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CITY OF CARMEL, INDIANA VENDOR: 368436
® Y ONE CIVIC SQUARE LANDSCAPE STRUCTURES INC CHECK AMOUNT: $*****1,029.30*
CARMEL, INDIANA 46032 601 7TH STREET SOUTH CHECK NUMBER: 235915
DELANO MN 55328 CHECK DATE: 08/13/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 37327 INVO06106 1,029.30 PLAYGROUND REPAIR PAR
`1
' CRY171ED
JUL 24 2014
BY:
landscape Invoice INV-006106
structures® Page 1 of 2
Bill To: C083607 Ship To: C083607
Carmel Clay Parks and Recreation Carmel Clay Parks Maintenance
1411 E 116th Street 1427 E 116th St
Carmel IN 46032 Carmel IN 46032
USA USA
Project ID P0008777-01-01 Customer Order 37327
Dealer 158 Countryside Play Structures, LLC Invoice Date 07/18/2014
Requested Ship Date 07/21/2014 Payment Terms Net 30 Days
Ship Via UPS Ground Cash Discount Terms
Freight Terms Prepaid Project Name Carmel Parks
Department
Order Comments Call Prior-Call if necessary to Courtney Weintraut @
317-573-4044
P&M Product Unit of
Line Code Item# Description_ Line Quantity Measure
1.0 A 111784 MISCELLANEOUS 60 1.00 EA
MISCELLANEOUS
2.0 A 142803 SEAT BELT W/LSI LOGO 52 4.00 EA
SEAT BELT W/LSI LOGO
3.0 A 173877 CHN 3/16 P30 PER FOOT 60 48.00 FT
CHN 3/16 P30 PER FOOT
4.0 A 142805 SEAT FULL BUCKET 52 1.00 EA
SEAT FULL BUCKET
5.0 A 121133 PIN UPPER SST 60 2.00 EA
PIN UPPER SST
6.0 A 121135 SPRG PIN 1/4iODX2LG SST 60 2.00 EA
SPRG PIN 1/4iODX2LG SST
Equipment $869.30
Delivery Charges $160.00
Continued on next page
601 7th St.South,Delano, MN 55328 • Tel 763.972.5200 • 888.438.6574 • Fax 763.972.3185 playlsi.com
F
landscape JUL 22014 Invoice INV-006106
BY
structures® Page 2 of 2
P&M Product Unit of
Line Code Item# Description Line Quantity Measure
'.- - n
Invoice Amount $1,029.30
Please include invoice number INV-006106 and remit to:
Landscape Structures Inc.
SDS 12-0395 PO BOX 86
Minneapolis, MN 55486-0395
1.5%Finance Charge per Month Imposed
Your Account Representative is: After 30 Days of Invoice Date
Stacey Schramel 1-888-208-9570
601 7th St.South,Delano,MN 55328 • Tel 763.972.5200 888.438.6574 • Fax 763.972.3185 • playlsi.com
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.
Landscape Structures Inc. Terms
SDS 12-0395 P.O. Box 86
Minneapolis, MN 55486-0395
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/18/14 INVO06106 Playground repair parts
37327 $ 1,029.30
im
Total $ 1,029.30
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.
Landscape Structures Inc. Allowed 20
SDS 12-0395 P.O. Box 86
Minneapolis, MN 55486-0395
In Sum of$
$ 1,029.30
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
37327 F INVO06106 4237000 $ 1,029.30 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
7-Aug 2014
Signature
$ 1,029.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund