334227 01/04/19 CITY OF CARMEL, INDIANA VENDOR: 355622 ,,,,t,,,,,,,,,,
1• .
CHECK AMOUNT: $ 55.02
ONE CIVIC SQUARE GOPHER
s CARMEL, INDIANA 46032 NW5634 CHECK NUMBER: 334227
PO BOX 1450 CHECK DATE: 01/04/19
MINNEAPOLIS MN 55485-5634
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 9544928 55.02 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$ Purchase Order#
Minneapolis, MN 55485-5634 355622 Gopher Terms
$ 55.02 NW 5634 Date Due
P.O.Box 1450
ON ACCOUNT OF APPROPRIATION FOR Minneapolis,MN 55485-5634
108-ESE Fund
PO#ornvolce Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-2 9544928 4239039 $ 55.02 Board Members 12/17/18 9544928 Site Plan 3 Supplies 2018-19 xx7750 $ 55.02
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
$ 55.02 Total $ 55.02
January 2,2019
1 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 Ncklonhuvu
claim paid motor vehicle highway fund Signature -,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
IL.
Dawn Koepper
From: Gopher <autoriotice@gophersport.com>
Sent'. Tuesday, December 18, 2018 8:15 AM CEIVED
To: Dawn Koepper
Subject: Gopher Invoice#9544928 for Order#4128124 : : ®EC
18201g
Page 1 of 1.:
Invoice
Phone:1-800-533-0446 Fax:,1-800-451-4855 Thank you forchoosing Gopher®!_
Online::www.aophersport.com "TPIe�To
ase Remit
: .. . P7O Bok 1450
`Mm�neapolis.N 55485,.
Im�,y�aioe Numbe below must be referenced on all payments :
Invoice Numbe : - 54492 Customer Number: 4050363'
57nv-rDate Y 17 DEC 18 Order Date: 17-DEG18
ustom
umber: Order Number: 4128124 -
Payment.Method: Net.30 ._ Date Shipped: 17=DEC=18
Due Date: 16-DANA 9
Bill To:.. Carmel Clay Park&.RecreationShip To::: Carmel Clay Park.&Recreation
1.41.1.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
ITEM ITEM DESCRIPTION QTY QTY QTY:' UNIT- EXTENDED
NUMBER ORDERED * -SHIPPED :-BACK PRICE PRICE
'..
ORDERED . ` :. . ..
20-354. Rainbow Polyester/Cotton Beanbags 2 2 $12.42 $24.84:
6"sq,Set of 6
85-877 Rainbow:Plastic.Cones-12"H;Set of2 2 $15.09 . $30:18
: 6
Sub Total: $:55.02
Tax Total : . 40:00
Shipping;Handling_&Processing: $0:00.
Invoice Total: $55.02
Payments,&Credits:-
0.00
BalanceDue:��' i $55.0
Upon delivery:.Examine your order,ensuring there are no visible signs:of damaged,missing.or incorrect packages.
In the unlikely-event of damaged,missing or incorrect packages,sign for damaged or short on the delivery receipt and contact Customer Service
within 24 hours.