190513 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364766 Page 1 of 1
�4 0 ONE CIVIC SQUARE WABASH VALLEY MANUFACTORING CHECK AMOUNT: $23.25
,ra CARMEL, INDIANA 46032 5298 PAYSPHERE CIRCLE
CHICAGO IL 60674 CHECK NUMBER: 190513
CHECK DATE: 9129/2010
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 307078 23.25 REPAIR PARTS
Wabash Valley Manufacturing Co. P��,:�'
maw m el
Please Remit To:
5298 Paysphere Circle Invoice 307078
Chicago, IL 60674
VALLEY WABASH
Phone: 260 352 -2102 Page: 1 of 1
Fax: 260 352 -2160 Date: 9/15/2010
Sold To: Ship To:
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
CIO City of Carmel 1427 E 116th St
1 Civic Sq Carmel IN 46032 -3455
Carmel IN 46032 -2584 USA
USA
Correspondence via: Email
Fax: 1- 317 -571 -4136 EM ail: sgarske @carmelclayparks.com
Cust No: 19746 Terms: Net 30 F.O.B :Silver Lake
Order No: 56949 Ordered: 9/7/2010 Ship Via: UPS Ground
PO Number: 23910 Packing Slip: 7831 Ship Date: 9/15/2010
F
t:in'e Quan #ityPartNumber lDescrtptailW1T Revision w�� L1nit,Price Extl'rlce!
E e,4
1 2.00 C A 8.00000 EA 16.00
Line Ref. 1 7380 -Green
Job No.: 00040920
Line (1) Miscellaneous Charges
Description Amount
10.) Shipping and Handling 7.25 Purchase
Total Weight: 1 Lbs. Description piCNaC`i�B �fz15
P.O. c� 9 POE)
G.L. 1OE- 4,2 3701)n
Budget
Line D escr �P�l,/;
Purchaser Date
Approval Date l
Invoice Taxes
L.ine Descri Taxable Amt Percent Amoun
1 INDIANA 307,078 23.25 7.00 1.63
Payment Schealule g 3�� 'Total:
DtteeDate A :4mou
1 10/15/2010 24.88 01
Total 24.88
ARForm:001,00
n
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.
Wabash Valley Manufacturing Co. Terms
5298 Paysphere Circle
Chicago, IL 60674
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9115110 307078 Picnic table repair parts 23910 23.25
Total 23.25.
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.
Wabash Valley Manufacturing Co. Allowed 20
5298 Paysphere Circle
Chicago, IL 60674
In Sum of
23.25
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #iTITLE AMOUNT Board Members
Dept
1125 307078 4237000 23.25 I 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
23 -Sep 2010
6 kA&nZZYa
Signature
23.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund