HomeMy WebLinkAbout233417 06/11/14 " CITY OF CARMEL, INDIANA VENDOR: 366176
® °I ONE CIVIC SQUARE BELSON OUTDOORS, INC CHECK AMOUNT: $""***1,567.28*
CARMEL, INDIANA 46032 36810 EAGLE WAY CHECK NUMBER: 233417
CHICAGO IL 60678-1368 CHECK DATE: 06/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
106 5023990 36930 115870 1,567.28 FOUNDERS PAVILLION TA
M Invoice 115870
Invoice Date: 05/22/14
® U T ® ® ® R S Customer#: CA2208
Belson Outdoors I e_
111 N. River Road
North Aurora, IL 60542 USA lease Remit to:
Phone: 630/897-8489 MAY 2 9 2014 Belson Outdoors, In
Fax: 630/897-0573 BY: 36810 Eagle Way
FEIN#: 36-2514142 — Chicago, IL 60678-1368
DUNS#: 00-524-7564 -
Sold To:Carmel Clay Parks& Recreation Ship To: Carmel Clay Parks& Recreation
1411 E 116th Street 1427 E 116th Street
Carmel, IN 46032 Attn: Dawn
USA Carmel, IN 46032
USA
ShipDate' ShipVia F.O.B. Sales Order Date Salesperson Sales Order Number m
Purchase Order Nuber " Terms --
05/22/14 ODFL Origin 05/02/14 DLTB 115801 36930 Net 10 days
Quantity Item Number Unit of Measure Discount% Tax
Unit Price Extended Price
Order Shi BO Item Description
1 1 0 FREIGHT EA N 137.28 137.28
Freight Prepaid
Ship via Old Dominion Freight Lines per Freight Quote
Phone Call 24 Hours Prior to Delivery Required
Point of Contact: Dawn Koepper
Phone Number: 317-573-4026
1 1 0 HT-100 EA N 740.00 740.00
Recycled Plastic Hexagonal Shaped Picnic Table
BL Black Frame
CD Cedar Top& Seats
1 1 0 HT-100H EA N 690.00 690.00
Recycled Plastic Hexagonal Shaped Universal Access Picnic
Table
BL Black Frame
CD Cedar Top& Seats
1-
WQ103197
Nontaxable 1567.28
Taxable Subtotal 0.00
Tax 0.00
Total Invoice 1567.28
Customer Original Paqe 1
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
5/22/14 115870 Founders park Pavilion picnic tables 36930 $ 1,567.28
I
Total $ 1,567.28
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
366176-Belson Outdoors, Inc.
36810 Eagle Way
Chicago, IL 60678-1368 In Sum of$
$ 1,567.28
ON ACCOUNT OF APPROPRIATION FOR
106 Park Impact Fee
PO#or INVOICE NO. kCCT#ITITLI AMOUNT Board Members
Dept#
36930 F 115870 5023990 $ 1,567.28 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
5-Jun 2014
Signature
$ 1,567.28 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund