HomeMy WebLinkAbout196099 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 361204 Page 1 of 1
ONE CIVIC SQUARE SHUMSKY
CARMEL, INDIANA 46032 PO BOX 634934 CHECK AMOUNT: $578.97
CJNCINNATI OH 45263 -4934 CHECK NUMBER: 196099
CHECK DATE: 3/29/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 R4356004 28043 N014632 578.97 UNIFORMS
PAGE: 1 Mail Payment To:
Sh ums P.O. Box 634934
Cincinnati, OH 45263 -4934
PeaNFr 1 1 L V q Vo U Ind
Phone: 937 223 -2203 N014 6 3 2
Outside Ohio Toll free: 800 -326 -2203
Fax: 937-221-7834
Sold To: 44 -5464 Ship To: #4 54 64
CARMEL CLAY PARKS RECREATION MONON COMMUNITY CENTER
ATT: SERRA GARSKE ATT: MICHAEL
1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST
CARMEL,IN 46032 UNITED STATES CARMEL,IN 46032 UNITED STATES
J INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
03=11 -11 N014632 28043 02 -25 -11 LOCAL PACKAG NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
60 60EA 55 MENS 100% COTTON PIQUE POLO SHIRT 9.19 551.40
WITH EMBROIDERED CCPR LOGO ON
LEFT CHEST
COLOR AND SIZES: NAVY BLUE
60 /S
Purct ase
Desc iption v�� QI�iYY1S
ROA F
Bud t
Line escr
MAR 1 6 101 d Pur& aser Date
Approv al Dat
BMo ...............d.o. o a t
Subtotal Deposit 0 0 0 Credit Card 0 0 0 Tax Total
Gift Cert. 0 S&H 27,57 OOJ $578.97
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 I;/,% per month, 18% annum Finance charge.
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.
361204 Shumsky Terms
P.Q. Box 634934
Cincinnati, OH 45263 -4934
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3111111 N014632 Uniforms 28043 578.97
Total 578.97
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 1C 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
578.97
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center 101 General Fund
PO# or INVOICE NO. CCT #/TITLE AMOUNT Board Members
Dept
28043 N014632 4356004 578.97 1 hereby certify that the attached invoice(s), or
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 -Mar 2011
wx�/ lllmAv'�
Signature
578.97 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund