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319071 11/27/17 CITY OF CARMEL, INDIANA VENDOR: 365844 CHECK AMOUNT: $ *******158.51 ONE CIVIC SQUARE FUN EXPRESS x ,?� CARMEL, INDIANA 46032 PO BOX 14463 CHECK NUMBER: 319071 DES MOINES IA 50306-3463 _ CHECK DATE: 11/27/17 t roN� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 68659720901 158.51 GENERAL PROGRAM SUPPL Voucher No. Warrant No. 365844 Fun Express, LLC Allowed 20 P.O. Box 14463 Des Moines, IA 50306-3463 In Sum of$ $ 158.51 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO#or Dept# INVOICE NO. CCT#lTITL AMOUNT Board Members 1081-99 68659720901 4239039 $ 158.51 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 November 20, 2017 Signature $ 158.51 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund x 180 •Invoice# 686597 = '�" NOV 1 .7 2017 # Dates.y'W�Wr ��1€1/v1012077'ti'� Page#: 1 o 'o SOLD SHIP TO: c G7LUSW00200029.-904898 PRAIRIE TRACE/PARKS&REC G) CARMEL CLAY PARKS&REC DAWN KOEPPER JOEY CASTILLO co 1411 E.116TH STREET 14200 N RIVER ROAD CARMEL,IN 46032-3455 CARMEL, IN 46033 Iln�l�l�u�'I'Il�ll���l�nllul��l��lll��llll��'I'I�nIIIJ��II� Purchase rder Numbs Date Ordered Date Shipped Back Orders TerXns XX-6(la 11/10/20 .ri... 11%1012017,n'. . :t�[41.H,.,. .NET 30DAl(S .. .', _ .•,. ,e Sentlei seralt� Number of Garcons, Weight Shlppect Vla a - 1 4b LBS ' item ulberOrdei 5h px Desoriptc�n , iUnithceExt Amount 1D-13670631 2UN 2 WHITE CRAFT ROLLS 4.79 9.58 113-13745855 4PC 4 NATURAL BURLAP TRIANGLE PENNANT 2.39 9.56 1 D-13751357 3DZ 3 CYO PLASTIC BULB WINTER ORNAMENT CK-12 7.99 23.97 1D-48/7129 3UN 3 CHRISTMAS PENGUIN FOAM ORNAMENT CK 5.59 16.77 1D-41/1394 2UN 2 MINI CLOTHESPINS 3.19 6.38 1D-57/1014 3DZ 3 DIY WOOD FRAMES (DOZ) 13.59 40.77 1D-13749753 3UN 3 PEANUTS CHRISTMAS NECKLACE CK-12 5.59 16.77 1D-13749925 3UN 3 3-D CHRISTMAS TISSUE LANTERN CK-12 5.98 17.94 113-13752335 3UN 3 SMILEY REINDEER BEADED NECKLACE CK-12 5.59 16.77 AO-99/ENVL IPC 1 ATTACH PACKING LIST ENVELOPE Call to speak to a customer service representative 1-800-228-0122 , = M®rchanciise���y ppreg�8 Handling Sales ax�r�Ta#ai}Amounts �e}� oate�,Oth�er�}P�aymen#s`" � ;; �- . See Important Sales Tax Information Regarding the Tax You May Owe Directly to Your State on the Reverse Her'edf Y V V PLEASE DETACH AND RETURN WITH REMITTANCE V V