HomeMy WebLinkAbout243285 03/18/15 CITY OF CARMEL, INDIANA VENDOR: 367559
ONE CIVIC SQUARE NATIONAL GYM SUPPLY CHECK AMOUNT: $********99 19*
CARMEL, INDIANA 46032 5500 WEST 83RD STREET CHECK NUMBER: 243285
LOS ANGELES CA 90045 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 SI8158302 99.19 REPAIR PARTS
t 5500 West 83rd Street
Los Angeles,CA 90045 SALES INVOICE
1-800-496-7278(USA&Canada)
310-410.420D(World 1 e SI-8158302 2/24/2015
310-410-4220(rax) ` ` �IVED
1 I IIIIII VIII I II VIII VIII VIII VIII IIII IIII
MM."Mpart.com FEB 2 5 2015
Customer Con Ship To
City of Carmel, Indiana Carmel Clay Parks & Rec
1411 E. 116th Street Shauna Lewallen
( CARMEL IN 46032 1235 Central Park Dr. East
UNITED STATES CARMEL IN 46032
Tel: (317) 571-4136, (317) 571-4136 UNITED STATES
Fax: (317) 571-4136
Account Terms Due Date Account Rep Schedule Date
42978 NET 30 3/26/2015 Julio Diaz 2/24/2015
Sales Order PO # Reference Ship VIA Page Printed
SO-71591957:24:08PM
1774 Emailed UPS Ground Ser. . . 1 2/24/2015
L Item Description Order Ship Price UM Discount Amount
1PCTIO01 Headphone Jack Assembly 6 6 $15.00 EA $90.00
2S Shipment Shipping Charge 1 1 $9.185 EA $9.19
3 SH: Additional shipping charge will
apply for Back Orders and/or Drop
Ship parts will apply.
Tax Details Taxable $0.00
EXEMPT $0.000
Payment Details Total Tax $0.00
Exempt $99.19
Total $99.19
Payment Disc $0.00
Paid $0.00
Balance $99.19
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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.
367559 National Gym Supply Terms
5500 West 83rd Street
Los Angeles, CA 90045
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
2/24/15 S18158302 Precor headphone jacks xx1774 $ 99.19
Total $ 99.19
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
f
Voucher No. Warrant No.
367559 National Gym Supply Allowed 20
5500 West 83rd Street
Los Angeles, CA 90045
In Sum of$
$ 99.19
ON ACCOUNT OF APPROPRIATION FOR
I
109 -Monon Center
i
PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept# ij
I
1096-21 S18158302 4237000 $ 99.19 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
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I.
March 12,2015
I
1
Signature
$ 99.19 Accounts Payable Coordinator
Cost distribution ledger classification if (. Title
claim paid motor vehicle highway fund
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