247217 07/15/15 i
5,a
CITY OF CARMEL, INDIANA VENDOR: 367573
�/ \1 ONE CIVIC SQUARE DIAPER DECK &CO CHECK AMOUNT: $*******430.00*
CARMEL, INDIANA 46032 705 EAST CRYSTAL LAKE ROAD CHECK NUMBER: 24,7217
MdtoN c� BURNSVILLE MN 55306 CHECK DATE: 01/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4237000 6406 430.00 REPAIR PARTS
Diaper Deck Invoice
705 Cryst 1 Lake Rd East JUN 2 9 2015
Date j Invoice#
Burnsville, NIN 55306
6/25/2015 6406
Bill To Ship To
Carmel Clay Parks&Recreation Carmel Clay Parks&Recreation
1411 E. 116th Street Attn:Jim Ransford
Carmel,IN 46032 1235 Central Park Drive East
i Carmel,IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
38739 Net 30 6/25/2015
Quantity Item Code Description U/M Price Each Amount
2 Diaper Deck(Bei... Diaper Deck(Beige) ea 185.00 370.00
I UPS Grourid UPS Ground Shipping 60.00 60.00
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Total $430.00
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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.
367573 Diaper Deck Terms
705 Crystal Lake Rd East
Burnsville, MN 55306
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/25/15 6406 Changing table replacement 38739 $ 430.00
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Total. $ 430.00
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
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' 20
Clerk-Treasurer
Voucher No. Warrant No.
367573 Diaper Deck Allowed 20
705 Crystal Lake Rd East
Burnsville, MN 55306
In Sum of$
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$ 430.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
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PO#or INVOICE NO. ACCT#/FITC AMOUNT I Board Members
Dept#
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1093 6406 4237000 $ 430.00 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
July 9, 2015
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j Signature
$ 430.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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