227395 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 146000 Page 1 of 1
ONE CIVIC SQUARE I C C BUSINESS PRODUCTS
CARMEL, INDIANA 46032 P.O.BOX 26058 CHECK AMOUNT: $209.67
INDIANAPOLIS IN 46226-6292 CHECK NUMBER: 227395
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CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4230200 SI624997 209 . 67 OFFICE SUPPLIES
INVOICE Invoice Number: SI-624997
ducts Invoice Date: Due Date
Page: 1 12/9/2013 1/8/2014
ICC Business Products Customer ID Contact SalesPerson
3164 N. Shadeland Avenue �, 26220 Steve Hamilton
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Indianapolis, IN 46226-0058 °D Cust Phone Cust Fax
FD a 2 013 317-573-4026
Bill CARMEL CLAY PARKS AND RECR Ship Jeanine Pottridge
To: 1411 E 116TH ST. To: MONOON COMMUNITY CENTER
CARMEL, IN 46032 1235 CENTRAL PARK DR EAST
CARMEL, IN 46032
Terms Order Date Order No. Ship Via Budget Code Web Order No. "Gust..-PO# —
NET 30 DAYS 12/6/2013 SO-597458 36433
Item/Description Order Qty Unit Quantity Unit Price Total Price
7-CB436ANDU PREMIUM HP COMP P1505 2000 YLD BLACK TONER 2.00 EA 2.00 41.85 83.70
7-C3903NDU HEWC3903NDU-HP LSR TNR 5P/6P PREM COMP. 2.00 EA
7-CE505ANDU HP LJ P2035/P2055 COMPAT TONER 2.3K PG YLD 3.00 EA 3.00 41.99 125.97
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Website: www.iccbusinessproducts.com Phone: 800-547-2233 Fax: 317-543-5738
PLEASE PAY FROM THIS INVOICE Subtotal: 209.67
MAIL PAYMENT TO: Shipping & Handling: 0.00
Order Processing: 0.00
P.O. BOX 26058
INDIANAPOLIS, IN 46226-6292 Total Sales Tax: 0.00
Net Terms Total: 209.67
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.
146000 1 C C Business Products Terms
P.O. Box 26058
Indianapolis, IN 46226-6292
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
12/9/13 S1624997 Toner MCC 36433 $ 209.67
Total $ 209.67
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.
146000 1 C C Business Products Allowed 20
P.O. Box 26058
Indianapolis, IN 46226-6292
In Sum of$
$ 209.67
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1091 S1624997 4230200 $ 209.67 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
12-Dec 2013
Signature
$ 209.67 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund