320583 01/11/18 ;yy._�agMf CITY OF CARMEL, INDIANA VENDOR: 355622
;y
., � J• ONE CIVIC SQUARE GOPHER CHECK AMOUNT: $*******124.86*
r a; CARMEL, INDIANA 46032 NW5634 CHECK NUMBER: 320583
PO BOX 1450 CHECK DATE: 01/11118
MINNEAPOLIS MN 55485-5634
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 9407486 124.86 GENERAL PROGRAM SUPPL
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 355622 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Gopher Payee
NW 5634
P.O. Box 1450 In Sum of$ 355622 Purchase Order#
Minneapolis, MN 55485-5634 Gopher Terms
$ 124.86 NW 5634 Date Due
P.O.Box 1450
ON ACCOUNT OF APPROPRIATION FOR Minneapolis,MN 55485-5634
108 ESE
PO#or INVOICE NOACCT#/TITLE AMOUNT Invoice Invoice Description
.
Dept# Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-2 9407486 4239039 $ 124.86 Board Members 12/19/17 9407486 Site Plan 3 Supplies xx6268 $ 124.86
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
$ 124.86 Total $ 124.86
January 5,2018
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
Cost distribution ledger classification if with IC 5-11-10-1.6
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Dawn Koepper
From: Gopher <autonotice@gophers'"�""p,o�r.fc
Sent: Wednesday, Decembe 201-7 ::37 AM �7,7,
To: Dawn Koepper
Subject: Gopher Invoice#9407486 for Order#3995369 DEC � 0 2011
BY: Page 1 of 1
MI ! voice
Phone: 1-800-533-0446 Fax: 1-800-451-4855 Thank you for choosing Gopher®!
Online:www.ciophersDort.com Please Remit To:
NW 5634
�OdBox.1450
Mihn`polis MN 5548b
Invoice Number below must be referenced,onxall payments;
In oiFe�lucntier: 9407486 Customer Number: 4050363
Invoice Date: 19-DEC-1Z Order Date: 19-DEC-17
Customer PO XX-6268 Order Number: 3995369
number:
Payment Method: Net 30 Date Shipped: 19-DEC-17
Due Date: 18-JAN-18
Bill To: Carmel Clay Park&Recreation Ship To: Carmel Clay Park&Recreation
1411 E 116th St 13989 Hazel Dell Pkwy
Carmel IN 46032 CARMEL IN 46033
United States United States
Attn: Koepper, Dawn Attn: Buckingham,Tiffany
GST Number: Order Placed By: Koepper, Dawn
i
ITEM. ITEM DESCRIPTION QTY; QTY; i QTY UNIT EXTENDED
NUMBER 3 ORDERED SHIPPED BACK; PRICE PRICE
3
ORDERED �
39-531 Rainbow EZ Throw Shot Put 500g- 1 1 $58.15 $58.15
Set of 6
86-936 Rainbow Training Hurdles-12"H, 1 1 $66.71 $66.71
---- Set of 6 --
Sub Total: $124.86
Tax Total : $0.00
Shipping, Handling&Processing: $0.00
Invoice Total: $124.86
--....---........._....-..........
_....
Payments&Credits: $0.00
- -..._....._..,.-.�.............v...„
Balance Due: $124.86
Tracking numbers associated with your order below.
1