184472 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 360884 Page 1 of 1
ONE CIVIC SQUARE SCHOOL OUTFITTERS
CARMEL, INDIANA 46032 CHECK AMOUNT: $539.98
3736 REGENT AVE
CINCINNATI OH 45212 -3724 CHECK NUMBER: 184472
CHECK DATE: 4114/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 INV578177 539.98 BUILDING REPAIRS MA
1 -866 -619 -3776 I nvoice
x7
S%CHOOL
Fax: 1-800-494-1036 Invoice
Y, 3736 Regent Ave.
{;t Cincinnati, OH 45212 -3724
Apr 6, 20 1_0
www srhooloutfitters.com Page 1 Of 1
BIII.To..,...._. Ship To
City of armel Cannel Parks
Accounts. Payable Sus sentra Park D
1 Civic S 123 r.
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Carmel IN 46032 25.$4 USA Carrnei IN 460321421 USA
Phone' 1 (317).573 026 Fax: 1 (31 0 571 -4136 Pii n 1 (31:Z) 573 -4.026 Fax 1 (317) 57.1 -4136
.Email: SCarsko@a cai r661cla.yparks com Finall:, SGars tt �rrrrelclayparl�s �qm
Cusiorner PO 2334
AGCOUNT;NI MBER. INVOI:CE NUk t3ER INV&Qt.0ATE: 0R7Ek NUMBER PAYMENT D,UE
CI4:94835 INV57. 415L010
8177. ORD259936: `5t5t�070
SKU DESCR.IPTfON QUANTITY UNIT EXTENQEQ
PRICE PR ICE
MAR UN 436 CT14 CORK ROLL 1A THIC K (4' W X 36' L Z $269.99 $539.98
ANY QUESTION OR DISCREPANCIES CONCERNING THIS ORDER MUST BE REPORTED SUB TOTAL $539.98
WITHIN SEVEN DAYS TO OUR SALES AND SERVICE DEPARTMENT AT 1 -866- 619 -1776 SHIPPING HANDLING $0.00
SALES TAX $0.00
INVOICE TOTAL $539.98
AMOUNT PAIDICREDIT $0.00
AMOUNT DUE $539.9$
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3736 Regent Aver, Descriptiono f
Cincinnati,_0H 4521 =3724 P .o.# �k17 F APR n 6 2010
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Li ne Desc n',.�(.t N BY:
Purchaser
Date
Approval Date
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.
360884 School Outfitters Terms
3736 Regent Ave. Date Due
Cincinnati, OH 45212 -3724
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4!6/10 INV578177 Cork roll 23340 539.98
Total 539.98
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
i
Voucher No. Warrant No.
360884 School Outfitters Allowed 20
3736 Regent Ave.
Cincinnati, OH 45212 -3724
In Sum of
r6
539.98
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 I NV578177 4350100 539.98 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
8 -Apr 2010
Signature
539.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i