308233 02/13/17 %u..C�N,yFf
CITY OF CARMEL, INDIANA VENDOR: 368570
,.
ONE CIVIC SQUARE PLAY & PARK STRUCTURES CHECK AMOUNT: $***""4,693.35•
CARMEL, INDIANA 46032 401 CHESTNUT STREET CHECK NUMBER: 308233
9y�TON SUITE 410 CHECK DATE: 02/13/17
CHATTANOOGA TN 37402
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350400 100060 PJI0014000 4,693.35 TRASH CANS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 368570
PLAY& PARK STRUCTURES IN SUM OF$ CITY OF CARMEL
401 CHESTNUT STREET 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.
CHATTANOOGA, TN 37402
Payee
$4,693.35
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND#. (or note attachedinvoice(s)or bill(s)) AMOUNT
100060 PJI-0014000 43-504.00 $4,693.35 1 hereby certify that the attached invoice(s),or 1/27/17 PJI-0014000 $4,693.35
2201 201 2201 201
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, February 06,2017
Huffman, Dave
Director
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
�� ��� Remit to:
Invoice 1
playp Play and Park Structures
structures® Attn: Accounts Receivable Page 1 of 1
401 Chestnut St Ste 410 Invoice number PJI-0014000
A PLAYCOREcanwn Chattanooga,TN 37402 Customer no 00028066
401 Chestnut St Ste 410,Chattanooga,TN 37402 Invoice date 1/27/2017 Customer PO 100060
www.playandpark.com Payment terms Net 30 days Reference 100060
(423)425-3171*(888)404-5737 Date shipped 1/27/2017
Sold to: Ship to:
City of Carmel City of Carmel
3400 W.131st Street 3400 W.131st Street
C/O Street Department C/O Street Department
Carmel,IN 46074 Carmel,IN 46074
Original Order No: 7016604
Project Name Lexington Receptacles
Sales Group: PPS Sales(T Howell)
Catalog No Description Qty Unit price Amount
OtherEquipment (5)LX-36RB 36 Gallon Rec 1.00 4,475.250 4,475.25
OtherFreight Freight 1.00 218.100 218.10
Sub total 4,693.35
Total 4,693.35
Sales subtotal
amount Sales tax
4,693.35 0.00
INVOICE TOTAL DUEv -",U,--SD—,— ,i $4,693:35
CONCEALED SHORTAGES MUST BE REPORTED TO PLAY AND PARK STRUCTURES WITHIN 60 DAYS OF RECEIPT OF MERCHANDISE.
CONDITIONS:
TITLE TO THIS MERCHANDISE PASSES TO BUYER WHEN SELLER DELIVERS GOODS TO CARRIER
Please note that PLAY AND PARK STRUCTURES is a material supplier only and therefore not subject to payment retainage.Shipment of goods which appear on
this invoice constitutes completion of this contract by PLAY AND PARK STRUCTURES.Payment in full is required within the agreed terms stated on this invoice.
Warranty claims and back charges may not be deducted from contract payments without prior approval of PLAY AND PARK STUCTURES customer service
personnel.
Seller hereby certifies,to the best of its knowledge,information and belief,that its selling price does not exceed the maximum price permissible under any
prevailing applicable law or regulation.Seller agrees to refund any amounts paid by Buyer which are subsequently determined to be in excess of such maximum
price.
We hereby certify that these goods were produced in compliance with all applicable requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as
amended,and of regulations and orders of the United States Department of Labor issued under Section 14 thereof.