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242067 2 /10/2015 o CITY OF CARMEL, INDIANA VENDOR: 368105 ONE CIVIC SQUARE PICKLE-BALL INC CHECK AMOUNT: $********71.87* CARMEL, INDIANA 46032 810 NW 45TH ST SUITE 2 CHECK NUMBER: 242067 SEATTLE WA 98107 CHECK DATE: 02/10/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 211343864 71.87 GENERAL PROGRAM SUPPL RECEIVED Pickle-Ball, Inc JAN 2� 2015 Invoice Seattle, WA 98107 �Y: Date Invoice# 810 NW 45th Street, Suite 2 - 1/27/2015 211343864 Bill To Ship To Carmel Clay Parks&Ree. Carmel Clay Parks&Rec. 1411 East 116th Street 1235 Central Park Drive East Carmel,IN 46032 Carmel,IN.46032 USA P.O. Number Terms Rep Ship Via F.O.B. Project Net 15 1/27/2015 UPS Quantity Item Code Description U/M Price Each Amount 3 B 10901 WY Large Hole-Yellow Dozen(Indoor) 20.00 60.00T Freight Freight Charges 11.87 11.87T Out-of-state sale,exempt from sales tax 0.00% 0.00 Phone# E-mail Total $71.87 (206)632-0119 (... Orders@pickleball.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. 368105 Pickle Ball, Inc. Terms 810 NW 45th Street, Suite 2 Seattle, WA 98107 Invoice - Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1/27/15 211343864 Pickleballs xa1597 $ 71.87 Total $ 71.87 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with I C 5-11-10-1.6 , 20 Clerk-Treasurer i Voucher No. Warrant No. { 368105 Pickle Ball, Inc. j Allowed 20 810 NW 45th Street, Suite 2 Seattle, WA 98107 In Sum of$ $ 71.87 I ON ACCOUNT OF APPROPRIATION FOR (' 109 -Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-50 211343864 4239039 $ 71.87 I 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 iwhich charge is made were ordered and received except I i February 5, 2015 I Signature $ 71.87 } Accounts Payable Coordinator Cost distribution ledger classification if I Title claim paid motor vehicle highway fund f I'