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256214 03/15/16
a/ ,,• CITY OF CARMEL, INDIANA VENDOR: 007000 :l ONE CIVIC SQUARE ACORN DISTRIBUTORS INC CHECK AMOUNT: $*******524.85* s.. �: CARMEL, INDIANA 46032 PO BOX 7047 CHECK NUMBER: 256214 °�'��roN�° INDIANAPOLIS IN 46207 CHECK DATE: 03/15/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4238900 3005895 524.85 OTHER MAINT SUPPLIES VOUCHER NO. WARRANT NO. ALLOWED 20 ACORN DISTRIBUTORS INC PO BOX 7047 IN SUM OF$ INDIANAPOLIS, IN 46207 $524.85 ON ACCOUNT OF APPROPRIATION FOR General Administration PO#/Dept. INVOICE NO. ACCT#/Fund I AMOUNT Board Members 3005895 I 42-389.00 I $524.85 1 hereby certify that the attached invoice(s), or 1205 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, March 14, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund 'rescribed 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)) 03/01/16 I 3005895 I I $524.85 1205 101 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer ACORN INVOICE Distributors, Inc_ Soludons Por the Janitorlol&Foodservice Industries 5820 Fortune Circle Dr.West Indianapolis, IN 46241 Phone: (317)243-9234, (800)783-2446 Fax: (317)260-2289 www.acbrndistributors.com age Sold To Ship To CARMEL CITY HALL CARMEL CITY HALL ATT: JEFERY BARNES ONE CIVIC SQUARE ONE CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 Customer# Order nate Sale$Order#' buyer Customer P!O�f 5111p Uia Salesman 0007615.:.:...: . 02/26/201.6' .3005895: .. :.,..... :..:.... ..:.. Tr. P4/01.2. IH.o.. Inviilce { rnvolce uate bhlp uate rreign> I erm uoq IVum er i er ns 3005895 103/01/2016 , 03/01/161PREPAID 84606 NET 25 DAYS » < : k ................... •.:•..;:: :. :.:.:t%$;::i'rr::: : ::::>:::::::;;;::}::.2$:: :;:>:::5!:;:5:;;::.%..jtv.:':.:isy':::::.?:;+.%S>:<:se:::: .....5s ::;; 3i.:. :.::.::. ::...... * � ::....:. . :., Invoice :,:Message. ,�* * ::. ...- Remit. & make check payable to Acorn;Dis.tr. �ut:Crs, :;Inc.. PO BOX 7047 . . ...... ::....;. Indiariapol s.,.:.IN a45207f . .:.....: . ......:. :..... . . ;:......:. 1 10 0 S'C11TM1'S0,4. TT,:2pl .In7.h.t. 3.$75x3..7•:S..Sheet: •N.; 2°Gose. 48/754 ..: . 2. ....:...5::..:....5 A .�500DxSP....:...........p�spn.se.r...la rka ..�w�n...�I:o'a.ds_. .. .Ea.. ...:,.::....... 9,.92. :.:....$:97.. 4 5" to 5.5" Rolls Standard Tissne':.Tr.a.i>sltid6ht..B. aCk..P.6 . ...::. .... .::. ...: _ . ......... . Acorn...Logo.,.,., . :......... ......... .. ....................................... T ...: . rU in MarntenartcC.. Account # De{iartmept # L©S" To view our online catalog and special promotions, Merchandise 516.90 visit us online at www.acorndistributors.com. Frei ght 0.00 Fuel Surcharge 7.95 Terms & Cond i t i ons Sub Total 524.85 Returned items are subject to a 25% restocking Taxabl e 0.00 fee and return freight costs. Tax (IINE) 0.00 TOTAL $524.85 JI L Customer Copy Pay By 03/26/2016 Writer: WEB