320657 01/11/18 y ur.C4AM
i s CITY OF CARMEL, INDIANA VENDOR: 007000
® ONE CIVIC SQUARE ACORN`DISTRIBUTORS INC CHECK AMOUNT: $*****1,247.90*
CARMEL, INDIANA 46032 PO BOX 7047 CHECK NUMBER: 320657
INDIANAPOLIS IN 46207 CHECK DATE: 01/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 307666600 628.35 OTHER MAINT SUPPLIES
1205 4238900 3076666A 305.80 OTHER MAINT SUPPLIES
1205 4238900 307674300' 313.75 OTHER MAINT SUPPLIES
w
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 007000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ACORN DISTRIBUTORS INC IN SUM OF$ CITY OF CARMEL
PO BOX 7047 An invoice or 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.
INDIANAPOLIS, IN 46207
Payee
$1,247.90
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
General Administration Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
3076666-00 42-389.00 $628.35 1 hereby certify that the attached invoice(s),or 12/28/17 3076666-00 $628.35
1205 101 Prim-Yew- 1205 101
3076743-00 42-389.00 $313.75 bill(s)is(are)true and correct and that the 12/29/17 3076743-00 $313.75
1205 101 Prior Year materials or services itemized thereon for 1205 1 101
I 3076666A I 42-389.00 I $305.80 1/5/183076666A $305.80
1205 101 which charge is made were ordered and 1205 101
received except
Tuesday,January 09,2018
Crider,James
Administration
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
ACORN INVOICE
D i s t r i b u t o r s, I "C
v/ce MdusYries
So(uUons for the Jan/torla/8r Faodser
5820 Fortune Circle Dr. West
Indianapolis, IN 46241
Phone: (317)243-9234, (800)783-2446
Fax: (317)260-2289
vvww.acorndistributors.com II III III II IIIIIIIIIIIIIIIIIIIIIII 100:43 12/29/17 AH
6. 112/28 JH
Page /1
nVOlce # BR/WHSE USER REPRINT
30766( 6-00 01/01 WEB 1
S CARMEL CITY HALL S CARMEL CITY HALL
0 T ATT: CLAYTON BELL H T ONE CIVIC SQUARE
L 0 ONE CIVIC SQUARE I 0 CARMEL IN 46032
D CARMEL IN 46032 P
Tel 317-571-2448 Fax 317-571-5845
ORDER CUSTOMER CUSTOMER P/O TERMS TAX SHIP SALES JOB
DATE NUMBER NUMBER CODE CODE VIA PERSON ID/NAME
12/28/17 0007615 NET 25 DAYS IINE/7.000% Tk P7/005 Platte, John 118315
LN# Q—ORD Q—SHP Q—B/O PRODUCT UOM UNIT—PRICE EXTENSION WEIGHT VOLUME T
1) 5 5 0 GP19448/01 CS 94 . 79 $473 . 95 180 19 . 8 N
TT 2Ply Micro-Twin 3 . 95x4 . 05 48rls/1000sht
L: 24 x W: 18 x H: 17
(2) 10 0 10 SCARB600 CS 61 . 16 $0 . 00 0 0 N
/ t7 Towel Roll White '2" Core 12%6001 /cs
. f �
}-'' -_ � 5 0 WCDRAINOPEN --CS 30-. 88 $154 . 40 151 . 5 4 . 8- N
Drain Opener Once-A-Week Non-Acid 12/32oz/cs
S .D. S . Required, No . WCDRAINOPEN
***** Special Instructions *****
* Please arrive before 12 pm if
* possible.
* CALL CLAYTON @ (317) 571-2448
* OR CHRISSY @ (317) 339-8392
WILL GIVE DIRECTIONS FROM
0
* THERE
��° = d 7, * ********************************
JAN 1 1 2018 Order Total 628 .35
Building M lenance
} .. � "�
'Account#
_
� a r �. s �_� Department#„�
TOT: 20 10 - 10 332 25
Received in Good Condition: Acorn will be closed Monday, January 1st. Please Ship Date 12/29/17 Loc
visit our website www.acorndistributors.com for Volume Picked by AH
delivery schedule changes. Happy Holidays! Weight
Pieces Packed by
Terms & Conditions Pallet
Returned items are subject to a 25% restocking Pkgs Checked by
fee and return freight costs. Ctns
X:
Lnth Loaded by
ACORN INVOICE
U)i s t r i b u t a,r s, I n c
Solutions for the JaWtorlol&FoodservlCe Industries ,
5820 Fortune Circle Or. West
Indianapolis, IN 46241
Phone: (317)243-9234, (800)783-2446
Fax: (317)260-2289
vvww.acorndistributors,com II IIII III I
1111111111111111E1III 15:59
Page/2 M JH
Invoice # SR/WHSE USER REPRINT
3076743-00 01/01 DA 1
S CARMEL CITY HALL S CARMEL CITY HALL
0 T ATT: CLAYTON BELL H T ONE CIVIC SQUARE
L 0 ONE CIVIC SQUARE I 0 CARMEL IN 46032
D CARMEL IN 46032 P
Tel 317-571-2448 Fax 317-571-5845
ORDER CUSTOMER CUSTOMER P/O TERMS TAX SHIP SALES JOB
DATE NUMBER NUMBER CODE CODE VIA PERSON ID/NAME
12/29/17 0007615 CI'ayton NET 25 DAYS IINE/7.000'/o Tk P4/005 Platte, John
LN## Q—ORD Q—SHP Q—B/O PRODUCT UOM UNIT—PRICE EXTENSION WEIGHT VOLUME T
1) 10 10 0 GP26602 CS 30 . 58 $305 . 80 242 . 8 18 .-9 N
DS Towel Roll White Acclaim
High Capacity 2" Core 6 Rls/
8001 /cs
L: 24 x W: 16 x H: 9
***** Special Instructions *****
* DELIVER 5AM TO IPM
* CALL CLAYTON @ (317) 571-2448
* OR CHRISSY @ (317) 339-8392 It
* WILL GIVE DIRECTIONS FROM
* THERE
**********************************
Sub-Total . . 305 . 80
Fuel Surcharg. 7 . 95
Tax -1-0. 00
JAN 11 2018 Building i t Hance
Account
Order Total 313. 75
#
D e p a rt #
ment
9erk �re ��r r
TOT: 10 10 0 243 19
Received in Good Condition: Acorn will be closed Monday,,January 1st. Please Ship Date 01/02/18 Loc
visit our website www.acorndistributors.com for Volume Picked by J132
delivery schedule changes. Happy Holidays! Weight
Pieces Packed by
Terms & Conditions Pallet
Returned items are subject to a 25% restocking Pkgs Checked by AD
3 fee and return freight costs. Ctns
Lnth Loaded by DN
' X:
ACORN INVOICE
a i s t r i b u t o r s r 11"c-
Solutions
nc.Solutions for the Jonitorial&Foodservice Industries
5820 Fortune Circle Dr.West
Indianapolis, IN 46241
Phone: (317)243-9234, (800)783-2446
Fax: (317)260-2289
www.acorndistributors_com .... b
Page:>s >:11 :::::
Sold To Ship To
CARMEL CITY HALL CARMEL CITY HALL
ATT: CLAYTON BELL ONE CIVIC SQUARE
ONE CIVIC SQUARE CARMEL IN 46032
CARMEL IN 46032
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3076666A 01/05/2018 01/05/18 PREPAID 118315 NET 25 DAYS
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Signature Proof of Delivery: Merchandise 305.80
Freight 0.00
Misc Charges 0.00
6AII'D�D<<-T
Terror & Conditions Sub Total 305.80 Returned items are subject to a 25% restocking Taxable 0.00
fee and return freight costs. 1.5% Interest on Tax (IINE) 0.00
all orders over 60 days.
of/o5ns o9:15 TOTAL $305.80
Sent Cony Pay By 01/30/2018 Writer: WEB