182997 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 361204 Page 1 of 1
ONE CIVIC SQUARE SHUMSKY
y. CARMEL, INDIANA 46032 PO BOX 634934 CHECK AMOUNT: $55.03
CINCINNATI OH 45263 -4934
CHECK NUMBER: 182997
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4356004 M006745A 55.03 STAFF CLOTHING
PAGE: 1 Mail Payment To:
:Sh �mS P -Q Bax- 634934
lbil -L-a— l
+P..+ mu Cinc O H 45263= 4-9 INVOICE
PusNrr
Phon e: 937 223 -2203 MO 0 6- 7_4.5A
Outside Ohio Toll free: 800 326 -2203
Fax: 937 -221 -7834
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Sold To: #45464 Ship To: #45464
CARMEL CLAY PARKS RECREATION THE MONON CENTER
ATT: SERRA GARSKE ATT: SUSAN BEAURAIN
1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST
CARMEL,IN 46032 CARMEL,IN 46032
INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
t02�5s-U�- 1U= S.GARSKE 0'2=0'2 =I0 REP i)ELIVERY NET 3s0
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
1 1EA 64 0 0L GILDAN LADIES' SOFTSTYLE T -SHIRT 5.55 5.55
WITH The Monon Center LOGO EM B
ON L/C
WHITE: L -I
l 1EA L6 0 8 LADIES' PA EASY CARE L/S SHIRT 16.70 16
WITH The Monon Center LOGO EMB
ON L/C
COURT GREEN: M -I
1 1EA JST6 3 SPORT -TEK RAGLAN ANORA� WITH e 23.80 2 3' 8 0
urch
CCPR LOGO EMB ON UC Description
NAVY BLUE /WHITE: M -I P.O. P or F
G.L.
Budget
Line Descr
Purchaser Qate
Subtotal Deposit 0 0 0 Credit Card r� EfietaJ
Gift Cert. S&H
Since careful inspection at the factory often results in some imprinted pieces being disregarded, it is understood that an underrun oor overrun of up to
10% to be billed pro -rata, is acceptable by the customers. Quoted prices do not include shipping charges or any applicable taxes. All claims must be
made within 10 days after shipment. No returns can be made without our permission F.O.B. ORIGIN. Invoices not paid within our terms may be
subject to a 1 M% per month, 18% annum finance charge.
f
ACCOUNTS PAYABLE VOUCHER
L 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.
361204 Shumsky Terms
P.O. Box 634934
Cincinnati, OH 45263 -4934
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2/10/10 M006745A Staff clothing 55.03
Total Is 55.03
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
361204 Shumsky Allowed 20
P.O. Box 634934
Cincinnati, OH 45263 -4934
In Sum of
55.03
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. NCCT#fTITLE AMOUNT Board Members
Dept
1091 M006745A 4356004 55.03 1 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
25 -Feb 2010
Signature
55.03 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund