187948 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 357836 Page 1 of 1
ONE CIVIC SQUARE MERSS CORP CHECK AMOUNT: $54.93
CARMEL, INDIANA 46032 1017 W 23RD STREET
INDIANAPOLIS IN 46208 CHECK NUMBER: 187948
CHECK DATE: 7121/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 16684 54.93 REPAIR PARTS
MERSS CORPORATION INVOICE
1017 West 23rd Street
I ndianapolis, IN. 4 6208 Date Invoice
317 632 -7299 Fax: 317 632 -5822 6/17/2010 16684
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BiliTa, Ship Toa ate A
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Carmel Clay Parks Recreation Carmel Clay Parks Recreation
1411 E 116th St 1427 East 116th Street
Carmel IN 46032 0 X O R V IE Carmel, IN 46032
Serra Garske, 573 -4026
JUN 2 5 2010 0
BY
P.O. Number Terms Due Date Ship Via F.O.B. Rep
23625 Net 20 days 7/7/2010 UPS Indpls 4602
Qty Shipped Back Order Description Unit Price Amount
2 126443 Wearing part set DN13 NBR AC 24.50 49.00
2 641753 Plug set, Type 6213
2 126449 Wearing part set DN20 NBR AC
2 641710 Plug set7, Type 6213
Pu hase T *SV' Shipping charges 5.93 5.93
Des ription UPS Tracking 1Z4324020392235139
P a PorF
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Bu et RI 1'Aly
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Put haser Hate
ApF rove Date
2% PER MONTH SERVICE CHARGE ON
UNPAID BALANCE AFTER 20 DAYS,
All Invoices Are Subject To Collection Fees.
Thank you for your business.��
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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.
357836 Merss Corporation Terms
1017 West 23rd Street
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6117110 16684 Repair parts for West Park Water Feature 23625 54.93
Total 54.93
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.
357836 Merss Corporation Allowed 20
1017 West 23rd Street
Indianapolis, IN 46208
In Sum of
54.93
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 16684 4237000 54.93 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
15 -Jul 2010
Signature
54.93 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund