253813 01/26/16 J`/ \ CITY OF CARMEL, INDIANA VENDOR: 007000
Is :• ONE CIVIC SQUARE ACORN DISTRIBUTORS INC CHECK AMOUNT: $***""`•98.91*
CARMEL, INDIANA 46032 5820 FORTUNE CIRCLE DR.WEST CHECK NUMBER: 253813
''�ruri moo, INDIANAPOLIS IN 46241 CHECK DATE: 01/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 3000931 98.91 OTHER MAINT SUPPLIES
ACORN INVOICE
Lei stri b utors, 1 "c-
Solutions
ncSolutions for the Janitorial&Foodservice Industries
5820 Fortune Circle Dr. West
Indianapolis, IN 46241
Phone: (317)243-9234, (800)783-2446
Fax: (317) 260-2289
www.acorndistributors.com
Sold To Ship To
CARMEL CITY HALL CARMEL CITY HALL
ATT: JEFERY BARNES ONE CIVIC SQUARE
ONE CIVIC SQUARE CARMEL IN 46032
CARMEL IN 46032
Customer# 0'0 Cate Sale$Oder# l iiyer Gustamat P{0# Ship Ula Sa{eslnan
0007615 01/11/2016 3000931 : Tr IFE/003 IHO
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3000931 01/12/2016 01/11/16PREPAID& ADD NET 25 DAYS
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Acorn will be closed on the upcoming holidays, Merchandise 88.60
December 25th and January 1st. Visit us online to Freight 10.31
view the changes to your delivery schedule. Misc Charges 0.00
Terms & Conditions Sub Total 98.91
Returned items are subject to a 25% restocking Taxabl e 0.00
fee and return freight costs. Tax DINE) 0.00
TOTAL $98.91
Customer Copy Pay By 02/05/2016 Writer: BP
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
01/12/16 3000931 $98.91
1205 101
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
ACORN DISTRIBUTORS INC
5820 FORTUNE CIRCLE DR. WEST IN SUM OF$
INDIANAPOLIS, IN 46241
$98.91
ON ACCOUNT OF APPROPRIATION FOR
General Administration
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
3000931 42-389.00 $98.91 1 hereby certify that the attached invoice(s), or
1205 `I I 101
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, January 25, 2016
Costdistribution ledger classification if
claim paid motor vehicle highway fund