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CITY OF CARMEL, INDIANA VENDOR: 367803
.; ® z•: ONE CIVIC SQUARE BIKE FIXATION
CHECKAMOUNT: $*******136.00*
s =� CARMEL, INDIANA 46032 2647 37TH AVE S UNIT 1 CHECK NUMBER: 300807
�.__.,,,o MINNEAPOLIS MN 55406 CHECK DATE: 07/21/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239000 2113 136.00 MISCELLANEOUS SUPPLIE
Voucher No. Warrant No.
367803 Bike Fixtation Allowed 20
2647 37th Ave. S. Unit 1
Minneapolis, MN 55406
In Sum of$
$ 136.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 2113 4239000 $ 136.00 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
$ 136.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
a �s
r JUN 2 8 2016
Invoice
6u e264h7�37th A�veJ4S�Unit l
M1nrleapolls,MN 5540 Date " Invoice
FIXTATION -
sales@bikefixtation.comtt--
612-568-3494
www.bikefiixtation.com GTI3-
Bill To Ship To
Carmel Clay Park and Rec Carmel Clay Park and Rec
Administration Office Attn:Audrey Kostrzewa
1411 E. 116th Street 1427 E. 116th Street
Carmel,IN 46032 Carmel,IN 46032
SO Number PO Number Terms Rep Ship Via
1344 3874 Due on receipt AL 6/24/2016 UPS
Quantity Item Code Description U/M Price Each Amount
4 151154 35"pump air hose 18.00 72.00T
4 151178 Long Hose Clip(for pumps WITH Gauge) 13.50 54.00T
OUTDOOR PUMP
8 141264 M8x10 bolt 0.00 O.00T
1 Shipping Charges Shipping and Handling Charges 10.00 1 O.00T
Notes:
1.Email tracking to
akostrzewa@canneiclayparks.com
2. 10%discount for municipality applied
2.Email invoice to dkoepper@carmelclayparks.com
Ship Date:24-Jun-2016
Tracking#!: 1ZA673 V 00395390595
-DJ
Out-of-state sale,exempt from sales tax 0.00% 0.00
Total $136.00
Payments/Credits $0.00
Balanc-e-Vue-= ;;;E; _�16 00