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Home My WebLink About195096 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 360196 Page 1 of 1 ONE CIVIC SQUARE KIEFER ASSOCIATES CARMEL, INDIANA 46032 1700 KIEFER DRIVE CHECK AMOUNT: $90.49 ZION IL 60099 �a CHECK NUMBER: 195096 CHECK DATE: 3/212011 DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBE AMOUNT DESCRIPTION 1096 4239039 I1689736 70.54 GENERAL PROGRAM SUPPL 1096 4239039 I1695004 19.95 GENERAL PROGRAM SUPPL Print Date: 01/31/2011 Page: 1 of 1 INVOICE 11695004 im ISM r Address: 1700 KIEFER DR ZION IL 60099 -5105 United States Phone: +1 -847- 872 -8866 Toll Free Phone: 800- 323 -4071 Fax: +1- 847 746 -8888 Email eSales @kiefer.com Website: www,kiefer.com o BILL TO: SHIP TO: �B 4 Accounts Payable Brooke Tafflinger Carmel Clay Parks Recreation Carmel Clay Parks Recreation 1411 East 116th Street 1235 Central Park Drive East (PO# 28059) (PO# 28059) Carmel IN 46032 Carmel IN 46032 United States United States INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER CUSTOMER NAME 11695004 01/28/2011 C549779 Accounts Payable PAYMENT TYPE SHIPMENT TYPE CARRIER BILL TO EMAIL Payment on Account C. USPS FedEx ORDER NUMBER ORDER DATE SHIPMENT NUMBER SHIPMENT DATE 0164720 01/10/2011 S236166 01/28/2011 CUSTOMER PO SHIP TO EMAIL TRACKING NUMBER 28059 364670240001409 S.No. Item Number Item Name Promo. Quantity Price Extended Price Code 1 620003 KIEFER NEOPRENE 0111 1.00 19.95 19.95 FLOAT SWIM COLLAR Total Item Price 19.95 Total Discount 0.00 Total Shipping and Handling Charges 0.00 Total Non Freight Surcharge 0.00 Sales Tax (0.00% on $19.95 included.) 0.00 Grand Total 19.95 Purchase Description (j{/IY/yJ?/ Q P.O. or F G. L. 1294 70. 5�2 3 9039 Budget et Une Descr hew e 8p Purchaser Date w Approval Date Print Date: 01/12/2011 Page: 1 of 1 INVOICE 11689736 Address: 1700 KIEFER DR ZION IL 60099 -5105 Ki United States 1 Phone: +1 -847- 872 -8866 Toll Free Phone: 800 323 -4071 Fax: +1- 847 746 -8888 EXM OOR Email: eSales @kiefer.com Website: www.kiefer.com BILL TO: SHIP TO: Accounts Payable Brooke Taff linger Carmel Clay Parks Recreation Carmel Clay Parks Recreation 1411 East 116th Street 1235 Central Park Drive East (PO# 28059) (PO# 28059) Carmel IN 46032 Carmel IN 46032 United States United States INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER CUSTOMER NAME 11689736 01/12/2011 C549779 Accounts. Payable PAYMENT TYPE SHIPMENT TYPE CARRIER BILL TO EMAIL Payment on Account C. USPS FedEx ORDER NUMBER ORDER DATE SHIPMENT NUMBER SHIPMENT DATE 0164720 01/10/2011 S236167 01/12/2011 CUSTOMER PO SHIP TO EMAIL TRACKING NUMBER 28059 364670260656436 S.No. Item Number Item Name Promo. Quantity Price Extended Price Code 1 801085 KIEFER 5 PIECE 0111 1.00 39.95 39.95 BUOYANCY AND RESISTANCE SET 2 811400.10 KIEFER 0111 1.00 16.95 16.95 WRIST /ANKLE WEIGHTS KIEFER WRIST /ANKLE WEIGHTS.10 Total Item Price 56.90 Shipping 13.64 Total Discount 0.00 Total Shipping and Handling Charges 13.64 Total Non Freight Surcharge 0.00 Sales Tax (0.00% on $56.90 included.) 0.00 Grand Total 70.54 PA Porn L93 Mw L0211 Bud at FEB 0 4 2011 �a BY: 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. 360196 Adolph Kiefer Associates Terms 1700 Kiefer Dr Zion, IL 60099 -5105 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1/25/11 11695004 Swim supplies 28059 19.95 1/12/11 11689736 Swim supplies 28059 70.54. Total 90.49 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. 360196 Kiefer Associates Allowed 20 1700 Kiefer Dr Zion, IL 60099 -5105 In Sum of 90.49 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -70 11695004 4239039 19.95 1 hereby certify that the attached invoice(s), or 1096 -70 11689736 4239039 70.54 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 24 -Feb 2011 I- P J1' (MI'm trI Signature 90.49 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund