315273 8/29/2017 (9)
CITY OF CARMEL, INDIANA VENDOR: 353472
ONE CIVIC SQUARE MIRACLE RECREATION EQUIP CO CHECK AMOUNT: S*******710.11*
CARMEL, INDIANA 46032 PO BOX 204757 CHECK NUMBER: 315273
DALLAS TX 75320-4757 CHECK DATE: 08/29/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239000 50044 790719 710.11 PLAYGROUND REPAIR PAR
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.
353472 Miracle Recreation Equipment Co. Terms
PO Box 204757
Dallas, TX 75320-4757
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/11/17 790719 Playground Repair Parts 50044 $ 710.11
Total $ 710.11
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
Clerk-Treasurer
xAlMirade
Ship DAWN KOEPPER End CARMEL CLAY
To CARMEL CLAY PK&REC DEPT User PARKS&REC.DEPT.
1427 E. 116TH ST. 1411 E. 116TH ST.
CARMEL IN 46032 CARMEL IN 46032
USA USA MIRACLE RECREATION
Sold PHIL BENNETTw ?" PO BOX 204757
E DALLAS,TX 75320-4757
To CARMEL CLAY € Ph.417-354-2241
PARKS&REC.DEPT. A U 6 7 2017
1411 E. 116TH ST.
CARMEL IN 46032 , = Fed. I.D.431595099
� : .....................r. _ - - — " � Phone(417)235-6917
OrderWork Order Customer
MR00100081 50044 R0084-PHIL BENNETT 46031306 8/11/17 790719
Qty Model No. Descr 1011 Unit Price I'm Price
2 103538YLW PLUG ROCKITE 2 1/2"YELLOW 2.43 4.86
16 104052 BOLT 3/8-16 X 5/8 BHCS 6 LOBE 18-8 SS 0.83 13.28
16 104496 NUT 3/8-16 PROPEL X 7/16 BARREL 18-8 SS 2.02 32.32
6 104921 BOLT 3/8-16 X 1 1/4 BHCS 6 LOBE 18-8 SS 1.42 8.52
1 115208FRG PAINT FOR GRN GLOSS 4.5 OZ AEROSOL CAN 18.58 18.58
1 115208RED PAINT RED GLOSS 4.5 OZ AEROSOL CAN 18.58 18.58
22 117005 WASHER 3/8 X I O.D.FLAT 18-8 SS 0.20 4.40
1 985415RED TOP STAIR ENCLOSURE 64.00 64.00
1 985445FRG BOTTOM RUNG-VERTICAL CLIMBING WALL 85.00 85.00
2 985447FRG SIDE SUPPORT RAIL-VERTICAL CLIMBING WALL 130.00 260.00
2 990966BEI 5" OD KC VERSALOK CLAMP COMPLETE 18.57 37.14
SALES AMOUNT 546.68
COMMERCIAL FREIGHT 163.43
TOTAL 710.11
TERMS OF SALE: Net 30 From Invoice Date.
1.25%CHARGE PER MONTH FOR PAST DUE INVOICES-PLEASE ENCLOSE DUPLICATE COPY OF TERMS INVOICE WITH PAYMENT
MIRACLE RECREATION
PO BOX 204757
Customer DALLAS,TX 75320-4757 Page 1 of 1
Ph. 417-354-2241