331659 10/25/18 J�%' "'`• CITY OF CARMEL, INDIANA VENDOR: 00350856
ONE CIVIC SQUARE LEHIGH OUTFITTERS CHECK AMOUNT: $*******116.23*
�� i+' CARMEL, INDIANA 46032 PO BOX 644755 CHECK NUMBER: 331659
M�?uN�, PITTSBURG PA 15264 CHECK DATE: 10/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2629519 116.23 OTHER EXPENSES
VOUCHER NO. 186702 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor Y3_50856 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
LEHIGH OUTFITTERS, LLC CITY OF CARMEL
P.O. Box 644755 An invoice or bill to be properly itemized must show: kind of service,where performed,
Pittsburgh, PA 15264-4755 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
116.23 350856 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR LEHIGH OUTFITTERS, LLC Terms
Carmel Wasterwater Utility P.O. Box 644755 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice Pittsburgh, PA 15264-4755
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
2629519 01-7202-05 $116.23 and received except 10/17/2018 2629519 $116.23
I 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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
Page 1 of 1
INVOICE
�r��
=�EMIGIi Lehigh Outfitters, LLC
39 East Canal Street Customer No. Order No.
OUTFITTERS.COM Nelsonville,Ohio 45764
Phone:800-848-9452 085893-000 8611367
FlRe4- Fax:(740)753-4024 Invoice Date Invoice No. Due Date
10/09/18 2629519 11/08/18
Bill To: 085893-000 Ship To: 085893-000
2661 1 AB 0.408 E01 87X 10290 D4116583576 S2 P5789276 0001:0001
II�IIIII�nIII�ItIIIIIIntIIIIt�IIInItIrIIIII�Illtlnlll�llltll
CARMEL WATER&WASTEWTR CARMEL WATER&WASTEWTR
TREATMENT PLANT TREATMENT PLANT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280-2935 317-571-2634
INDIANAPOLIS
IN USA
Customer's Order Number Mobile Unit Terms
- -- 518982 -- —-- - -- --
---NE-T-030-DAY-S--
Sales
— NET-030-DAYS--Sales Employee Employee Unit March Adj Sales Sery FrU Line Cash Company Employee Pay
Slip Id Name Dept Style W Size Qty Price Amt Amt Tax Fee Misc. Total Recv Subsidy Bal Due Ded
303276 BUHMANN,KEVIN FQ0006075 W 11 1 116.23 116.23 .00 .00 00000.00 .00 116.23 .00 116.23 .00
Main Marketing Box
Total Qty Total Merchandise Adjustment Sales Tax I Sery Fee Freight Line Totals I Cash Received Company Subsidy I Employee Bal Due
1.0 116.23 0.00 0.00 0.00 116.23 0.00 116.23 0.00
Legal title of the items included on this invoice have been transferred from Rocky Brands to the Customer noted on this invoice at point of shipment.
-----------------------------------------------------------------------------------------------cut here--------------------------------Click here for tracking numbers set 1--------------------
To assure proper credit Please detach this portion and return with remittance.
REMITTANCE ADVICE
Invoice To: PLEASE REMIT PAYMENT TO:
085893-000 Lehigh Outfitters, LLC
CARMEL WATER&WASTEWTR P.O. BOX 644755
TREATMENT PLANT Customer 085893-000
9609 HAZEL DELL PKWY PITTSBURGH,PA 15264-4755 Invoice No. 2629519
INDIANAPOLIS IN 46280-2935
Invoice Date 10/09/18
Summary Total Due 116.23
0001:0001 Amount Paid 1 i6�a3
Jarvis, Duane M
From: info@lehighoutfitters.com
Sent: Tuesday,October 9,2018 11:52 AM
To: Jarvis, Duane M
Subject: New Order Placed By#085893
Order Date : 10/9/201811:51:52 AM
Order Made By : 085893 /00000
Order Number(s) : 2303276
Phone : 317-571-2634
Email: diarvis(acarmel.in.gov
Billing Address Shipping Address
CARMEL WATER&WASTEWTR CARMEL WATER&WASTEWTR
Kevin Buhmann Kevin Buhmann
TREATMENT PLANT TREATMENT PLANT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280 INDIANAPOLIS,IN 46280
US US
Order Details
Order# Item Desc . Style# Qty.Width Size: Color Price
- --- _.. .
Rocky TrailBlade Composite Toe
2303276 FQ0006075. 1 WIDE;Fil
[BLACK- $116.23.
Waterproof Athletic Work Shoe
First Name : : Kevin
Last Name : : Buhmann
PO : : S18982
Sub total: $116.23
Tax: $0.00
------------------------------------
Total: $116.23
------------------------------------
Pay Deduct Total: - $0.00
Subsidy Amount: - $116.23
------------------------------------
Employee Balance: $0.00
Paid by: Invoice
Orders are generally shipped within 48 hours. Please allow 7-10 business days for delivery via SmartPost by
FedEx. To view the status of your order: go to your private catalog at hqp://www.customfit.me/and login. For
return information,please either email us at clientservicesglehighoutfitters.com or phone us at 800-444-4086.
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