246673 06/30/15 4y w 4�q���
CITY OF CARMEL, INDIANA VENDOR: 007000
t; ONE CIVIC SQUARE ACORN DISTRIBUTORS INC CHECK AMOUNT: $*******209.73*
:9 ,� CARMEL, INDIANA 46032 5820 FORTUNE CIRCLE DR.WEST CHECK NUMBER: 246673
�'��ioN"E°. INDIANAPOLIS IN 46241 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 21220549 209.73 OTHER MAINT SUPPLIES
ACORN INVOICE
D i s t r i b u t o r s, I n c _
501.0 ns for the Janit.,1W&Foodservice Industries
5820 Fortune Circle Dr. West
Indianapolis, IN 46241
Phone: (317)243-9234, (800) 783-2446
Fax: (317) 260-2289
www.acorndistributors.com
Sold To Ship To
CARMEL CITY HALL CARMEL CITY HALL
ATT : JEFERY BARNES ONE CIVIC SQUARE
ONE CIVIC SQUARE CARMEL IN 46032
CARMEL IN 46032
Customer#
Sa
Order QatE' Sales Order# Buyer: Customer P{0#' Shlp Via'I lesman
0007615 06/09/2015 I220549 Tr IFE/005 IHO
Invoice#
v:olce;pate ShlpDate reight:Terms :; Jo ..umber -
I220549 06/10/2015 06/09/15 PREPAID& ADD 73975 NET 25 DAYS
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*;* *.::..Invoi ce.'..Message ***
Remit & make check payable to:
Picbrn Disti'butors•,: .Iac
PO BOX 7047
Indaariapolis IN's45207. i. .
__.... _.... Tedex...Track.#_437,845531226.
Fedex .Track.k' 4378455312:37
.
CLOX15:9:49; :.;.:.. ;WIPES. Dasin.fectant..Fresh . Cs.. .
5 .. 57...7T . : .51.88: 55
6/75ctcanister
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Butldln M "I tenance
JU�1 �201�
Account #
Department #
Coming Soon.a new and improved company website! Merchandise 188.55
Find promotions, rebates, and featured products on Freight 21.18
acorndistributors.com (online ordering will remain Mi SC Charges 0.00
the same). The new site will be launched by the en Sub Total 209.73
Taxable 0.00
Returned items are subject to a 25% restocking Tax U INE) 0.00
fee and return freight costs. TOTAL $209.73
Customer Copy Pay By 07/04/2015 Writer WEB
VOUCHER NO. WARRANT NO.
ALLOWED 20
Acorn Distributors, Inc
IN SUM OF$
5820 Fortune Circle Dr West
Indianapolis, In 46241
$209.73
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
=Dept.Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 1220549 I 42-389.00 I $209.73 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
Monday, June 29 2015
10,
Director, Administratio
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
06/10/15 1220549 $209.73
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