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300868 07/21/16 at® CITY OF CARMEL, INDIANA VENDOR: 3536 6 ONE CIVIC SQUARE POW R SYSTEMS INC CHECK AMOUNT: $*******190.06* CARMEL, INDIANA 46032 5700 CASEY DRIVE CHECK NUMBER: 300868 9.y`Q TON cod KNOXVILLE TN 37909 CHECK DATE: 07/21/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 8207589 190.06 GENERAL PROGRAM SUPPL Voucher No. Warrant No. 353696 Power Systems Allowed 20 5700 Casey Drive Knoxville, TN 37909 In Sum of$ $ 190.06 ON ACCOUNT OF APPROPRIATION FOR 109 -.Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-22 8207589 4239039 $ 190.06 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 July 12, 2016 Signature $ 190.06 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund " W11 � .� - T01,1,8755TN 37.9Q9 - a A e�€t6en, C�,V�ED 800.321.6975 800.298.2057 fax JUL 0.,5 2016 Tax ID: 39-1720480 Fitness@power-systems.com s Bill To: Ship To: Carmel Clay Parks And Recreation Mary Evans Accounts Payable Monon Community Center 1411 E 116Th St 1235 Central Park Dr E Carmel IN 46032-7611 Attn: Mary Carmel IN 46032-4421 Sold To: -- -- -- - - - - - - - --Carmel-Clay-ParksAnd-Recreation - Accounts Payable 1411 E 116Th St Carmel IN 46032-7611 United States lnuo�ce Date 6/8��2©1�6 �' 1P.0'Number XX3975 Ter s: Net 30 Terms Ship Via: FedEx Ground Order Number: 5189093 Ship Date: 6/28/2016 Line Part Description Quantity Retail Price Your Price Ext Price 1 93040 Gliding Club Kit(Hardwood Discs) 1 $ 205.95 $ 175.06 $ 175.06 r i Pa' mentSchedule., Sub Total: $ 175.06 Due'Date Amount IMisc/Shi 1 7/28/2016 190.06' Aping: $ 1:5.00 I Tax: $ 0.00 Total 190.061 Invoice Total: $ 190.06 Amount Paid: $ 0.00„ y ft"yn�t"Dute Power Systems PS, LLC 5700 Casey Drive Knoxville TN 37909 powersystems.com 865.769.8223