322029 02/19/18 J� t* CITY OF CARMEL, INDIANA VENDOR: 353472
ONE CIVIC SQUARE MIRACLE RECREATION EQUIP CO CHECK AMOUNT: $*******509.00*
n CARMEL, INDIANA 46032 PO BOX 204757 CHECK NUMBER: 322029
M,roN.: DALLAS TX 75320-4757 CHECK DATE: 02/19/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 50696 796674 509.00 WEST PARK EQUIP REPAI
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 353472 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Miracle Recreation Payee
PO Box 204757
Dallas, TX 75320-4757 In Sum of$ Purchase Order#
353472 Miracle Recreation Terms
$ 509.00 PO Box 204757 Date Due
Dallas, TX 75320-4757
ON ACCOUNT OF APPROPRIATION FOR
101-General Fund
PO#ornvolce Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
Playground Equipment Repair Kit for West
50696 F 796674 4237000 $ 509.00 Board Members 2!7!18 796674 Park 50696 $ 509.00
I 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
$ 509.00 Total $ 509.00
February 15,2018
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
I with IC 5-'I'I-'10-1.6
Cost distribution ledger classification if f(/J��a1luniAA2
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
DAWN KOEPPER End CARMEL CLAY r. � Miracle
Ship n
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 CARMEL CLAY PO BOX 204757
DALLAS,TX 75320 4757
To PARKS&REC.DEPT. F Ph.417-354-2241
1411 E. 116TH ST.
CARMEL IN 46032 FEB 1 2 2013 ISO 9001 Certified
USA Fed. I.D.431595099
B Y............................... hone(4 1:7)23.5-69-1-7-----,,
Work Order CLIstorner Order Sold By Customer InvoiceDate Invoice No.
MR00106705 50696 R0084-PHIL BENNETT 46031306 2/7/18 _§074,
1 R261408 BUSHING FOR MULTI PONDO-REPAIR KIT 341.00 341.00
SALES AMOUNT 341.00
COMMERCIAL FREIGHT 168.00
TOTAT 150 i6
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 25320-4757- Page 1 of 1
Ph.417-354-2T4-1