254090 02/05/16 .41i�,CAgb�.
,! ,\� CITY OF CARMEL, INDIANA VENDOR: 365554
`i ONE CIVIC SQUARE EXTRACTOR CORP CHECK AMOUNT: $"***""**45.60*
i' CARMEL, INDIANA 46032 PG BOX 99 CHECK NUMBER: 254090
?M,i�oN�o` SOUTH ELGIN IL 60177 CHECK DATE: 02/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 16-092 45.60 EQUIPMENT REPAIRS & M
PLEASE RE11lIIT TO J =BY
INVOICE
ExtYactor Corpo'ratron� - -
P O� Box 99 -� DATES'; INVOICE NO
j South Elgin; LL .60177 �
�Eederal 1.D. 436 3261591 /18/01� 16 092
BILL TO SHIP TO
Carmel Clay Parks & Recreation Carmel Clay Parks &Recreation
1411 E. 116th Street 1235 Central Park Drive E.
Carmel, IN 46032 Carmel, IN 46032
Attn: Accounts Payable Attn: Jim Ransford
P 0�1�4.UMBER TERMS SHIP DATE SHIP VIA SERIAL NUMBER SERIAL NO. RET.
XX-3231 �} Net 30 1/18/2016 UPS
TE ' DESCRIPTION QTY RATE AMOUNT
AEC1419 DUAL VOLTAGE TIMER 1 36.60 36.60
SHIPPING_ , SHIPPING & HANDLI;NG. .. 1 9.:00. 9600
T (847) 742-3532 F (847) 742-3552 TOTAL
E-Mail: info@suitmate.com .60.
Website: www.suitmate.com
Returns Subject to Restocking Fee of 10%plus Freight u I T AT E® r
No Returns Accepted After 90 Days
Prices subject to change without notice..- Swimsuit Water Extractor
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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.
365554 Extractor Corporation Terms
P.O. Box 99
South Elgin, IL 60177
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1/18/16 16092 Timer for suit dryer xx3231 $ 45.60
Total $ 45.60
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.
365554 Extractor Corporation Allowed 20
P.O. Box 99
South Elgin, IL 60177
In Sum of$
$ 45.60
,
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
i
PO#or Board Members
De t# INVOICE NO. CCT#/TITL AMOUNT
P
1093 16092 4350000 $ 45.60 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
January 27, 2016
Signature
Is 45.60 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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