250922 10/22/15 r_C�„
',+f. CITY OF CARMEL, INDIANA VENDOR: 369825
® 'I ONE CIVIC SQUARE GAMETIME CHECK AMOUNT: $*****1,197.75*
, � CARMEL, INDIANA 46032 PO BOX 680121 CHECK NUMBER: 250922
+M,,oN L�, FORT PAYNE AL 35968 CHECK DATE: 10/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4463600 39008 PJI-0020760 1,197.75 EXPRESSION SWING FOR
Remit to: - - Invoice
I
Game Time _
v PO Box 680121 Page 1 of 1
A I'" Fort Payne,AL 35968 Invoice number PJI-0020760
r-�LA1 VCOF���ComO+mY
Customer no 00019149
150 PlayCore Dr SE,Fort Payne,AL 35967 Invoice date 9/25/2015 Customer PO 39008
www.gametime.com Payment terms Net 30 days Reference IG15167
(256)845-5610*(800)633-2394 Date shipped 9/24/2015
Sold to: Ship to:
Carmel Clay Parks Carmel Clay Parks
1411 East 116th Street 1427 E.116th Street
Carmel,IN 46032 �`�• -�� Carmel,IN 46032
SEP 28 2015
Original Order No: 5244106
Project Name Expression Swing ��"
Sales Group: Sinclair Recre ion LIc - -- - -
Catalog No Description Qty Unit price Amount
5145 EXPRESSION SWING 5"OD 8'H(BASIC:L DARK_GREEN) 1.00 995.000 995.00
139361 AEROSOL PAINT 4.5 OZ.(BASIC:L DARK-GREEN) 1.00 0.000 0.00
Sub total 995.00
Freight Freight 1.00 202.750 202.75
Sub total 202.75
Total 1,197.75
Sales subtotal
amount Sales tax
1,197.75 0.00
- --- -- ----- -
INVOICE TOTAL DUEUSD $1,197.75
CONCEALED SHORTAGES MUST BE REPORTED TO GAMETIME WITHIN 60 DAYS OF RECEIPT OF MERCHANDISE.
CONDITIONS:
TITLE TO THIS MERCHANDISE PASSES TO BUYER WHEN SELLER DELIVERS GOODS TO CARRIER
Please note that GAME11ME is a material supplier only and therefore not subject to payment retainage.Shipment of goods which appear on this invoice
constitutes completion of this contract by GAMETIME.Payment in full is required within the agreed terms stated on this invoice.Warranty claims and back
charges may not be deducted from contract payments without prior approval of GAMETIME customer service personnel.
Seller hereby certifies,to the best of its knowledge,information and belief,that its selling price does not exceed the maximum price permissible under any
prevailing applicable law or regulation.Seller agrees to refund any amounts paid by Buyer which are subsequently determined to be in excess of such maximum
price.
We hereby certify that these goods were produced in compliance with all applicable requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as
amended,and of regulations and orders of the United States Department of Labor issued under Section 14 thereof.
I
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.
Game Time Terms
PO Box 680121
Fort Payne, AL 35968
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
9/25/15 PJ10020760 Expression swing for West Park Playground 39008 $ 1,197.75
Total $ 1,197.75
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
Voucher No. Warrant No.
Game Time Allowed 20
PO Box 680121
Fort Payne, AL 35968
In Sum of$
$ 1,197.75
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or Board Members
Dept# INVOICE NO. CCT#/TITL AMOUNT
39008 F PJ10020760 4463600 $ 1,197.75 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
October 12, 2015
Signature
$ 1,197.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund