236308 8 /27/2014 CITY OF CARMEL, INDIANA VENDOR: 355456
ONE CIVIC SQUARE BARDACH AWARDS CHECK AMOUNT: $**.....191.35'
CARMEL, INDIANA 46032 4222 W 86TH STREET CHECK NUMBER: 236308
INDIANAPOLIS IN 46268-1706 CHECK DATE: 08/27/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4239099 239606 191.35 OTHER MISCELLANOUS
* 239606 - 219633 -08/05/2014 - HCCPR*
Sales Invoice 239606
4222 W. 86th Street RFCEIVSD Customer ID HCCPR
Indianapolis, IN 46268 AUG 0 6 2014 Pagel
(317)872-7444 Phone $Y: A&
Bill To: Ship To:
CARMEL CLAY PARKS&RECREATION CARMEL CLAY PARKS&RECREATION
1411 EAST 116TH STREET 1235 CENTRAL PARK DRIVE EAST
Carmel, IN 46032 ATTN; MIKE KILPATRICK
Carmel, IN 46032
Please return this portion with payment
Invoice Date:I Purchase Order I Terms I ShiD Via I F.O.B: Sales Person I Ship From I Source
08/05/2014 XX-810 NET 30 DAYS UPS BARDACH AWARDS I JL WH1 SO 219633
Order Qt Shipped Qt/U.O.M. Item Number Item Status Unit Price Ta Extended Pric
Back Order Qt Description
20 20 EA LASERPLATE Sale 9.00 N 180.00
0 LASER ENGRAVED NO SMOKING SIGN CIRCLES
Non Taxable Subtot I 180.00
NO SMOKIGNG SIGNS Taxable Subtot I 0.00
Shipping/Handling 11.35
Sales Tax 0.00
Invoice Tota 191.35
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.
355456 Bardach Awards Terms
4222 W. 86th Street
Indianapolis, IN 46268
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/5/14 239606 No smoking signs �oc810 $ 191.35
Total $ 191.35
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.
355456 Bardach Awards Allowed 20
4222 W. 86th Street
Indianapolis, IN 46268
In Sum of$
$ 191.35
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1093 239606 4239099 $ 191.35 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
21-Aug 22= �l:[--
41
�J
Signature
$ 191.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund