46033 Bill to Account: 1030597 Ship to Account: PRAIRIETRC ELEM Budget Ctr: 1081-7-4230200 PRAIRIE TRACE ELEMENTARY Invoice Number: 3212067136 P 0 Number: E0003788 Release: Order: 7107062443-000-001 Ordered by: 'DAWN KOEPPER Job: Order Date: 10/09/13 r r �R nit ip m x e Line Item Nuarber a Description Qty .. Qtv Mbas;"&Z-Qty° Price Price 1 135848 Staples 8.5x11 copy cs 1 CT 1 36.82 36.82 2 849398 STPLS FLLR PPR CR 8.5X11 40OCT 10 PK 10 2.63 26.30 3 711382 STAPLES YELLOW #2 PENCIL 48 10 BX 10 3.78 37.80 reIg Total 100.92 F_ 0003-T$g 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 L 0014338-0055611-0000005 F- 1A701GE; 1NSfOICE::DAT£ CUSTOMER <:> SUMMARY»I1VVOICE 10 12 13 DET 1061088 8027305796 o 8 2013 11 11 13 Net 30 Days 733.21 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: 3212067138 P 0 Number: ##MC004686 Release: Order: 7107034160-000-003 Ordered by: JEANINE POTTRIDGE Job: Order Date: 10/09/13 r :,< _� r ni. .2 ip, ni x e, "Line I tc�i` NumberDescr<1t i on :.c n,r Qt Qt Maas : Qt'' ,,.Pr,ice •Pricey 3 886316 NOTEBOOK POLY LTR BLUE 1 EA 1 4.69 4.69 Freight: a1. - o a r Total: g` 4.69 me D0 (A(0 ioa � - �a3oaon 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 0014340-0055611-0000007 ! °TQ7�°� INVOICE.,DAT£ «CUSTOMER SUMMARY.:::INVOICE 10/12/13 DET 1061088 8027305796 OCT 18 2013 11 11 13 Net 30 Days 733.21 BY.- llV®ICE 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: 3212067137 P 0 Number: #MC004686 Release: Order: 7107034160-000-002 Ordered by: JEANINE POTTRIDGE Job: Order Date: 10/09/13 r r r,a m ip ni ,. x Line Item.Number;. .� ,. Des6 i t on ' "�- . ` :` Qt " t MeaS •��Qt Price Price 2 440122 FOLDING CRATE ON WHEELS 1 EA 1 20.45 20.45 4 744100 STPLS HEAVY WEIGHT 3TAB MAN 50 1 BX 1 9.04 9.04 5 512685 POST- IT 2X2 CUBE 3PK 1 PK 1 7. 10 7.10 6 433263 PILOT VRAZOR LIO INK AST 8 1 PK 1 10.38 10.38 7 164208 LYSOL DISFT WIPES LMN/LM80-3PK 1 PK 1 13.95 13.95 8 479880 SPLS 1X2 5/8 LSR/ IJ LBL 100SH 2 BX 2 9.76 19.52 9 784615 LOGI K360 WRLESS KEYBOARD 1 EA 1 26.48 26.48 10 356652 DUST-OFF 70Z. 6 PK 1 PK 1 46.52 46.52 11 814000 DPS PERF PAD 8.5X11 . 75 LGL WHT 1 DZ 1 19. 96 19.96 12 164205 2014 BLACK/WHITE MONTHLY PLANN 1 EA 1 11. 95 11.95 Freight- „� auc � -_ o a a d rota 185.135- MCC �p�q - '�a�0�o 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 0014339-0055611-0000006 INVOICE DATE CQSTUMER S UNIftt1ARY=:INVOICE: OCT 213 10/12/13 DET 1061088 8027305796 11 11 13 Net 30 Days 733.21 BY. 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 1411 E 116TH ST CARMEL, IN 46032 CARMEL, IN 46032 Bill to Account: 1030597 Ship to Account: 1411 E 116TH ST Budget Ctr: 1125-100-010-4230200 ADMINISTRATION Invoice Number: 3212067139 P 0 Number: A0000314 Release: Order: 7107215135-000-001 Ordered by: DAWN KOEPPER Job: Order Date: 10/11/13 r ... r r ni cxeg Ship ni xtendecl Line. Item NumberDescr.i'tion Qt �Qt Measz, �Qt .� Rrice Pricer_ 1 119784 LITNING STEEL VERT ORG MDL5 BK 1 EA 1 17.69 17.69 2 599397 POST- IT 2IN TAB TIP PRIME 24PK 2 PK 2 2.98 5.96 3 490944 PASTELS 8.5X11 GOLD PAPER RM 2 RM 2 4.92 9.84 4 525535 COPY HOLDER 9X12 BK 1 EA 1 29.99 29.99 5 813672 CLEANER GLASS/SURFACF 320Z 1 EA 1 4.76 4.76 6 132605 UNIBALL ROLLER MICRO PT BLU DZ 1 DZ 1 11 . 29 11 . 29 7 132340 UNIBALL FINE .3MM BLACK 12 1 DZ 1 7.37 7.37 8 534925 10X13 TYK ENV WHITE 1 BX 1 32.77 32.77 9 260273 AVY LSR LBL 10UP 100-2 X 4 1 BX 1 31. 84 31 .84 10 905788 POST- IT .5 ARROW FLAGS AST 5PK 2 PK 2 4.74 9. 48 11 607942 SANITIZER PUREL ALOE 120Z 3 EA 3 4.95 14.85 12 364132 DIXIE 12 OZ PAPER HOT CUPS 50 1 PK 1 3.66 3.66 Freight:.', �Fax: Sub- o a ^ Total: §4 179.50 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 0014341-0055611-0000008 1 INVOICE DATE CUSTOMER SUMMARY 11MVOICE'; OCT Y 2013 13712713 DET 1061088 8027305796 LBY.- A 11 11 13 Net 30 Days 733.21 IN 1V OI C DETAIL Staples Advantage Federal ID #:04-3390816 CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL PAULA SCHLEMMER ATTN: COURTNEY SCHLAEGEL 1411 E 116TH ST 1427 E 116TH ST CARMEL, IN 46032 CARMEL, IN 46032 Bill to Account: 1030597 Ship to Account: 1427 E 116TH ST Budget Ctr: 1125-100-410-4230200 PARKS PLANNING Invoice Number: 3212067140 P O Number: M001156 Release: Order: 7107034604-000-001 Ordered by: DAWN KOEPPER Job: Order Date: 10/08/13 r r '� r ,Unit ip. Unit.,_ x e Line Itan N�anber. _ ri Descpt;ion ,. - _ ;; :Qty " Qt = Mess ; Qt Prace_._ �..Price 1 677045 HOT SPLS LAM POUCH LTR 3MIL 50 1 PK 1 4.50 4.50 2 757125 Z-GRIP GEL RETR. .7MM BLK 2 DZ 2 5.74 11 .48 3 135848 Staples 8.5x11 copy c 2 CT 2 36.82 73.64 4 354744 WHITE NARROW RULED 12 PK 1 DZ 1 9.53 9.53 5 569975 BIC BRITELINER XL HLITER ASST4 1 PK 1 3.75 3.75 ref ax O a 102.90 102_90 Of CE . f & �- , GNP" Pept M 0d 1 f5LD 1 125-4-13--42-302Do 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 0014342-0055611-0000009 1NV0{CE.:DATE . CUS::OMER i:: SUMMARY NVOICE: OHIO v C E WED 10/19/13 DET 1061088 1 8027382675 18 3 OCT 2 5 2013 11/18/13 13 Net 30 Days 338.83 jr IWOIC Staples Advantage Federal ID #:04-3390816 CARMEL CLAY PARKS AND RECREATION WEST CLAY ELEMENTARY SCHOOL PAULA SCHLEMMER ATTN: JENNIFER HAMMONS 1411 E 116TH ST 3495 W 126 ST CARMEL, IN 46032 JENNIFER HAMMONS CARMEL, IN 46032 Bill to Account: 1030597 Ship to Account: W CLAY ELEM Budget Ctr: 1081-10-4230200 WEST CLAY ELEMENTARY Invoice Number: 3212548369 P 0 Number: E0003775 Release: Order: 7106996344-000-001 Ordered by: DAWN KOEPPER Job: Order Date: 10/08/13 Urclef7, Orcler ni ip Unit ExteFaRFJ Line` Item,Number `Desci°i pt ion, r Oty Qt Meas Qty .;Price Price 1 IM11-177112 SPORT NOTEBOOK BACKPACK 1 IN 1 28. 30 28.30 2 793181 COMMAND MED SPHERA HOOK BLUE 2 2 PK 6.79 .00 3 563226 PEN RETR Z-GRIP 1 .OMM BLACK 2 2 DZ 4.40 .00 4 121772 STAPLES CLEAR CLIPBOARD 9X12 3 3 EA 1 .36 .00 5 614314 MAGNETS HD ASSORTED COLORS 5 5 PK 8.87 .00 6 689737 SCOTCH-BRITE FLOOR SWEEPER 2 2 EA 44.52 .00 reig v ax k. .: o a Total: 28.30 Balance to follow VOV3�� OCT 25 2013 BY: 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 L- 0007197-0049323-0000003 INVOICE DATE CUSTOMER SUMMARY ?11VVO10E. EIVE,ID 10 19 13 DE 1061088 8027382675 s f "� $ OCT 2 5 2013 I 11/18/13 Net 30 Days 338.83 i INVOICE DETAIL -- Staples Advantage Federal ID #:04-3390816 CARMEL CLAY PARKS AND RECREATION CHERRY TREE ELEMENTARY SCHOOL PAULA SCHLEMMER ATTN: TIFFANY BUCKINGHAM 1411 E 116TH ST 13939 HAZEL DELL PKWY CARMEL, IN 46032 ATTN: ASHLEY LIVINGSTON CARMEL, IN 46033 Bill to Account: 1030597 Ship to Account: CHERRYTREE ELEM Budget Ctr: 1082-2-4230200 CHERRY TREE 'ELEMENTARY Invoice Number: 3212548370 P 0 Number: E0003828/3814 Release: Order: 7107550799-000-001 Ordered by: DAWN KOEPPER Job: Order Date: 10/18/13 Ur*r r Unit ap ni Extended Line Item Number Descr.iption °" -Qt Qty s Qt Price ,r'. ..Price 1 490887 8.5X11 WHITE CARD STOCK 250 1 PK 1 8.97 8.97 2 862157 CARD 8.5X11 BRIGHT GRN 6511 250 1 PK 1 13.90 13.90 3 651659 Spls 8.5x11 br multi 22/98 rm 1 RM 1 8.38 8.38 4 912091 LBL ADRS 1X2-5/8 1 PK 1 6.86 6.86 5 433427 OOPS CORRECTION TAPE 6PK 1 PK 1 3. 94 3.94 6 509946 PAPER CLIPS TRANSLUCENT N2 AST 1 PK 1 4. 34 4.34 7 481327 STAPLES 21N BOOK RINGS 9PK 2 PK 2 3. 21 6.42 8 378813 CLIPS BINDER ASSORTED 1 PK 1 3.55 3.55 9 688270 ALL IN ONE CADDY 1 EA 1 15.04 15.04 10 489808 ORGANIZER DESK MULTIPOCKET BLK 2 EA 2 6.99 13. 98 11 933437 STICKERS DOG MOTIVATIONAL 1 1 PK 1 .79 .00 12 825201 ROBOTS STICKERS 1 1 PK 1 .69 .00 13 825474 SMILE FUN MOTIVATIONAL 1 1 PK 1 .95 .00 Freight:, `.r-. ax: .00 Sub-Tot al Total,: 85.38 Balance to follow E dod3Cbz% 0 o� i - - �l a3`�b3Q 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 L 0007198-0049323-0000004 �� 7ED iNa/OICE:;DATE CUSTOMER SUNIMARY::INVOICE 10 19 13 DET 1061088 8027382675 PLEASE,PAY B OC11/18/13 Net 30 Days 338 83 t Ili®l 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: 3212548371 P 0 Number: #MC004686 Release: Order: 7107034160-000-001 Ordered by: JEANINE POTTRIDGE Job: Order Date: 10/09/13 r r UrMr na, ;ip Unit Extended Line =,Iterii�Number`• Descr,i 't ion`- - Qt Ot -Price Price Ot := 1 406090 CMPCT FOLDING LUGGAGE CART BLK 1 EA 1 30.00 30.00 2 440122 FOLDING CRATE ON WHEELS 1 1 EA 20.45 .00 3 886316 NOTEBOOK POLY LTR BLUE 1 1 EA 4.69 .00 4 744100 STPLS HEAVY WEIGHT 3TAB MAN 50 1 1 BX 9.04 .00 5 512685 POST- IT 2X2 CUBE 3PK 1 1 PK 7. 10 .00 6 433263 PILOT VRAZOR L10 INK AST 8 1 1 PK 10.38 .00 7 164208 LYSOL DISFT WIPES LMN/LM80-3PK 1 1 PK 13.95 .00 8 479880 SPLS 1X2 5/8 LSR/ IJ LBL 100SH 2 2 BX 9.76 .00 9 784615 LOGI K360 WP.LESS KEYBOARD 1 1 EA 26. 48 .00 10 356652 DUST-OFF 70Z. 6 PK 1 1 PK 46.52 .00 11 814000 DIPS PERF PAD 8.5X11 . 75 LGL WHT 1 1 DZ 19.96 .00 12 164205 2014 BLACK/WHITE MONTHLY PLANN 1 1 EA 11. 95 . 00 freight: : : ., ax: - o a :Total: 30.00 Balance to follow Backorder of 7107034160 Yv�C oo�-68C� I o9, 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 0007199-0049323-0000005 '-Y;7 D 11oNVOIC3 DATE... CUSDEOMER061088 SUM A 738N6010E ' » OCT 25 2013 f 11/18/13 Net 30 Days 338.83 f f I I ®l 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: 3212548372 P 0 Number: #MC004701 Release: Order: 7107308519-000-001 Ordered by: JEANINE POTTRIDGE Job: Order Date: 10/15/13 Ur der Urcler Unit Ship nit , x te. Line ,Item Number ,At °`" Descr: `tion� Qt "Qt Meas�- >,eQt Price, Price: 1 452170 THERMAL POS ROLLS-101PK 1 PK 1 21 .68 21 .68 2 917860 P-TOUCH TAPE 1/21N BLK/WHT 1 EA 1 9.83 9.83 3 677045 HOT SPLS LAM POUCH LTR 3MIL 50 3 PK 3 4.50 13.50 4 272153 SANFORD EXPO ERASER EA 2 EA 2 1 . 83 3.66 5 358166 .5 IN WHITE BASIC BINDER 1 CT 1 24. 59 24.59 6 515209 14 AAG MNTH PLN WALL 20X30 1 EA 1 21 .34 21 .34 7 515839 14 AAG ON MTH DSKPD 22X17 1 EA 1 14.55 14.55 8 516339 14 DYMNDR WKLY PEN ASST 3X6 1 FA 1 20.46 20.46 9 516217 14 AAG MNTH APPT BK 9X11 1 EA 1 11 . 53 11 .53 10 515975 14 AAG ON DAILY DESK 3X6 1 EA 1 9.49 9.49 11 153897 2014 STAPLES DESKPAD 22X17 1 EA 1 4.89 4.89 12 342954 DPS RCY CUBE CLIPS CRY 1 PK 1 1 .04 1.04 13 342959 DPS RCY CUBE CORK MESG BAR GRY 1 EA 1 3. 11 3. 11 14 168497 3X2 MARKER BOARD W/ALUM FRAME 1 EA 1 29. 99 29.99 15 567884 C60 TAPE DISPENSER ASST COLORS 1 EA 1 5.49 5.49 re 1 ax : - o a T.ota1....,r 195.15 0[ ME PPL -5 MCC-, mCOID47 N 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 0007200-0049323-0000006 1NV:OICE DATE CUSTOMER SUNkNtARY:>INUOICE: 10/26/13 DET 1061088 8027457221 WON P 11/25/13 Net 30 Days 160.17 I v V OI C DETAIL Staples Advantage Federal ID #:04-3390816 CARMEL CLAY PARKS AND RECREATION CHERRY TREE ELEMENTARY SCHOOL PAULA SCHLEMMER ATTN: TIFFANY BUCKINGHAM 1411 E 116TH ST 13939 HAZEL DELL PKWY CARMEL, IN 46032 ATTN: ASHLEY LIVINGSTON CARMEL, IN 46033 Bill to Account: 1030597 Ship to Account: CHERRYTREE ELEM Budget Ctr: 1082-2-4230200 CHERRY TREE ELEMENTARY Invoice Number: 3213049299 P 0 Number: E0003828/3814 Release: Order: 7107550799-000-002' Ordered by: DAWN KOEPPER Job: Order Date: 10/18/13 r n r ,Unit ni xte Line IterA Numbed ' Descri pti on Qt '!Qt _ Meas - ()ty Price','. ;-Price 11 933437 STICKERS DOG MOTIVATIONAL 1 PK 1 1 . 79 1 .79 aX• - o a - Total: i-79' Backorder of 7107550799 F, �T�T�T�D O T 31 2013 i d-FG SU PPLai s CST C d oo3g2.$ 42NWD 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 L 0000793-0045172-0000003 INVOICE DATE CUSTOMER SUMMARY...INVOICE. 10 26/13 DET 1061088 8027457221 P:::. 11 25/1 3 Net 30 Days 160. 17 I ®ICE DETAIL Staples Advantage Federal ID #:04-3390816 CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL PAULA SCHLEMMER ATTN: DAWN KOEPPER 1411 E 116TH ST 1411 E 116TH ST CARMEL, IN 46032 CARMEL, IN 46032 Bill to Account: 1030597 Ship to Account: 1411 E 116TH ST Budget Ctr: 1125-100-010-4230200 ADMINISTRATION Invoice Number: 3213049300 P 0 Number: A0000316 Release: Order: 7107828004-000-001 Ordered by: DAWN KOEPPER Job: Order Date: 10/24/13 L1ne Item°Numbers Order -, ni Ship m x e Descry t Qt ion. ?.Qt ,_ `Maas.= Qt Price Price m> 1 855649 HP LASERJET PRO P1102W PRINTER 1 EA 1 99.95 99.95 2 331519 DPS REMAN TONR HP 85 CE285A BK 1 1 EA 58. 43 .00 Freight: ax. _ o a Total: 99.95 Balance to follow I OCT 3 12013 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 0000794-0045172-0000004 INVOICE DATE CUSTOMER SUMMARY:INVOICE; 15726/13 DET 1061088 8027457221 : 11/25/13 Net 30 Days 160. 17 DW010EDETAIL Staples Advantage Federal ID #:04-3390816 CARMEL CLAY PARKS AND RECREATION CITY OF CARMEL PAULA SCHLEMMER ATTN: DAWN KOEPPER 1411 E 116TH ST 1411 E 116TH ST CARMEL, IN 46032 CARMEL, IN 46032 Bill to Account: 1030597 Ship to Account: 1411 E 116TH ST Budget Ctr: 1125-100-010-4230200 ADMINISTRATION Invoice Number: 3213049301 P 0 Number: A0000316 Release: Order: 7107828004-000-002 Ordered by: DAWN KOEPPER Job: Order Date: 10/24/13 r„,, rcler w 'Uri i t Slhip nitx Liner- Item-Numbers _ -Descri pt ion Oty t Meas:' ;Qty Price Price” 2 331519 DPS REMAN TONR HP 85 CE285A BK 1 EA 1 58.43 58. 43 re,gz ax Sub-Total: Total,.' 58.43" ( . OCT .1 1 2013 BY. ---_ _ SUPPUES AD A o0003)(P ItaS-I-o2� T a3� 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 0000795-0045172-0000005 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 DET 2368 P.O. Box 83689 Chicago, IL 60696-3689 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO # Amount 10/26/13 3213049299 Office Supplies CT $ 1.79 10/26/13 3213049300 Office supplies AO $ 99.95 10/26/13 3213049301 Office supplies AO $ 58.43 Total $ 160.17 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. 361528 Staples Business Advantage Allowed 20 Dept DET 2368 P.O. Box 83689 Chicago, IL 60696-3689 In Sum of$ Page 2 of 2 ON ACCOUNT OF APPROPRIATION FOR 101 General/ 108 ESE 1109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-2 3213049299 4230200 $ 1.79 1 hereby certify that the attached invoice(s), or 1125 3213049300 4230200 $ 99.95 bill(s)is (are)true and correct and that the 1125 3213049301 4230200 $ 58.43 materials or services itemized thereon for which charge is made were ordered and received except 14-Nov 2013 6wlmm� Signature $ 160.17 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 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 DET 2368 P.O. Box 83689 Chicago, IL 60696-3689 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 10/12/13 3212067134 Supplies $ 70.81 10/12/13 3212067135 Supplies $ 89.04 10/12113 3212067136 Supplies 1 $ 100.92 10/12/13 3212067138 Office supplies MCC $ 4.69 10/12/13 3212067137 Office supplies MCC $ 185.35 10/12/13 3212067139 Office supplies AO $ 179.50 10/12/13 3212067140 Office supplies Maintenance Office $ 102.90 10/19/13 3212548369 Supplies $ 28.30 10/19/13 3212548370 Office supplies CT $ 54.13 10/19/13 3212548370 Supplies OP $ 31.25 10/19/13 3212548371 Office Supplies MCC $ 30.00 10/19/13 3212548372 Office supplies MCC $ 195.15 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 $ 1,072.04 120_ Clerk-Treasurer Voucher No. Warrant No. 361528 Staples Business Advantage Allowed 20 Dept DET 2368 P.O. Box 83689 Chicago, IL 60696-3689 In Sum of$ TOTAL OF $ 1,232.21 2 PAGES ON ACCOUNT OF APPROPRIATION FOR 101 General 1108 - ESE/109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-10 3212067134 4239039 $ 70.81 1 hereby certify that the attached invoice(s), or 1081-10 3212067135 4239039 $ 89.04 bill(s) is(are)true and correct and that the 1081-7 3212067136 4230200 $ 100.92 materials or services itemized thereon for 1091 3212067138 4230200 $ 4.69 which charge is made were ordered and 1091 3212067137 4230200 $ 185.35 received except 1125 3212067139 4230200 $ 179.50 1125 3212067140 4230200 $ 102.90 1081-10 3212548369 4239039 $ 28.30 1081-2 3212548370 4230200 $ 54.13 1081-6 3212548370 4239039 $ 31.25 1091 3212548371 4230200 $ 30.00 14-Nov 2013 1091 3212548372 1 4230200 $ 195.15 1-9)jrj�w� Total from Page # 2 $ 160.17 $ 1,232.21 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund iNS/:OICE DATE GiJSTONtER :SUMMARY: INVOICE 11/02/13 DET 1061088 8027540414 :AMOUNT: 0L F PLEA 12/02/13 Net 30 Days 1,195.48 I r V OI CE 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: 3213832728 P 0 Number: Release: Order: 7108113725-000-001 Ordered by: ANN DAVIS Job: Order Date: 10/30/13 Urcler, Unit Ship Unit Extended Line 1Item_Nur` Description Qt 'Qt Meas ' .Q't Price 'Price mbe 1 515076 14 VO WALL MNTH SCENIC 15X23 1 EA 1 11.41 11 .41 2 215239 LBL C/C YR-14 ETS FLAT 1 PK 1 3.65 3.65 3 581672 DURACELL COPPERTOP AA16 DBLWD 1 PK 1 14. 29 14.29 4 397983 STPLS 5X8 PASTEL PERF PAD 6 1 PK 1 7.67 7.67 5 885271 POST- IT GREENER 3X3 SUN P12PK 1 PK 1 12.95 12.95 freight - ax t - o o - — :Total 49.97 �, 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 0008810-0062802-0000007 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. `�J ( Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 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 Y VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ kJ 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 Cost distribution ledger classification if Title claim paid motor vehicle highway fund