HomeMy WebLinkAbout193796 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 357179 Page 1 of 1
ONE CIVIC SQUARE ID VILLE CHECK AMOUNT: $252.08
CARMEL, INDIANA 46032 5376 52ND ST SE
GRAND RAPIDS MI 49512 CHECK NUMBER: 193796
CHECK DATE: 1/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4239099 2202697 12.23 OTHER MISCELLANOUS
1201 R4239099 21675 2202697 239.85 OFFICE PLAQUES
5376 52nd S"ec SE. Grand Rapids. Michigan 49512 ID�t� INVOICE INVOICE DATE: 1/7/2011
IN On Site. Done Hight 1.866A 36.4553 Fax: 616.698.6937 Fed, ID: 38- 2549249 INVOICE NUMBER: 2202697
CUSTOMER NUMBER: 1528887
www.lDville.com PLEASE ENTER THE AMOUNT YOU AW�A�
ARE REMITTING IN THIS BOX
WAa k'
BILL JIM SPELBRING SHIP JIM SPELBRING
TO: CITY OF CARMEL TO: CITY OF CARMEL
1 CIVIC SQ 1 CIVIC SQ
CARMEL, IN 46032 -7569 CARMEL, IN 46032 -7569
PLEASE SUBMIT THIS TOP STUB WITH YOUR PAYMENT
30 -Day Guarantee: We stand behind our products, period. If you are not completely satisfied for any reason
simply follow the instructions below for no- hassle returns.
Notice: All products included in this package can be safely distributed under California law's Proposition 65.
*NOTE: We do not accept returns or exchanges on custom or personalized merchandise. All software and hardware
is subject to a restocking fee, call for more details and pricing.
FOLLOW THESE EASY INSTRUCTIONS:
Circle the item(s) on the front of this packing slip that you are returning. Indicate the quantity being returned
if different from the quantity shipped. Please check the reason for your return:
0 Ordered wrong item(s) 0 Did not order this item
0 I LTJ I LI O
Joei 6osscher 12/16/2010 Net 30 UPS GROUND
3 EACH 43254CM ClearLook Elite 6 x 6 Wall Chrome 79.95 239.85
Note: 2941860 This item has been customized
9
239.85 12.23 0.00 0.00 252.08 252.08
IDS1202860
D
1 z�z_ JAN 172411
By
1J Received too late for use 1.11 No reason changed my mind
Product damaged defective upon arrival 0 Duplicate order shipped
J Not as pictured in catalog Poor quality
Received wrong item(s) U Ordered too many
Product not as expected for price 0 Other Please Specify:
2, Peel off the return label from the top right -hand corner on the reverse side of this packing or invoice slip.
Place it on your return package along with the appropriate postage due and your return address.
If you don't have the return label, please send your RETURN TO: Merchandise Return Dept.,
5380 52nd St SE, Grand Rapids, MI 49512.
3, We recommend that you return your package by a carrier that requires a signature (FedEx, UPS or
Certified U.S. Mail). Please retain your tracking information until credit has been received.
Credit Policy: If invoice is outstanding, credit will be applied to that invoice. If paid with a credit card, credit will be
issued on that card. If paid with a check, a credit to your account will be issued unless a refund check is requested
"You will receive a credit invoice in the mail within two weeks after we receive your return.
VOUCHER NO. WARRANT NO.
ALLOWED 20
iDVille
IN SUM OF
5376 52nd Street SE
Grand Rapids, MI 49512
$252.08
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
ZUS I 2202697 f 42- 390.99 I $12.23 hereby certify that the attached invoice(s), or
21675 I 2202697 I 42- 390.99 $239.85 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
Tuesday, January 18, 2011
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01107! 11 2202697 $12.23
01/07/11 2202697 $239.85
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