HomeMy WebLinkAbout246454 06/1 7/1 5 / '. CITY OF CARMEL, INDIANA VENDOR: 367559
ONE CIVIC SQUARE NATIONAL GYM SUPPLY CHECK AMOUNT: $ft; w*„19.16t
CARMEL, INDIANA 46032 5500 WEST 83RD STREET CHECK NUMBER: 246454
LOS ANGELES CA 90045 CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 SIB172711 19.16 REPAIR PARTS
t t 5500West 83rdStreet SALES INVOICE
Los Angeles,CA 90045
1-800-496-7278(USA&Canada)
310-410-4200(Worldwide) SI-8172711 5/28/2015
310-410-4220(Fax)
wws+r.gympart,cam I IIIIII VIII VIII VIII VIII VIII VIII IIII IIII
Customer Contact Ship To
LJUN
� CarmelClay Parks & Rec
Shauna Lewallen
City of Carmel, Indiana 2015 1235 Central Park Dr. East
1411 E. 116th Street CARMEL IN 46032
CARMEL IN 46032 UNITED STATES
UNITED STATES
Account Terms Due Date Account Rep Schedule Date
42978 NET 30 6027%2015—' Julio—Diaz—� '5/-287-203�5 `
Sales Order Ship VIA Reference PO # Page Printed
UPS Ground Service 2226 1 30
15
SO-7173883 Emailed 6:29: 6AM
L Item Description Order Ship Price UM Discount Amount
1 CON1731 Shock Cord, Concept 2 1 1 $9.17 EA $9.17
2 CON1731: Color for this shock cord may
vary.
38H Shipment Shipping Charge 1 1 $9.9876 EA $9.99
4 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 $19.16
Total $19.16
Payment Disc $0.00
Paid $0.00
Balance $19.16
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
5/28/15 S18172711 Rower shock cord replacement xa2226 $ 19.16
Total $ 19.16
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
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Voucher No. Warrant No. �f
367559 National Gym Supply j Allowed 20
5500 West 83rd Street
Los Angeles, CA 90045
(In-Sum of$.
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$ . . 19.16
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ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
Po''#or INVOICE No. CCTWTITL AMOUNT Board Members
Dept# 1.
1096-21_ _ S18172711 4237000 $ 19.16 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
(' June 11, 2015
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Signature
$ 1.9.16 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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