181397 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 361270 Page 1 of 1
ONE CIVIC SQUARE SUCCESSORIES LLC
CARMEL, INDIANA 46032 1040 HOLLAND DRIVE CHECK AMOUNT: $60.44
BOCA RATON FL 33487 CHECK NUMBER: 181397
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 107230 60.44 GENERAL PROGRAM SUPPL
t
Ph: (800)535 -2773 Fx: (561) 998-7716
Sucdessories, LLC
B 1 0;4 0% Holland Drive INVOICE
o a/Raton FL 33487
Ph:3175735238 Fx:3175735254 s
Customer H
S
604997 1 CARMEL CLAY PARKS RECREATION
L P ATTN: TESS PINTER
o
ATTN: TESS PINTER T 1235 CENTRAL PARK DR. EAST
Job# T 1235 CENTRAL PARK DR. EAST
o CARMEL IN 46032
0 CARMEL IN 46032
20712 Via Ground
Unit Customer po Salesperson Order date Invoice date Date shipped Invoice
0 21506925 11/19/09 12/01/09 11/30/09 ('20712-
Ordered Shipped Qty BO Item Description Price Per Amoun.
1 1 701786 EO 9x11 PERSISTENCE RUNNE 49.990 EA 49.99
R
Purchase
Description 1 fl l m R a'&
g 4 r 7 ,T.-- P.O. 2— o 2`7 P FF
7 i G.L 7.9CO (f) IZ3
A 'a DEC 18 2009 �i Descr If e5
uPP
Purchaser Date
ive Approv D fir? (,3 i
e
Terms Net 30 PLEASE PAY
49.99 0.00 10.45 0.00 TH1S AMOUNT 60.441
Sub total Insurance Shpg /Hdlg Sales tax »s Total
All cancellation and returns must be approved and subject to restocking andother charges. If customer fails to make payment within terms,finance charge CUSTOMER INVOICE 1
will apply.
i
1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Payee
Purchase Order No.
361270 Successories Date Due
1040 Holland Drive
Boca Raton, FL 33487
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/1/09 20712 Plaque 23027 F 60.44
Total 60.44
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
,20
Clerk- Treasurer
Voucher No. Warrant No.
Allowed 20
361270 Successories
1040 Holland Drive
Boca Raton, FL 33487 In Sum of
60.44
ON ACCOUNT OF APPROPRIATION FOR
1 n
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
20712 4239039 60.44 I hereby certify that the attached invoice(s), or
0 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
7 -Jan 2010
Signature
60.44 Accounts Paaable_Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund