240863 01/07/15 �4q -
CITY OF CARMEL, INDIANA VENDOR: 361092
d ONE CIVIC SQUARE ZOGICS LLC CHECK AMOUNT: $*****1,079.10*
f, ; CARMEL, INDIANA 46032 P 0 Box 50 CHECK NUMBER: 240863
RICHMOND MA 01254 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4238900 13505 1,079.10 OTHER MAINT SUPPLIES
""E"CEIVED !
DEC 10 2914
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12/10/2014 13505
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Carmel Clay Parks&Recreation Carmel Clay Parks&Recreation
Attn: Accounts Payable attn: Mary Evans
1411 East 116th St. 1235 Central Park Drive East
Carmel,IN 46032 Carmel, IN 46032
317-573-5249
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Z1000 Zogics Wellness Center Wipes 2/1150 CT 18 59.95 1,079.10
Shipping Shipping Free On Orders Over$699 Tracking ID#1Z252AF90359244826 0.00 0.00
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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.
361092 Zogics, LLC
P.O. Box 50 Date Due
Richmond, MA 01254
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
12/10/14 13505 Gym wipes Dec'14 36658 $ 1,079.10
Total $ 1,079.10
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
r with IC 5-11-10-1.6
120
Clerk-Treasurer
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S
Voucher No. Warrant No.
Allowed 20
361092 Zogics, LLC
P.O. Box 50
Richmond, MA 01254 'In Sum of$
,1
$ 1,079.10 �.
S
1
ON ACCOUNT OF APPROPRIATION FOR
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109 - Monon Center
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PO#or I Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT t
1096-21 13505 4238900 $ 1,079.10 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
1
s
i
January 2, 2015
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Signature
$ 1,079.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund