190644 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 362886 Page 1 of 1
ONE CIVIC SQUARE ALLIED CENTRAL DIST, INC
CARMEL, INDIANA 46032 11600 COMMONWEALTH DRIVE CHECK AMOUNT: $404.55
LOUISVILLE KY 40299
CHECK NUMBER: 190644
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 9574600 269.70 OTHER MAINT SUPPLIES
1093 4238900 9581200 134.85 OTHER MAINT SUPPLIES
REMIT AND MAKE CHECK PAYABLE TO
CUSTOMER NUMBER ALLIED CENTRAL DIST. INC. INVOICE NUMBER
500940 11600 COMMONWEALTH DRIVE 095812 -00
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 09/21/10 NET 30 DAYS SALES REP CUSTOMER
SPECIAL BILLING INSTRUCTIONS: FAX
QUANTITY QUANTITY QUANTITY ITEM NUMBER/ QUANTITY UNIT EXTENDED T
ORDERED SHIPPED BACKORDERED UM DESCRIPTION BILLED UM PRICE PRICE X
1 1 0 EA PG- OPTIDE25 1 EA 134.85 134.85 N 1
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 III CCCC EEEEE
TOTAL 134.65
Purchase
Description L- FALCnE 50PP UES
P.O.# 3 785 6 r F
G.r_.
Bud L et I rl
Lire�eSC e�� M
Purchaser Date
Approval Date
fm
END OF INVOICE
xxxx x *xxxx REMIT AND MAKE CHECK PAYABLE TO *x *xxxxxxxxxxxx
CUSTOMER NUMBER ALLIED- CENTRAL DIST. INC. INVOICE NUMBER
500940 11600 COMMONWEALTH DRIVE 095746 -00
xxxxx *xxxxxxxx xxxxxxxxx *xx* *xxxx
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 09/22/10 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
2 2 0 EA PG- OPTIDE25 2 EA 134.85 269.70 N 1
24201 2X TIDE DETER 2.5 GALLON
III N N V V 000 III CCCC EEEEE SUB -TOTAL 269.70
I NN N V V O O I C E
I N N N V V O 0 I C EEE
I N NN V V O O I C E
III N N V 000 III CCCC EEEEE
TOTAL 269,70
Purchase
Description`_ Vnp�� suFvL_F_S
P.O. 3 p r p
G.L.# 1b�3- L423�S�o�
Lille UescljtWLI M
Purchaser Date S i 201
Approval Date
13Y:
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
9121110 9581200 Laundry chemicals 23785 134.85
9122110 9574600 Laundry chemicals 23785 269.70
Total 404.55
1 hereby certify that the attached invoice(s), or bills) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
1 20_
Clerk- Treasurer
Voucher No. Warrant No.
362886 Allied Central Dist. Inc. Allowed 20
11600 Commonwealth Drive
Louisville, KY 40299
In Sum of
404.55
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 9581200 4238900 134.85 1 hereby certify that the attached invoice(s), or
1093 9574600 4238900 269.70 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
7 -Oct 2010
V �mau)u
Signature
404.55 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund