184666 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 362886 Page 1 of 1
ONE CIVIC SQUARE ALLIED CENTRAL DIST, INC CHECK AMOUNT: $563.30
ro CARMEL, INDIANA 46032 11600 COMMONWEALTH DRIVE
LOUISVILLE KY 40299 CHECK NUMBER: 184666
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 8931500 134.85 OTHER MAINT SUPPLIES
1093 4238900 8975500 698.15 OTHER MAINT SUPPLIES
xxxx xx xxxxx REMIT AND MAKE CHECK P AYABLE TO *xxxx *xx
CUSTOMER NUMBER ALUIED=CENTRAL_,DIST_. ENVOICE°
500940 11600 COMMONWEALTH DRIVE? 1 0$9_75.5_0.0_
?LOUISVILLE KY- 4029.9
SOLD TO: CARMEL CLAY PARKS REC SHIP TO: MONON CENTER
1411 E 116TH STREET 1235 CENTRAL PARK 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.D.B.
50 BROADSTREET 04 /14/10= SARA 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- OPTIDE25 3 EA 134.85 404.55 N 1
24201 2X TIDE DETER 2.5 GALLON
2 2 0 EA PG- OPCLOR5 2 EA 46.65 93.30 N 2
41676 PROLINE CLOROX BLEACH SG
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 0 O I C E
I N N N V V O O I C EEE
I N NO V V 0 O I C E
III N N V 000 III CCCC EEEEE
Purchase TOTAL 6 9 8 15�
Description L-qu n p*-2� V D 7E �f
P.O. Pow
G.L ii �C�9 4 2 �n
Budget A "339 L
Purchaser Date AP 4
Approval Date�� J
BY:.�..���Y >..o
END OF INVOICE
xxx *xxxx xxxxx* REMIT AND-MAKE-CHECK PAYABLE TO xxxxxx *xx *xxxx
CUSTOMER NUMBER ALLIED CENTRAL _DIST. INC.. 7 INVOICE NUMBER
500940 116DO- COMMONWEALTH DRIVE '089315 -00"
*x xxxxxxxxxx *x *xwxx
LOUISVILLE. KY 40299
SOLD TO: CARMEL CLAY PARKS REC SHIP TO: MONON CENTER
1411 E 116TH STREET 1235 CENTRAL PARK 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 I /26 %lO 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- OPTIDE5 -3 EA 134.85 404.55 -N 1
16571 PROLINE TIDE DETER 5 GAL
2 2 0 EA PG- OPTIDE25 2 EA 134.85 269.70 N 2
24201 2X TIDE DETER 2.5 GALLON
III N N V V 000 III CCCC EEEEE SUB -TOTAL 134.85-
I NN N V V O O I C E
I N N N V V O O I C EEE
I N NN V V O O I C E
III N N V 000 II1 CCCC EEEEE
TOTAL 134 $5-
Purchase
Description
P•O•# PorF
G.L. 0 WAR 3 0 20
Budget
Line Des
Purchaser Date By
AWovQ Date
END OF INVOICE
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
4/14110 8975500 Laundry chemicals 23366 698.15
3126110 8931500 Credit (134.85)
Total 563.30
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.
362886 Allied- Central Dist. Inc. Allowed 20
11600 Commonwealth Drive
Louisville, KY 40299
In Sum of
563.30
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 8975500 4238900 698.15 1 hereby certify that the attached invoice(s), or
1093 8931500 4238900. (134.85), 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
22 -Apr 2010
P _Ibf�OmA2
Signature
563.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund