242521 02/24/15 `. CITY OF CARMEL, INDIANA VENDOR: 365554
® ONE CIVIC SQUARE EXTRACTOR CORP CHECK AMOUNT: $ ..."*274.45`
CARMEL, INDIANA 46032 PO Box 99 CHECK NUMBER: 242521
SOUTH ELGIN IL 60177 CHECK DATE: 02/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 15303 274.45 EQUIPMENT REPAIRS & M
.-i�r; ,_
PLEASE REMIT TO: INVOICE
+ rc ` � Tom, T 833
Extractor Corporation _
P.O. Box 99 j FEB 1 7 �1 $ ;v;, DATE INVOICE NO.
South Elgin, IL 60177 ! 2/12/2015 15-303
BILL TO SHIP TO
Carmel Clay Parks & Recreation Carmel Clay Parks & Recreation
1411 E. 116th Street 1235 Central Park Drive E.
Carmel, IN 46032 Carmel, IN 46032
Attn: Accounts Payable Attn: Jim Ransford
P.O NUMBER TERMS SHIP DATE SHIP VIA SERIAL NUMBER 'SERIAL NO. RET.
38075 Net 30 2/12/2015 UPS
ITEM DESCRIPTION QTY RATE AMOUNT
EC22 BASKET & DISC BRAKE ASSEMBLY 1 254.45 254.45
SHIPPING SHIPPING & HANDLING 1 20.00 20.00
I
I
T (847)742-3532 F (847) 742-3552
E-Mail info@suitmate.com Total $274.45
Web Site www.suitmate.com
New Unit Return
Restocking Fee - 10% plus Freight
No Returns Accepted After 90 Days.
Prices subject to change without notice.
i __ .
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.
365554 Extractor Corporation Terms
P.O. Box 99
South Elgin, IL 60177
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
2/12/15 15303 Swim suit dryer parts 38075 $ 274.45
Total $ 274.45
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
Voucher No. Warrant No.
365554 Extractor Corporation Allowed 20
P.O. Box 99
South Elgin, IL 60177
In Sum of$
$ 274.45
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 15303 4350000 $ 274.45 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 19, 2015
'PAh&MhUA)
Signature
$ 274.45 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund