319734 12/15/17 CITY OF CARMEL, INDIANA VENDOR: 369136
d ONE CIVIC SQUARE KOROSEAL INTERIOR PRODUCTS LLC CHECK AMOUNT: $......*552.00*
x � CARMEL, INDIANA 46032 75 REMITTANCE DRIVE,DEPT 6911 CHECK NUMBER: 319734
9Mlro i.o. CHICAGO IL 60675-6911 CHECK DATE: 12/15/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER,.. AMOUNT DESCRIPTION
1093 4235000 B283896 552.00 BUILDING MATERIAL
Voucher No. Warrant No.
369136 Koroseal Interior Products, LLC Allowed 20
75 Remittance Drive Dept 6911
Chicago, IL 60675-6911
In Sum of$
$ 552.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 8283896 4235000 $ 552.00 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
December 8, 2017
Signature
$ 552.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
INVOICE
KOROSEAL INTERIOR PRODUCTS, LLC Invoice No.: - 6nsm
75 REMITTANCE DRIVE DEPT 6911 Page No.: 1 of 1
CHICAGO, IL 60675-6911 DEC 10j7
855-753-5474 _
HYo
Sold To -o
CARMEL CLAY PARKS & RECREATION CARMEL CLAY PARKS & RECREATION 999
1411 E 116TH ST JIM RANSFORD 317-573-4026
CARMEL, IN 46032 1235 CENTRAL PARK DRIVE E
S/M CARMEL CLAT PARKS & REC
CARMEL, IN 460
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............................................AP........................................................................................................................................................................................................................
NET 30 DAYS SEE NOTES PPA 64XX INSIDE SALES 64 553481-10 50345Y,22305
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AA 1 38 15-057-1510 IN 069153904 ABF
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JESSICA HOLZWARTH CEN
REPLACE EXISTING CORNER GUARDS
CARMEL CLAY PARKS & REC, CARMEL IN
DAWN KOEPPER 317-573-4026
****************************
SHIP VIA BESTWAY LTL $132
PER QUOTE K752591
Item: 81076815772 EXTR CG 1-1/2" G815 77 S/L: W021228
1 240.000 240.000LF .000 1.75000LF 420.00
CHARCOAL
20 @ 12'
SUBTOTAL 420.00
SHIPPING & HANDLING 132.00
11�IyN►V�0II�CE�ITtO1TtAL 552.0,0
CAD = Canadian Dollar NIa1lYoUr
***PLEASE NOTE OUR NEW REMITTANCE ADDRESS**USD = U.S.Dollar
GBP = British Pound KOROSEAL NTI=RIOR PRODUCiTS,LLMC
***THANK YOU FOR UPDATING YOUR RECORDS' �
EUR = Euro 15 REMIT- NCE DRE �T 6911
CHIGAGOt 06:.5 6911,
Thank You For Your Order
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 of 1938,as amended,and of all valid and
RJF,applicable regulations and orders of the Administrator of the Wage and Hour Division issued under section 14 thereof,and of all valid laws and regulations with respect to nondiscrimination in employment.