HomeMy WebLinkAbout233461 06/11/14 `�' ��p" CITY OF CARMEL, INDIANA VENDOR: 367573
® r ONE CIVIC SQUARE DIAPER DECK CHECK AMOUNT: $*******715.00*
?� CARMEL, INDIANA 46032 705 EAST CRYSTAL LAKE ROAD CHECK NUMBER: 233461
'a,,�roH�` BURNSVILLE MN 55306 CHECK DATE: 06/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4237000 6124 715.00 REPAIR PARTS
Diaper Deck Invoice
705'East_Crystal Lake Rd. RECEI E+ D Date Invoice#
Burnsville, NIN.55-306
MAY 16 2014 5/12/2014 6124
by;
Bill To Ship To
Cannel Clay Parks&Recreation MCC-West
1411 E. 116th Street 1235 Central Park Drive East
Cannel,IN 46032 Attn:Mike Kilpatrick
Camiel,IN 46032
I'
P.O. Number Terms Rep Ship Via F.O.B. Project
36985 Net 30 5/12/2014
Quantity Item Code Description U/M Price Each Amount
12 Safety Strap Diap... Diaper Deck Straps ea 15.00 180.00
6 Safety Strap High... High Chair Straps ea 25.00 150.00
2 Diaper Deck(Bei... Diaper Deck(Beige) ea 180.00 360.00
1 UPS Ground UPS Ground Shipping 25.00 25.00
C\.�'�-ti �'lG(� iCCL�v�1L•
polto
Total $715:00
`I15.00
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.
367573 Diaper Deck Terms
705 East Crystal Lake Rd
Burnsville, MN 55306
Invoice T;;mbe
oice, Description
Date r (or note attached invoice(s)or bill(s)) PO# Amount
5/12/14 124 Changing table replacement parts 36985 $ 715.00
Total $ 715.00
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.
367573 Diaper Deck Allowed 20
705 East Crystal Lake Rd
Burnsville, MN 55306
In Sum of$
$ 715.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 6124 4237000 $ 715.00 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
$ 715.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund