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242672 03/03/15 (9, CITY OF CARMEL, INDIANA VENDOR: 007000 ONE CIVIC SQUARE ACORN DISTRIBUTORS INC CHECKAMOUNT: $*******199.50* CARMEL, INDIANA 46032 5820 FORTUNE CIRCLE DR.WEST CCHECK HECK NUMBER: 2426715INDIANAPOLIS IN 46241DATE- DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4236500 I209512 199.50 SALT & CALCIUM ACORN NVO/cE [Doi s t r i b u t o r s, 1 " c . 5.1.0-5 for Che Jan/tori.1&Foodservice Mdustrles 5820 Fortune Circle Dr. West Indianapolis, IN 46241 Phone: (317)243-9234, (BOO) 783-2446 Fax: (317) 260-2289 www.acorndistributors.com Qa:ge Sold To Ship To CARMEL CITY HALL CARMEL CITY HALL ATT : JEFERY BARNES ONE CIVIC SQUARE ONE CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 Customer{# Order Sales Order# Buyer:: CUStemer P{i7# Sblp Via Salesman 0007615 02/23/2015 I209512 COURIER SERV IHO Inybice F: Invli.ice;fJ2te. bhip;L7ate..:, Freight berms;,; Job;Number,;;.. Terms 2209512 02/24/2015 02/23/15 PREPAID& ADD 70192 NET 25 DAYS _. .. ........ . ........ .._....... ........ ............................. ... .......... ...:..... ............. Invakde. .MeSSdCJ.e..: I1F**ir - . ReCmOirnt...D&.i..mak.echeckp3ab leto; .. ....... ................ .y , • _ _ S .... _........_..... ... .. ..PO BOX 7047 Irida anapolis', IN :45207:: 1 : 4 _ 4 AS'12a15 L quid..'Snow.-Shovel 5ga1 P'1 3$.00 $152..00 N I_ �lJidfEi - - - y Pairieenance ... Account# Qepai-tment# MPR 0 2`2015 -. .. i; oler �Tr asurer Coming Soon.a new and improved company website! Merchandise 152.00 Find promotions, rebates, and featured products on Freight 47.50 acorndistributors.com (online ordering will remain Mise Charges 0.00 the same). The new site will be launched by the en Sub Total 199.50 Taxable 0.00 Returned items are subject to a 25% restocking Tax (IINE) 0.00 fee and return freight costs. TOTAL $199.50 Customer Copy Pay By 03/20/2015 VOUCHER NO. WARRANT NO. ALLOWED 20 Acorn Distributors, Inc IN SUM OF$ 5820 Fortune Circle Dr West + Indianapolis, In 46241 $199.50 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members ' 1205 I 1209512 I 42-365.00 I $199.50 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 Monday, March 02, 2015 Director, dministratio Title Cost distribution ledger classification if claim paid motor vehicle highway fund a it Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or 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. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 02/24/15 1209512 $199.50 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