188340 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 355622 Page 1 of 1
ONE CIVIC SQUARE GOPHER
CARMEL, INDIANA 46032
NW5634 CHECK AMOUNT: $202.71
PO BOX 1450 CHECK NUMBER: 188340
MINNEAPOLIS MN 55485 -5634
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 8133249 202.71 GENERAL PROGRAM SUPPL
Invoice Page 1 of 1
Phone: 1- 800 533 -0446 Fax: 1 -800- 451 -4855 Thank you for choosing Gopher
Online: www.gophersport.com Please Remit To:
NW 5634
PO Box 1450
Minneapolis MN 55485
_Y Invoice Number: 8133249 Customer Number: 4019879
Invoice Date: 08- JUL -10 Order Date: 06- JUL -10
Customer PO number: MC001097 F Order Number: 3073256
Date Shipped: 08- JUL -10
Billing Address: Carmel Clay Park And Rec Shipping Address: Carmel Clay Park And Rec
1411E 116th St 1235 Central Park Dr E
Carmel IN 46032 Carmel IN 46032
ITEM ITEM DESCRIPTION QTY QTY QTY UNIT PRICE EXTENDED
PJI;i',fiBER ORDERED SHiPPEC BACK PRICE
I ORDERED
11 -330 Rainbow Braided- Polyester Jump 5 5 $34.95 $174.75 G
Ropes 81, Blue Handle, Set of 6
Sub Total: $174.75 f
Tax Total: $4.00
Shipping, Handling Processing: $27.96
Invoice Total: $202.71
Payments Credits: $0.00 s
Balance Due: $202.71
7
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JUL bu
Terms. Net Due in 30 days
A late payment charge of 1% per month (18% annum) may be assessed on invoices not paid within terms. a
Customer is liable for collection costs reasonable attorney fees and court costs if the account is placed for collection.
Unconditional 100% Satisfaction Guarantee
1 ,Unconditional If you are not satisfied with any Gopher® purchase for any reason at any time, contact us and we will replace
-100 5atisfactlon f the product, credit your account, or refund the purchase price.
;,�Guarantiee
No restocking fees. No hassles. No Kidding.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill be property 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.
355622 Gopher Terms
NW 5634
P.O. Box 1450
Minneapolis, MN 55485 -5634
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
718110 8133249 Program supplies 202.71
Total 202.71
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.
355622 Gopher Allowed 20
NW 5634
P.O. Box 1450
Minneapolis, MN 55485 -5634 In Sum of
202.71
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1096 -22 8133249 4239039 202.71 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
Ir' e ,n YA Y7 y?LP U
Signature
202.71 Accounts Payable Coordinator
i
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund