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253973 01/26/16
(9, CITY OF CARMEL, INDIANA VENDOR: 360884 ONE CIVIC SQUARE SCHOOL OUTFITTERS LLC CHECK AMOUNT: S 694.62CARMEL, INDIANA 46032 PO BOX 638517 CHECK NUMBER: 253973 CINCINNATI OH 46263-8517 CHECK DATE: 01/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 INV11908231 694.62 GENERAL PROGRAM SUPPL - - 1 Phone: 1-866-619-3776 Invoice RECE SID Fax 1-800-494-1036 - lnvorce """' it FPO Box 638517, 7 JAN g 2016 R f , ti 'J INV11908231' , =UTVITT RS Cincinnati3OH4.5263-8517 ti r '3 r -, Customer PO: 39396 www.schooloutfitters.com BY; ` Page 1 of 1 Bill To Ship To - Carmel Clay Parks& Recreation MCC-East Accounts Payable 'Mike Normand' 1411 E 116th St 1235 Central Park Dr E_ Carmel, IN 46032-3455 USA - Carmel, IN 46032-4421 USA,,-. Phone:1 (317)'573-4026 Fax: 1 (317),571-4136' Phone: 1 (317)573`4026 :Fax: Email: dkoepper@carmelclayparks.com -Email: dkoepp,er@carmelclayparks;com ACCOUNT NUMBER INVOICE,NUMBER INU©ICE DA9 ORDER NUMBER . : .PAYMENT DUE CL142665 INV11908231 1/:1512016 ORD1787897,:-- 2/14/2016 SKU# DESCRIPTION , QUANTITY UNIT EXTENDED PRICE PRICE CFA-CF321-615NPL Module Blocks-Set of 21 1 $624.88 $624.88 ANY QUESTION OR DISCREPANCIES CONCERNING THIS ORDER MUST'BE REPORTED - SUB TOTAL $624.88 WITHIN SEVEN DAYS TO OUR SALES AND SERVICE DEPARTMENT AT 1-866-619-1776 SHIPPING&HANDLING $69.74 SALES TAX $0.00 INVOICE TOTAL $694.62 AMOUNT PAID/CREDIT $0.00 AMOUNT DUE $694.62 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. 360884 School Outfitters Terms P.O. Box 638517 Date Due Cincinnati, OH 45263-8517 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1115/16 INVI1908231 KidZone Blocks 39396 $ 694.62 Total $ 694.62 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. 360884 School Outfitters Ilowed 20 P.O. Box 638517 Cincinnati, OH 45263-8517 In Sum of$ $ 694.62 +� I ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or Deptept# INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1096-41 INV11908231 4239039 $ 694.62 Ii hereby certify that the attached invoice(s), or bill(s) is(are)true and correct and that the materials or services itemized thereon for vvhich charge is made were ordered and received except i January 18, 2016 I z i iSignature $ 694.62 Accounts Payable Coordinator Cost distribution ledger classification if f Title claim paid motor vehicle highway fund I