HomeMy WebLinkAbout312909 6/26/2017 C,^
" "'• CITY OF CARMEL, INDIANA VENDOR: 363142
CHECK AMOUNT: $`"*"1,902.91*
ONE CIVIC SQUARE TEXAS RECREATION
CARMEL, INDIANA 46032 PO BOX 539 CHECK NUMBER: 312909 WICHITA FALLS TX 76307 CHECK DATE: 06/26/17
t rort�.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239039 5156702 1,902.91 GENERAL PROGRAM SUPPL
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Payee
Purchase Order No.
363142 TRC Recreation, LP Terms
P.O. Box 539
Wichita Falls, TX 76307
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/13/17 5156702 Aquatic Life Jackets 41700 $ 1,902.91
Texas Recreation
Total $ 1,902.91
1 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
Clerk-Treasurer
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Page 1 of 1 BOL NO: 50382673S
BILL OF LADING Carrier: AAA COOPER
Shipper Trailer Number:
TRC RECREATION,L.P. Seal Number:
908 FORTH BEVERLY DRIVE. Pickup Date: 06/13/2017
WfCIIITA FALLS. Thi 76306
PRO LABEL HERE
Consignee
MCC-,VEST
1-23,5 CENTRAL PARK DRIVE EAST References
CARMEL. IN 46032 PO Number: 41700
Order Number: 632697
Mode: LTL
Bill To Freight Terins AACT 95700738 - 8
PO
R BX 100)[ON, L.P. Prepaid: X IIIIIIIIIIIIIIIIIIIIIII�IIII�IIII�IIIIIIIIIIIIIII�IIIII
HICKORY.NC 28603) Collect:
_',rd Partv: ORNERS SIGNATURE AQOdOWLEDOE3 RECE PTS OF FREtpRONLY.VNLESS Qi}fEAwISE
AGREEDTO'UNDER SEPARATE CONTRACT.TERMS AND CONDITIONS OR TARIFF AACF790
APPLY.LIABILnY LIMITATION FOR LOSS OR DAMAGE ON THS SHIPMENT MAY BE APPLICABLE.
Special Instructions SEE 49 U.S.C.14705(c)(1)(AB)
DO PJJT SI•G14 OR ACCEPT DAMAGED MEP�HABTDISE!I : I I I ACC2SSOr1alS
HM LTL
Tvne Weight Unit ') NNiFC Item Description Class
_'-I CARTON 118 lb 155311-3 RUBBER FOANI POOL PRODUCTS 2�o
24 118 TOTAL PALLET: t GRAND TOTALS
Wbeie the rate ie dependent on value,shippers are required to state specifically in writing the agreed or declared value of the property as follows:"The agreed or declared value of the property is specifically stated
by the shipper to be not evoeeding per
Remit COD to:
COD Type: COD Amount:
Note:Liability limitation for loss or damage in this shipment may be applicable.See 49 USC 14706(c)(1)(A)and(B).
Recei�:ed.subject to Individually determined rates or contracts that Trailer Freight
hav� been agreed upon in writing between the carver and shipper,it The carrier shall not make delivery of this shipment without paymen
applicable otherwise to the rates,classifications and rules that have Loaded: Counted: of and all other lawful charges.
been established by the carrier and are available to the shipper,on b Shipper /�by Shipper
request.and to all applicable state and federal regulationsy PPer.
_by Driver _by Driver Shipper:
Shipper Signature/Date: Carrier Signature/Pickup Date:
This is to certify that the above named materials are property classified,packaged,marked Carrier acknowledges receipt of packages and required placards.Carrier certifies
and labeled,and are in proper condition for transportation according to the applicable emergency response information was made available and/or carrier has the Department
regulations of the Depart t of Transportation. of Transport n emergency response guidebook or equivalent documentation in vehicle.
Property d ribe a ove is received in good ord_ er.exC t not,>
Shipper: �� / / Carrier :!57„ '
Consignee acknowledges recei of goods. lease notate any shortages or damages on BOL upon delivery. Consignee: