HomeMy WebLinkAbout259778 06/16/16 CITY OF CARMEL, INDIANA VENDOR: 365844
(9,
ONE CIVIC SQUARE FUN EXPRESSCHECK AMOUNT: S""'.'••89.87`
CARMEL, INDIANA 46032 PO BOX 14463 CHECK NUMBER: 259778
DES MOINES IA 50306-3463 CHECK DATE: 06/16/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 67785733901 89.87 GENERAL PROGRAM SUPPL
Voucher No. Warrant No.
365844 Fun Express, LLC Allowed 20
P.O. Box 14463
Des Moines, IA 50306-3463
In Sum of$
$ 89.87
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#orBoard Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1082-4 67785733901 4239039 $ 89.87 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
June 8, 2016
Signature
$ 89.87 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
PurchasOrder Number Date Ordered Date Shipped Back Orders Teims
05!20/2016_ m_ 0$/21./2Q16 NO; NET 30,DAYS
Servlce,Representative= Numberof,Cartons Weight ShippedVia
1 32 LBS
IR
VIVa d t tuber Order Qty -Ship Qfy � I3escriptlon Unit Pace Ext Amount
..
17
1D-73/10006 IPC 1 ELMERS GLUE ALL GALLON 14.39 14.39
1 D-73/10002 1 DZ 1 ELMERS GLUE ALL 4 OZ-DZ 17.59 17.59
1 D-73/10034 2UN 2 GLUE DOTS-MINI,3/16,600 CT 7.99 15.98
1 D-73/10032 4UN 4 GLUE DOTS-CRAFT,1/2,600 CT 7.99 31.96
AO-99/ENVL 1PC I ATTACH PACKING LIST ENVELOPE
Call to speak to a customer service representative: 1-800-228-0122
M`eichandise „ Shipping&Ffandhng Sales Talo',Totat Amount Cert%iicate Other Pa ®nts Balance Due
79 92 9.95 0.00 k e89..87 « y $1
V V PLEASE DETACH AND RETURN WITH REMITTANCE V V •�
**To Insure PROPER payment to your ACCOUNT, Please Return the COUPON**
Name: CARMEL CLAY PARKS&REC
Due Date: 06/20/2016
Account: 3705013
Order#: 677857339-01 SPlease-mail your payment to:
UN EXPRESS, LLC,
PO BOX 14463
Balance Due: 89.87
Amount DES MOINES;Ik50306-3463
Paid $ �'�� ilil�lll�li�ll��l�l�llililllllllil�l��lllilillill��llll�lillllnl
Please do not write below this line. Do not fold, staple, or paper clip this coupon.
0037050135 677857339 01 000000089871