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246518 06/17/15 CITY OF CARMEL, INDIANA VENDOR: 364134 ROCKY MOUNTAIN SUNSCREENCHECKAMOUNT: $"*""3,242.51' (9, ONE CIVIC SQUARECARMEL, INDIANA 46032 14700 W 66TH PLACE,SUITE 2 CHECK NUMBER: 246518 ARVADA CO 80004 CHECK DATE:' 06/17/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4239099 35487 3,242.51 OTHER MISCELLANOUS L7CHY Iv �; , Rocky Mountain Sunscreen 9 2015 14700 W. 66th Place, Suite #2 1 1 Invoice Arvada, CO 80004 1-888-356-8899; 303-940-9809 Fax suns DATE NUMBER info@rmsunscreen.com 4/29/2015 35487 www.rmsunscreen.com BILL TO SHIP TO Carmel Clay Park& Rec Carmel Clay Park& Rec Dawn Koepper Linda Acosta 1411 E. 116th St. 1235 Central Park Dr. East Carmel, IN 46032 Carmel, IN 46032 - P.-O. NUMBER T RMS DUE DATE REP SHIP DATE Shipping F.O.B. ORDER DATE JaU&TE H.--_�8�� et 30 5/29/2015 HOU 4/28/2015 Prepay... Ground Arvada 04/28/2015 T COD DESCRIPTION QUANTITY PRICE EA. AMOUNT , 35095 SPRAY Gallon Refill SPF-50 KIDS 22 108.00 2,376.00 Sunscreen [ORM-D, Ground shipping only] 35075 SPRAY Quart SPF-5 0 X1,DS Sunscreen 18. . 38.25 688.50 Mist[ORM-_D, Ground shipping only]_" Subtotal 3,064.50 Shippirig Shipped via.UPS; Tracking: 1 178:01 178:01 ;1 Z8X06490377206254 Thank you for your business. INVOICE TOTAL $3,242.51 Title to above merchandise delivered is retained by the seller until paid in full, including freight. Rocky Mountain Sunscreen payment terms require payment of this invoice by the Due Date. All invoices not paid in full within above terms are subject to a 2% monthly finance charge retroactive to the invoice date. Finance charges apply only to invoices that are not paid within payment terms. 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. 364134 Rocky Mountain Sunscreen Terms 14700 W 66th Place, Suite#2 Arvada, CO 80004 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 4/29/15 35487 2015 Summer Camp Bulk sunscreen order 38409 $ 3,242.51 Total $ 3,242.51 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. 364134 Rocky Mountain Sunscreen Allowed 20 14700 W 66th Place, Suite#2 Arvada, CO 80004 In Sum of$ $ 3,242.51 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members Dept# 1082-99 35487 4239099 $ 3,242.51 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 i i June 11, 2015 i 'P i Signature $ 3_,242.51 Accounts Payable Coordinator Cost distribution ledger classification if i Title claim paid motor vehicle highway fund i