242934 3 /11/2015 �`p� CITY OF CARMEL, INDIANA VENDOR: 367573
2I ONE CIVIC SQUARE DIAPER DECK &CO CHECK AMOUNT: $*******641.89*
9, _� CARMEL, INDIANA 46032 705 EAST CRYSTAL LAKE ROAD CHECK NUMBER: 242934
y��TON'� BURNSVILLE NIN 55306 CHECK DATE: 03/11115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 6309 641.89 EQUIPMENT REPAIRS & M
Diaper Deck MAR 0 2 2015
Invoice
705 Crystal Lake Rd East
Date Invoice
Burnsville, lVlN 55306 =_-__._ ,
2/24/2015 6309
Bill To Ship To
Carmel Clay Parks&Recreation Carmel Clay Parks&Recreation
1411 E. 116th Street Atter Jim Ransford
Carmel,IN 46032 1235 Central Park Drive East
Carmel,IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
38054 Net 30 2/24/2015
Quantity Item Code Description U/M Price Each Amount
12 1`11 Hold the Baby... 1`11 Hold the Baby Replacement Strap 35.00 420.00
5 Safety Strap Diap... Safety Strap Diaper Deck ea 15.00 75.00
5 Gas Spring Diaper Deck Gas Spring ea 20.00 100.00
1 UPS Ground UPS Ground Shipping 46.89 46.89
Total $641.89
ACCOUNTS PAYABLE VOUCHER
'CITY OF CARMEL
I
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.
367573 Diaper Deck Terms
705 Crystal Lake Rd East
Burnsville, MN 55306
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
2/24/15 6309 Replacement parts 38054 $ 641.89
Total Is 641.89
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
120
Clerk-Treasurer
Voucher No. Warrant No.
367573 Diaper Deck Allowed 20
705 Crystal Lake Rd East
Burnsville, MN 55306
In Sum of$
l
I
$ 641.89
i
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#orBoard Members
Dept# INVOICE NO. 4CCT#/TITL AMOUNT
1093 6309 4350000 $ 641.89 I 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
{
March 5, 2015
I
Signature
$ 641.89 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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