308771 03/03/17 4/ CITY OF CARMEL, INDIANA VENDOR: 366176
ONE CIVIC SQUARE BELSON OUTDOORS, INC CHECK AMOUNT: $"'*12,079.60"
CARMEL, INDIANA 46032 111 N RIVER ROAD CHECK NUMBER: 308771
y�*�N NORTH AURORA IN 60542 CHECK DATE: 03/03/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4463000 148289 12,079.60 FURNITURE .& FIXTURES
Voucher No. Warrant No.
Allowed 20
366176 Belson Outdoors, Inc.
111 North River Road
North Aurora, IL 60542 In Sum of$
$ 12,079.60
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. kCCT#[TITLI AMOUNT Board Members
Dept#
1091 148289 4463000 $ 12,079.60 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
February 28, 2017
Signature
$ 12,079.60 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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nv,oce Date 02/09/, 7 -
OUTDOORS FEB 1r� 2017 n
' XsFa. Custoaner# �CA2208
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BY:.................
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Fax: 630/897-0573
FEIN#: 39-1720480
Sold To:Carmel Clay Parks& Recreation Ship To: Carmel Clay Parks& Rec
1411 E 116th Street 1195 Central Park Drive West
Carmel, IN 46032 Attn: Eric Mehl
USA Carmel, IN 46032
USA
Ship Date T Ship Via F.O.B. Sales Order Date Salesperson Sales Order Number Purchase Order Number Terms
02/09/17 Bestway Ori in 01/30/17 DLTB 1 148404 41068 Net 10 days
Quantity Item Number Unit of Measure Discount% Tax
Order ShipBO Item Description
Unit Price Extended Price
1 1 0 FREIGHT EA N 1249.60 1249.60
Freight Prepaid
Ship via Best Way per Freight Quote#: Q000111532
Phone Call 24 Hours Prior to Delivery Required!
Point of Contact: Eric Mehl
Phone Number: 317-573-4031
Liftgate Service Required!
15 15 0 R46-P EA N 722.00 10830.00
Thermoplastic Coated 46" Square Table, Portable
Plastisol I Black Top/Seats
Powder-Coated Gray Frame
Nontaxable 12079.60
Taxable Subtotal 0.00
Tax 0.00
Customer Original Page 1