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242189 2 /17/2015 CITY OF CARMEL, INDIANA VENDOR: T361513 ONE CIVIC SQUARE AMERICAN HOTEL REGISTER COMPAMCHECK AMOUNT: $'""*"'468.36' CARMEL, INDIANA 46032 PO BOX 71299 CHECK NUMBER: 242189 CHICAGO IL 60694-1299 CHECK DATE: 02/17/15 \t DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4235000 6589531 468.36 BUILDING MATERIAL American HOTEL REGISTER COMPANY FBY: 5 2015 Government Division -----_____1 100 S. Milwaukee Avenue FED. ID.#36-0726190 Vernon Hills, IL 60061-4305 1-800-766-6676-domestic, 1-847-743-6016 -overseas • 6589531 01/26/15 1 of 1 For 24 hour service please visit our website at www.americanhotel.com SOLD TO: SHIP TO: 5352 1 MB 0.435 E0437X 10752 01215975235 P2396033 0001:0001 I'I�Ill�lr��l�l'�III�II�II�IIIIIII�I�'���'���I'I'I����Ii�l�l�l III CARMEL CLAY PARKS THE MONON CENTER AND RECREATION 1235 CENTRAL PARK DRIVE EAST 1411 E 116TH ST CARMEL IN 46032 CARMEL IN 46032-7611 CUSTOMER NO. CUSTOMER P.O.NUMBER SALES ORDER NUMBER TERMS DUE DATE 245447-- - XX-1645 5339-i62 Net 30 C 125/15 • CITY UNIT PRICE PRICE 3979SS36-W Shower Curtain 10 Vinyl 3X6 Wh 72 5.45 392.40 White,10 gauge vinyl shower curtain,36in w x 72inL Pebble Embossed design,aluminum grommets, Reinforced 3 ply header AMERRD-10-W Shower Curtain PEVA 10 gauge W 12 6.33 75.96 White, pebble embossed design, 10 gauge PEVA shower curtain,72in w x 72in L,chrome-finished rust-proof copper grommets, Reinforced 3 ply Dun and Bradstreet Number - 00-508-4835 ADJUSTMENTS: RETURNS/EXCHANGES:Please see our website at www.americanhotel.com for terms and conditions or view the yellow pages of our current buying guide. FREIGHT: We now offer e-mail invoice capability instead of paper invoices Please contact your sales representative to be set up. A LATE CHARGE:of 1.5 %per month will be imposed on past balances,being an annual rate of 18.0 %. CREDITS: Please email taxdpt@americanhotel.com to obtain a copy of our W9 form. TAX: 0.00 INVOICE TOTAL: $468.36 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. T361513 American Hotel Register Co. Terms P.O. Box 71299 Date Due Chicago, IL 60694-1299 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 1/26/15 6589531 Replacement shower curtains xx1645 $ 468.36 Total $ 468.36 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 i Voucher No. Warrant No. T361513 American Hotel Register Co. Allowed 20 P.O. Box 71299 Chicago, IL 60694-1299 In Sum of$ $ 468.36 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1093 6589531 4235000 $ 468.36 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 February 12, 2015 Signature $ 468.36 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund