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246883 06/30/15 CITY OF CARMEL, INDIANA VENDOR: 369514 s d ONE CIVIC SQUARE LITANIA SPORTS GROUP INC CHECK AMOUNT: $ "*'*'401.51 as CARMEL, INDIANA 46032 PO BOX 1790 CHECK NUMBER: 246883 CHAMPAIGN IL 61824-1790 CHECK DATE: 06/30/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350100 245701 401.51 BUILDING REPAIRS & MA ® PLEASE REMIT TO: Page No: Pagel d Invoice No: 0000245701 LITANIA SPORTS GROUP, INC P.O. BOX 1790 Invoice Date: 06/15/2015 o CHAMPAIGN,IL 61824-1790 a PHONE:217-367-8438 FAX:217-367-8440 FEIN:71-08883690 FJU INVOICE 9 2 01 Customer No: 800557 Your Order No: 38703 Customer Phone: Our Order No: 061515-168829-1-0000: Bill To: CARMEL CLAY PARKS&RECREATION Ship To: 1411 E 116TH ST MCC-WEST CARMEL IN 46032 MIKE KILPATRICK 1235 CENTRAL PARK DRIVE EAST CARMEL IN 46032 Terms: Cash#1: Disc: Shipped: 061515 Cash#2: Disc: Shipped Via: 3-PC-UPS GROUND Net Due Date: 071515 F.O.B.: CHAMPAIGN IL Shipment No: 000243903 Ref: TW Your Customer Rep Is: JNV Pro No: 1Z6225550304065931 Ordered Shipped Back-ordered Item Unit Price Extd Price Qty QTY Qty Number US DOLLAR US DOLLAR 1 1 0 ELEC00011000 351.51 351.51 3/4 HP ELEC MOTOR SPEC 34M08W199 FREIGHT 50.00 FREIGHT I Return Policy SALES TOTAL: 351.51 SALES TAX: 0.00 ALL RETURNS MUST BE PRE-AUTHORIZED. In order for Litania FREIGHT: 50.00 Sports Group to accept a return,the shipment must be accompanied by a Return Merchandise Authorization (RMA)number and must be LESS: 0.00 returned within 30 days of the RMA's creation. Cash refunds will not OTHER CHARGES: 0.00 be issued. Unused credits will be cancelled after one year. Please INVOICE TOTAL: 401.51 refer to the RMA information on our websites for more detailed return US DOLLAR information. 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. Terms Litania Sports Group, Inc. P.O. Box 1790 Champaign, IL 61824-1790 Invoice InvoiceDescription Date Number (or note attached invoices)or bill(s)) PO# Amount 6/15/15 245701 Gym B goal winch motor replacement 38703 $ 401.51 Total $ 401.51 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 I ' Voucher No. Warrant No. Allowed 20 Litania Sports Group, Inc. P.O. Box 1790 Champaign, IL 61824-1790 In Sum of$ $ 401.51 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or INVOICE NO, ACCT WTITLE AMOUNT Board Members Dept# 1093 245701 4350100 $ 401.51 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 f June 25, 2015 'PA0PkYUTU-A) Signature $ 401.51 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund