HomeMy WebLinkAbout232446 5 /13/2014 , off.GAgy�r
CITY.OF CARMEL, INDIANA VENDOR: 366176
ONE CIVIC SQUARE BELSON OUTDOORS, INC CHECK AMOUNT: $****"9,870.40"
* ,?� CARMEL, INDIANA 46032 36810 EAGLE WAY CHECK NUMBER: 232446
gy�TON° CHICAGO IL 60678-1368 CHECK DATE: 05/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4463000 114101 9,870.40 FURNITURE & FIXTURES
Invoice 114101
SEL _°N Invoice Date: 04/03/14
O U T D ', R S =BY-
Customer#: CA2208
Belson Outdoors, Inc.111 N. River Road North Aurora, IL 60542 USAPlease Remit to:
Phone: 630/897-8489 Belson Outdoors, Inc.
Fax: 630/897-0573 36810 Eagle Way
FEIN#: 36-2514142 Chicago, IL 60678-1368
DUNS#: 00-524-7564
Sold To:Carmel Clay Parks& Recreation Ship To: Monon Community Center
1411 E 116th Street 1235 Central Park Drive East
Carmel, IN 46032 Attn: Dawn Koepper
USA Carmel, IN 46032
USA
_ _: _. .
Shi .Date __- Shi Via---_-_. ._F.O:B.__::,_ Sales:_Order Date Sales erson=5ales.Order Number Purchase'Order-Number-`" l`erms;`
04/03/14 Best way Origin 03/03/14 DLTB 113717 36697 Net 10 days
Quantity Item Number: .> Unit of Measure Discount% Tax
Unit Price Extended Price
Order Ship BO Item Description
1 1 0 FREIGHT EA N 1093.40 1093.40
Freight Prepaid
Ship via Best Way per Freight Quote
Phone Call 24 Hours Prior to Delivery Required
Point of Contact: Dawn Koepper
Phone Number: 317-573-4026
Mark for PO#: 36697
Liftgate Service Required!
5 5 0 RSCS64 EA N 753.00 3765.00
Regency 4' Backless Bench With Cedar Slats
Solid Black Frame
7 7 0 RSCS136 EA N 716.00 5012.00
Regency 6' Backless Bench With Cedar Slats
Solid Black
?)(0(pot
WQ92824
Nontaxable 9870.40
Taxable Subtotal 0.00
Tax 0.00
Total Invoice 9870.40
-- - — CiistnmPr nriaina►-(Rer�rintPr)1—. - -------Pana---1----J
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.
366176 Belson Outdoors, Inc. Date Due
36810 Eagle Way
Chicago, IL 60678-1368
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
4/3/14 114101 Fitness locker room benches 36697 $ 9,870.40
Total $ 9,870.40
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
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Voucher No. Warrant No.
Allowed 20
366176 Belson Outdoors, Inc.
36810 Eagle Way
Chicago, IL 60678-1368 I In Sum of$
$ 9,870.40
l
f.
ON ACCOUNT OF APPROPRIATION FOR
i
109 Monon Center
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PO#or INVOICE NO. kCCT#iTITLI AMOUNT Board Members
Dept#
1091 114101 4463000 $ 9,870.40 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
I
which charge is made were ordered and
ireceived except
i 8-May 2014
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i
Signature
$ 9,870.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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