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188225 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: T361513 Page 1 of 1 ONE CIVIC SQUARE AMERICAN HOTEL REGISTER COMPANY CARMEL, INDIANA 46032 CHECK AMOUNT: $51.71 16458 COLLECTIONS CENTER DRIVE 4 CHICAGO IL 60693 CHECK NUMBER: 188225 CHECK DATE: 8/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239099 1780174 51.71 OTHER MISCELLANOUS INVOICE FJOAM'ericlan NUMBER 1780174 HOTEL REGISTER COMPANY 100 S. Milwaukee Avenue FED. ID. #36 0726190 Vernon Hills, IL 60061 07/05/10 SHIP T0: 1 ACCOUNTS PAYABLE CARMEL CLAY PARKS THE MONON CENTER AND RECREATION 1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST CARMEL IN 46032 CARMEL IN 46032 -3455 CUSTOMER NO. CUSTOMER P.O. NUMBER OUR ORDER NUMBER SHIPPED VIA ENTERED BY SMt MC 245447 1156805 1484851 MFR G41 VHL lam 1 A9EE -Z Skirt Clip E -Z Table 3 4 "TO 1 37.23 37.24 g v F =re ht 8 Administration fee........... 10.00 V5 G. I y tilt III a 1(1111 a g c Prom uaba RETURNS: All returns require pre- authorization and will be accepted within 30 days of purchase. In addition, returns must be in the original packaging and in unused condition. Restocking fees may apply. Call 1- 800 323 -5686 for Return Authorization Number, SUBTOTAL, 51.71 FOR DAMAGE: Please open and inspect package(s) upon receipt. Damaged merchandise or shortages must be signed for on delivery ADJUSTMENTS: receipt and reported within 10 days of delivery or American Hotel cannot assume liability. TERMS: All bills are due and payable Net 30 days following invoice date. TAX: 0 A LATE CHARGE: of 1 5 per month will be imposed on past balances, being an annual rate of 18 0 ADVANCE PAY /CREDITS: DELIVERY CHARGES: Prices are F.O B. the factory or our Regional Distribution Center. SHIPPING CHARGES: DROP SHIP: Shipping direct from manufacturer. For 24 hour information or a copy of your transaction, please call 1 -800- 323 -5686 or go to www.americanhotel.com INVOICE TOTAL: 51 7 1 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. Terms T361513 American Hotel Register Co. 16458 Collections Center Drive Date Due Chicago, IL 60693 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 51.71 715/10 1780174 table cloth clips Total 51.71 I hereby certify that the attached invoice(s), or btl(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20, Clerk- Treasurer i Vo6cher No. Warrant No. T361513 American Hotel Register Co. Allowed 20 16458 Collections Center Drive Chicago, IL 60693 In Sum of 51.71 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1095 -3 1780174 4239099 51.71 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 29 -Jul 2010 Signature 51.71 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund