192704 12/10/2010 ��c• CITY OF CARMEL, INDIANA VENDOR: 361204 Page 1 of 1
0 ONE CIVIC SQUARE SHUMSKY CHECK AMOUNT: $638.25
CARMEL, INDIANA 46032 PO BOX 634934
CINCINNATI OH 45263 -4934 CHECK NUMBER: 192704
CHECK DATE: 12/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4356004 M112385A 503.39 STAFF CLOTHING
1125 4356004 M116494A 134.86 STAFF CLOTHING
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PmNff PAGE 1 Mail Payment To:
Shu P.O. Box 634934
Cincinnati, OH 45263 -4934 INVOICE
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Phone: 937 -223 -2203 M112 3 8 5A
Outside Ohio Toll free: 800 326 -2203
Fax: 937 221 -7834
Sold To: #45464 Ship To: 445464
CARMEL CLAY PARKS RECREATION THE MONON CENTER
ATT: SERRA GARSKE ATT: LINDSAY WILLARD- FITNESS S
1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST
CARMEL,IN 46032 CARMEL,IN 46032
I INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
11 -17 -10 1 M112385A S.GARSKE 11=12 =10 LOCAL PACKAG NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
15 15 EA 3 710 CANVAS FULL -ZIP JACKET W/ PIPING 31.25 468.75
MCC LOGO EMB ON L.C. FITNESS
STAFF SCREENED ON BACK:
BLACK/WHITE: 10 /S;5 /M
1 1 EA SCREEN SET -UP CHARGE 0.00 0.00
Purch se
Description J
P.O. r
NOV 2 2010 G. L. 2
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Line scr
7q* ��l
BY Purch iser Date
Appro al Date�� l
Subtotal Deposit 0 0 0 Credit Card 0. 0 0 Tax Total
Gift Cert. 0 S&H
Since careful inspection at the factory often results in some imprinted pieces being disregarded, it is understood that an underrun or overrun of up to
10% to be billed pro -rata, is acceptable by the customers. Quoted prices do not include shipping charges or any applicable taxes. All claims must be
made within 10 days after shipment. No returns can be made without our permission F.O.B. ORIGIN. Invoices not paid within our terms maybe
subject to a 1 per month, 18% annum finance charge.
PAGE: 1 Mail Payment To:
SEhu: P,O. Box 634934
.p� �m Cincinnati, OH 45263 -4934 INVaICE
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Phone: 937 223 -2203 M1164 94A
Outside Ohio Toll free: 800- 326 -2203
Fax: 937 221 -7834
Sold To: #45464 Ship To: 445464
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
ATT: SERRA GARSKE ATT: COURTNEY: MAINTENANCE APP
14.11 E 116TH ST 1411 E. 116TH STREET
CARMEL,IN 46032 CARMEL,IN 46032
INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
11 -29 -10 M116494A M116494A 11 -19 -10 LOCAL PACKAG NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
2 2 EA 4075 NYLON COLORBLOCK FLEECE W/ 34.49 6 8. 9 8
EMB CCPR LOGO ON L.C.
CHARCOAL /BLACK: 1 /L; 1 /XL
1 1EA 4075 NYLON COLORBLOCK FLEECE W/ 36.49 3 6. 4 9
EMB CCPR LOGO ON L.C.
CHARCOAL/BLACK: 1 /XXL
rchase
scription t l t YsVt
Bid Descr y DEC Q 2 2010
P irchaser Date
A proval Date y.
Subtotal Deposit 0 0 0 Credit Card 0 0 0 Tax Total
Gift Cert. S8H
Since careful inspection at the factory often results in some imprinted pieces being disregarded, it is understood that an underrun or overrun of up to
10% to be billed pro -rata, is acceptable by the customers. Quoted prices do not include shipping charges or any applicable taxes. All claims must be
made within 10 days after shipment. No returns can be made without our permission F.O.B. ORIGIN. Invoices not paid within our terms maybe
subject to a 1 per month, 18% annum finance charge.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL-
An invoice of bill to be properly itemized must kn d of s units, price erfo unit etc. dates service rendered, by
whom, rates per day, number of hours, rate per hour
Payee Purchase Order No.
Terms
361204 Shumsky
P.O. Box 634934
Cincinnati, OH 45263 -4934
invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s)) 503.39
27972
11!17110 M1 12385A Staff fitness jackets 134.86
11/29/10 M116494A Jackets for maintenance staff
Total 638.25
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.
361204 Shumsky Allowed 20
P.O. Box 634934
Cincinnati, OH 45263 -4934
In Sum of
638.25
ON ACCOUNT OF APPROPRIATION FOR
101 General 8r 109 Monon Center
PO# or INVOICE NO. CCT #/TITLE AMOUNT Board Members
Dept
1096 -21 M1 12385A 4356004 503.39 1 hereby certify that the attached invoice(s) or
1125 M116494A 4356004 134.86 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
9-Dec 2010
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Signature
638.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund