183608 03/25/2010 i
CITY OF CARMEL, INDIANA VENDOR: 362886 Page 1 of 1
ONE CIVIC SQUARE ALLIED CENTRAL DIST, INC CHECK AMOUNT: $698.15
CARMEL, INDIANA 46032 11600 COMMONWEALTH DRIVE
LOUISVILLE KY 40299 CHECK NUMBER: 183608
CHECK DATE: 3/25/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 8861400 698.15 OTHER MAINT SUPPLIES
REMIT AND MAKE CHECK PAYABLE TO
CUSTOMER NUMBER ALLIED- CENTRAL DIST. INC. INVOICE NUMBER
500940 11600 COMMONWEALTH DRIVE 088614 -00
x xxxxxx *xxxxxxx xx* xxxx xxxx *xx *x
LOUISVILLE KY 40299
SOLD TO: CARMEL CLAY PARKS REC SHIP TO: MONON CENTER
1411 E 116TH STREET 1235 CENTRAL PARR DRIVE
CARMEL, IN 46032 PH #317/573 -4026
CARMEL, IN 46032
317/573 -4023 SERRA GARSKE
SALESMAN DATE CUSTOMER
NUMBER NAME INVOICED ORDER NUMBER TERMS SHIP VIA F.O.B.
50 BROADSTREET 03/10/10 23237 NET 30 DAYS OUR TRUCK CUSTOMER
SPECIAL BILLING INSTRUCTIONS: FAX
QUANTITY QUANTITY QUANTITY ITEM NUMBER/ QUANTITY UNIT EXTENDED T
ORDERED SHIPPED BACKORDERED UM DESCRIPTION BILLED UM PRICE PRICE X
3 3 0 EA PG- OPTIDES 3 EA 134.85 404.55 N 1
16571 PROLINE TIDE DETER 5 GAL
2 2 0 EA PG- OPCLOR5 2 EA 46.65 93.30 N 2
41676 PROLINE CLOROX BLEACH 5G
2 2 0 EA PG- OPDOWN5 2 EA 100.15 200.30 N 3
41675 PROLINE DOWNY 5 GAL
III N N V V 000 III CCCC EEEEE SUB -TOTAL 698.15
I NN N V V O O I C E
I N N N V V 0 O I C EEE
I N NN V V O O I C E
III N N V 000 III CCCC EEEEE
TOTAL 698.15
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APPmvDJ Date
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END OF INVOICE
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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.
362886 Allied Central Dist. Inc. Terms
11600 Commonwealth Drive
Louisville, KY 40299
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3110110 8861400 Laundry chemicals 23237 698.15
Total 698.15
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.
362886 Allied Central Dist. Inc. Allowed 20
11600 Commonwealth Drive
Louisville, KY 40299
In Sum of
698.15
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1093 8861400 4238900 698.15 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 -Mar 2010
t Signature
698.15 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund