196848 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 356913 Page 1 of 1
ONE CIVIC SQUARE J.A. SEXAUER
CARMEL, INDIANA 46032 PO BOX 404284 CHECK AMOUNT: $1,237.45
ATLANTA GA 30384 -4284 CHECK NUMBER: 196848
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUN P O NUMB INVOICE NUMBER AMO DESCRIPTION
1093 4235000 242585818 1,010.00 BUILDING MATERIAL
1093 4238900 242764439 227.45 OTHER MAINT SUPPLIES
AM= INVOICE
804 East Gate Drive, Suite 100
Mt. Laurel, NJ 08054 PAGE 1 of 1
04/05/11
SHIPPED TO:
CARMEL -CLAY PARKS MONON CTR 242585818
1235 CENTRAL PARK DRIVE EAST
CARMEL IN 46032
E 516300
SOLD TO:
6809218
VISIT THE NEW WWW.JASMRO.COM TODAY. PURCHASING MAINTENANCE
CARMEL -CLAY PARKS MONON CTR AND REPAIR PRODUCTS HAS NEVER BEEN EASIER.
1411 E 116TH ST
CARMEL IN 46032 -3455
FOR INQUIRIES CALL:
(877) 324 -1374 FAX: (877) 322 -3884
FED ID: 22- 2232386 www.sexauer.net
6
04/01/11 6809218 28363 IND -SS1 1% 10 NET 30 JASON BURNETT SX129
LINE ITEM NO. DESCRIPTION ORDERED SHIPPED B/O UOM PRICE EXT.AMT TAX
1 233361 ACORN PRESSURE BALANCING C'TG. ASS'Y 10 10 0 EA 101.00 1,010.00
Purchase
Description P I l PAR S q�
P.O. 6 93t 3 Poe
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Bud
APR
Line Descr 7.O i i
��7G�fPJ�CCL��
Purchaser Date t.
APProval Date
N ME
ET RCHAN DISETOTAL I ICE TO
1,010.00 0.00 0.00 1,010.00
TERMS AND CONDITIONS FROM CURRENT CATALOG APPLY. CLAIMS FOR SHORTAGES OR DAMAGED GOODS MUST BE MADE IMMEDIATELY UPON RECEIPT OF SHIPMENT IN ACCORDANCE
WITH CURRENT RETURN GOODS POLICY. NO RETURNS ACCEPTED WITHOUT PRIOR AUTHORIZATION.
RETAIN THIS PORTION OF THE INVOICE FOR YOUR RECORDS
AT&= INVOICE
804 East Gate Drive, Suite 100 PAGE 1 of 1
Mt. Laurel, NJ 08054
04!07/11
SHIPPED TO:
CARMEL -CLAY PARKS MONON CTR 242764439
1235 CENTRAL PARK DRIVE EAST
CARMEL IN 46032
516300
SOLD TO:
6554265 -2
VISIT THE NEW WWW.JASMRO.COM TODAY. PURCHASING MAINTENANCE
CARMEL -CLAY PARKS MONON CTR AND REPAIR PRODUCTS HAS NEVER BEEN EASIER.
1411 E 116TH ST
CARMEL IN 46032 -3455
FOR INQUIRIES CALL:
(877) 324 -1374 FAX (877) 322 -3884
FED ID: 22 2232386 www.sexauer.net
03/08/11 6554265 2 MC001573 UPS GROUND 1% 10 NET 30 JASON BURNETT SX129
LINE ITEM NO. DESCRIPTION ORDERED SHIPPED B/O UOM PRICE EXT AMT TAX
1 233544 ACORN B JT MALE SHOWER HEAD ASS Y 1 1 0 EA 227.45 227.45
Purchase
Description '5; qU z,r /'2P./1./Y
P.O. '91 YA 2'� P F
G.L. /0 9.-5 V23 F90 D escr
Une a APR 1 2011
Line
Purchaser 4 Date
Approval Date
227.45 0.00 0.00 227.45
TERMS AND CONDITIONS FROM CURRENT CATALOG APPLY. CLAIMS FOR SHORTAGES OR DAMAGED GOODS MUST BE MADE IMMEDIATELY UPON RECEIPT OF SHIPMENT IN ACCORDANCE
WITH CURRENT RETURN GOODS POLICY. NO RETURNS ACCEPTED WITHOUT PRIOR AUTHORIZATION.
RETAIN THIS PORTION OF THE INVOICE FOR YOUR RECORDS
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.
356913 J.A. Sexauer Terms
P.O. Box 404284
Atlanta, GA 30384 -4284
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/5/11 242585818 Plumbing parts 28363 1,010.00
417111 242764439 Shower heads 28272 227.45
Total 1,237.45
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
356913 J.A. Sexauer Allowed 20
P.O. Box 404284
Atlanta, GA 30384 -4284
In Sum of
1,237.45
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1093 242585818 4235000 1,010.00 1 hereby certify that the attached invoice(s), or
1093 242764439 4238900 227.45 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
21 -Apr 2011
Signature
1,237.45 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund