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243882 04/08/15 ��w. 9;. CITY OF CARMEL, INDIANA VENDOR: 007000 g ONE CIVIC SQUARE ACORN DISTRIBUTORS INC CHECK AMOUNT: $*******713.26* CARMEL, INDIANA 46032 5820 FORTUNE CIRCLE DR.WEST CHECK NUMBER: 243882 'M,��aN. :r INDIANAPOLIS IN 46241 CHECK DATE: 04/08/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4238900 2212877-00 675.55 OTHER MAINT SUPPLIES 1205 4238900 2213128-00 37.71 OTHER MAINT SUPPLIES ACORN INVOICE D i s t r i b u t o r s, 1 "c_ Solutions for rheJan/tariW&Foodservice Industries 5820 Fortune Circle Dr.West Indianapolis, IN 46241 Phone: (317)243-9234, (800)783-2446 Fax: (317)260-2289 www.acorndistributors.com III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 01:21 03/27 5 03/2ge 6M DC JH Invoice # HR/WHSE USER REPRINT 2212877-00 01/01 WEB 1 S CARMEL CITY HALL S CARMEL CITY HALL 0 T ATT: JEFERY BARNES H T ONE CIVIC SQUARE L 0 ONE CIVIC SQUARE I 0 CARMEL IN 46032 D CARMEL IN 46032 P Tel 317-571-2448 Fax 317-571-5845 ORDER CUSTOMER CUSTOMER P/O TERMS TAX SHIP SALES JOB DATE NUMBER NUMBER CODE CODE VIA PERSON ID/NAME 03/26/15 0007615 2340 NET 25 DAYS IINE/7.000% Tk P5/024 Platte, John 71347 LN# 9—ORD Q—SHP Q—B/O PRODUCT UOM UNIT—PRICE EXTENSION WEIGHT VOLUME T 1) 5 5 0 SCAHB1990 CS 26 . 13 $130 . 65 90 . 3 18 . 6 N Towel Kitchen Roll 2ply White 30/cs 11x9 2) 5 5 0 NIBS25042 CS 25 . 17 $125 . 85 109 9 . 3 N Towel- Roll White 7 . 875x700 ' 6 Rls/cs 3) 10 10 0 SCATM1604 CS 41 . 11 $411 . 10 239 28 N TT 2ply Wh.t 3 . 875x3 . 75 Sheet 2"Core 48/750 ***** Special Instructions ***** * 8-5 MONDAY-FRIDAY -------------------------- -------------------------- Sub-Total . . . . . 667 . 60 Submitted T® Fuel Surcharg. . 7 . 95 Tax 0 . 00 APR 0 6 2.0.15 Order Total . . . 675.55 Building Maintenance Account # Clerk Treasurer Department# J Za TOT: 20 20 0 438 56 Received in Good Condition: Coming Soon.a new and improved company website! Ship Date 03/27/15 Find promotions, rebetes, and featured products on Volume Picked by DC acorndistributors.com (online ordering will remain Weight the same). The new site will be launched by the en Pieces Packed by Terms & Conditions Pallet Returned items are subject to a 25% restocking Pkgs Checked by fee and return freight costs. Ctns X: Lnth Loaded by ACORN /NVO/CE Oi stri 1:a utorS' 1 "C_ Solurlons for rheJan/rarlal&Foodse Ice Industries 5820 Fortune Circle Dr.West Indianapolis, IN 46241 Phone: (317)243-9234. (800)783-2446 Fax: (317)260-2289 www.acorndistributors.com 15:34 03/30/15 BJ III I I IIIIIIIII IIIIIIIIIIIIIIIIIIII III 14. 3BP Page1/1 Invoice # BR/WHSE USER REPRINT I213128-00 01/01 WEB 2 S CARMEL CITY HALL S CARMEL CITY HALL 0 T ATT: JEFERY BARNES H T ONE CIVIC SQUARE L 0 ONE CIVIC SQUARE I 0 CARMEL IN 46032 D CARMEL IN 46032 P Tel 317-571-2448 Fax 317-571-5845 ORDER CUSTOMER CUSTOMER P/0 TERMS TAX SHIP . SALES JOB DATE NUMBER NUMBER CODE CODE VIA PERSON ID/NAME 03/30/15 0007115 NET 25 DAYS IINE/7.000% WILL CALL Platte, John 71442 LN# Q—ORD Q—SHPQ—B 0 PRODUCT UOM UNIT—PRICE EXTENSION WEIGHT VOLUME T 1) 1 1 0 CLOX15141 CS 37 . 71 $37 . 71 8 . 9 0 . 5 N WIPES Disinfectant Fresh 6/75ct canister M. S.D.S. Required, No. CLOX15949 ***** Special Instructions ***** * 8-5 MONDAY-FRIDAY ********************************** Order Total . . . 37 .71 Building Maintenance Submitted To Account # 2—Z2 Department # r 2 D S APR 0 6 2015 - Clerk Treasurer TOT 1 1 0 9 1 Received in Good Condition: Coming Soon.a new and improved company website! Ship Date 03/30/15 Find promotions, rebates, and featured products on Volume Picked by BP acorndistributors.com (online ordering will remain Weight the same). The new site will be launched by the en Pieces Packed by Terms & Conditions Pallet Returned items are subject to a 25% restocking Pkgs Checked by fee and return freight costs. Ctns X: Lnth Loaded by VOUCHER NO. WARRANT NO. ALLOWED 20 Acorn Distributors, Inc IN SUM OF$ 5820 Fortune Circle.Dr West Indianapolis, In 46241 $713.26 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 1212877-00 42-389.00 $675.55 I hereby certify that the attached invoice(s), or , bill(s) is (are)true and correct and that the 1205 1213128-00 42-389.00 $37.71 materials or services itemized thereon for which charge is made were ordered and received except Monday, April 06, 2015 Director,Administration Title i Cost distribution ledger classification if I claim paid motor vehicle highway fund F 1 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. I Terms Date Due i Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 03/27/15 1212877-00 $675.55 03/30/15 1213128-00 $37.71 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