HomeMy WebLinkAbout259412 06/10/16 J ® CITY OF CARMEL, INDIANA VENDOR: 367559
ONE CIVIC SQUARE NATIONAL GYM SUPPLY
`\. CHECK AMOUNT: $********13.13*
:� ?�; CARMEL, INDIANA 46032 5500 WEST 83RD STREET CHECK NUMBER: 259412
+M��TON.�, LOS ANGELES CA 90045 CHECK DATE: 06/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 SI-8223478 13.13 REPAIR PARTS
Voucher No. Warrant No.
367559 National Gym Supply Allowed 20
5500 West 83rd Street
Los Angeles, CA 90045
In Sum of$
$ 13.13
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-21 S18223478 4237000 $ 13.13 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 2, 2016
Signature
$ 13.13 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
O&T
'OWLos ME, SSI®NyOI CE
1-800-496-7279(USAWCanada)
310-410-4200(Wor[dwide) PW
310-410-4220(Fax)
i �- t � www.�rmpartanm 1111111 VIII VIII VIII VIII VIII VIII IIII IIII
Customer Contact Ship To
iR�CEIV 'ED Carmel Clay Parks & Rec
Shauna Lewallen
City of Carmel, Indiana1235 Central Park Dr. East
1411 E. 116th Street MAY 2 3 2016 CARMEL IN 46032
CARMEL IN 46032 UNITED STATES
UNITED STATES IBY:
Account Terms Due Date Account Rep Schedule Date
42978 NET -30 6-/1872_0_f6� -- Julio- Diaz 5/19_/20l-6:__-
Sales Order Ship VIA Reference „Po Page Printed
SO-7226119 UPS Ground Service Emailed hp 5/20/2016 5:24:49AM
�.0 Amount
L Item.% Description Order Ship Pr__�oe-UN! account —
1CSP15 6 Spiral/Roll Pin 2 2 $1.29 EA $2.58
2S Shipment Shipping Charge 1 1 $10.54725 EA $10.55
3 Notice: You will incur additional
shipping charges for back-orders and/or
drop-ships.
Tax Details Taxable $0.00
EXEMPT $0.000
Payment Details Total Tax $0.00
Exempt $13.13
Total $13.13
Payment Disc $0.00
Paid $0.00
Balance