Loading...
HomeMy WebLinkAbout195515 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 360196 Page 1 of 1 ONE CIVIC SQUARE KIEFER ASSOCIATES 0 CHECK AMOUNT: $19.91 CARMEL, INDIANA 46032 1700 KIEFER DRIVE ZION IL 60099 CHECK NUMBER: 195515 CHECK DATE: 3/16/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 CM12704 -16.95 GENERAL PROGRAM SUPPL 1096 4239039 I1695122 36.86 GENERAL PROGRAM SUPPL Print Date: 01/31/2011 Page: 1 of 1 INVOICE 11695122 Me MOM 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 BILL TO: SHIP TO: 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 11695122 01/29/2011 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 0169491 01/26/2011 S241741 01/28/2011 CUSTOMER PO SHIP TO EMAIL TRACKING NUMBER 28059 364670240001454 S.No. Item Number Item Name Promo. Quantity Price Extended Price Code 1 650619.13Iue KIEFER AQUA -CELL 0111 1.00 27.95 27.95 ANKLE CUFF PAIR KIEFER AQUA -CELL ANKLE CUFF PAIR.Blue Total Item Price 27.95 Shipping 8.91 Total Discount 0.00 Total Shipping and Handling Charges 8.91 Total Non Freight Surcharge 0.00 Sales Tax (0.00% on $27.95 included.) 0.00 Grand Total 36.86 03/02/2011 10:17 8477468888 KIEFER SPORTS GROUP PAGE 04/06 Page 1 of 1 Company Logo KWer Adolph Kiefer Aasoclalos Print 0.ito� 03!0212011 Company Addmw 1700 KIEFERDR Pe 1 of T ZION IL 6o09g•aio; United States Company Phone, 1.847$72•altag Credit Memo Toll Froa Phone: 600.3231071 Company Pox: r1-847.746 -8888 Company Email! eSalealDkieFtr.com Comaaty Weballe: Ww .xiefer,com HILL TO: SHIP TO: Accounts payable Brooke Tafflinger 0411 East 176th Street 1235 Central Park Drlva East Carm el l IN (PCff 28059) Carmel 4 46032 Carmel IN 46032 United Sis�S United S1010S Credit Memo Number. Credit Memo Date! Customer Number: E -Mail: CM 12704 0112712011 0649779 In.olce Number. Refund Reference: Currency: St 11689736 US Dollar Cosod S.No, Product Number Product Name Quantity Not Price Adjustment Restocking Extendod Per Unit Amount Fop Price Kf EFER 1 $11400.10 WRISTIANKLE 1 $16.95 $0.00 $16.95 WE IGHT5,10 Credit Memo subotal $16. Total Restocking Fee $0,00 All Price Quoted In U5 Dollar Shipping 4,063 Sales Tsx 0,00% on 10,95 0,00 Adjustment Reason RMA Amount Shipping S-4.08 Grand T 0 10 1 S 16.9$ Purchase Description L f IUi-b_u"YU P.O. P oQ G.L. I d9 Budge (n ±2303 t Line Descr ,:2X81 ICY Purchaser Date_ Approval Date javaseript: parer. t. objDoCUmentPreview.DooumentHTML 03/02/2011 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 1129111 11695122 Swim supplies 28059 36.86 1127111 CM12704 Credit for return 28059 (16.95) Total 19.91 i 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 Adolph Kiefer Associates Allowed 20 1700 Kiefer Dr Zion, IL 60099 -5105 In Sum of$ 19.91 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. 4,CCT WTITLE AMOUNT Board Members Dept 1096 -70 11695122 4239039 36.86 1 hereby certify that the attached invoice(s), or 1096 -70 CM12704 4239039 (16.95) 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 10 -Mar 2011 Signature 19.91 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund