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306738 01_05_17J' % CITY OF CARMEL, INDIANA VENDOR: 369136 i ONE CIVIC SQUARE KOROSEAL INTERIOR PRODUCTS LLC CHECK AMOUNT: $.....*.451.41 j. CARMEL, INDIANA 46032 75 REMITTANCE DRIVE,DEPT 6911 CHECK NUMBER: 306738yTON • CHICAGO IL 60675-6911 CHECK DATE: 01/05/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4235000 N596776 451.41 BUILDING MATERIAL Q D /k / 2 U) 2 < 0 o E $ g o c n a k q q 0 / 0) 7 o k r / k m o CD E % P, 0 2 0C & En U A oO $ JE a - cn k \ mX CO cl CL \ © 0 E n cn CA k 3 k \ 2 =r D e f 2 I n E 0 C 0 Q Q k ; R o O E m Z k 2 C W\ k k 2 E CDCD 2 k mNmoEa & o C 7 = E 0 k 7 - < CD q R k / 9 ocr 91) R INVOICE KOROSEAL INTERIOR PRODUCTS, LLC a" `°.Y' Invoice No.: N596776 75 REMITTANCE DRIVE DEPT 6911 Page No.: 1 of 1CHICAGO; IL 60675-6911 DEC 19 2016 Date: 12/14/16855-753-5474 BY:.............................. Sold To Ship To CARMEL CLAY PARKS & RECREATION CARMEL CLAY PARKS & RECREATION 1411 E 116TH ST DAWNKOPPER 317-573-4026 CARMEL, IN 46032 1235 CENTRAL PARK DR. EAST PO #40863) CARMEL, IN 46032 Payment Terms Shipped Via Del Sales Person Customer Customer Purch. Order Our Order No. NET 30 DAYS BESTWAY CUS 45ROBERTS, A. (WI/IL 553481-519 40863 1983160 From' No. Pkgs Weight Tax Code Tax Rate Tax Jurisdiction Pro Number U1 1 26 15-057-1510 1 IN 069069073 ABF Line No. Qty Ordered Qty Shipped Qty Remaining Unit Price extPrice Item: 2507G815772 1 1/2" Extruded Corner Guard 1 120.000 120.000LF 000 2.13000LF 255.60 10 EACH @ 12 LF CHARCOAL Component List ** 2551A242772 Extruded Formed Corner 1 1/2" 120.000LF End of Component List ** SUBTOTAL 255.60 WP-SHIPMENT CHARGES 195.81 INVOICE TOTAL 451.41 Mail Your Check To: PLEASE NOTE OUR NEW REMITTANCE ADDRESS*** THANK YOU FOR UPDATING YOUR RECORDS*** KOROSEAL INTERIOR PRODUCTS,LLC 75 REMITTANCE DRIVE DEPT 6911 CHICAGO,IL 60675-6911 855-753-5474 Thank You For Your Order We hereby certify that these goods were produced in compliance with all applicable requirements of sections 6,7 and 12 of the Fair Labor Standards Act of 1938,as amended,and of all valid and RJFUapplicable regulations and orders ofthe Administrator ofthe Wage and Hour Division issued under section 14 thereof,and of all valid laws and regulations with respect to nondiscrimination in employment.