161706 07/23/2008 CITY OF CARMEL, INDIANA VENDOR, 361542 Page 1 of 1
0 ONE CIVIC SQUARE AMERICAN CHANGER CORP CHECK AMOUNT: $978.55
CARMEL, INDIANA 46032 SLOT 302119
oN `o PO BOX 66973 CHECK NUMBER: 161706
CHICAGO IL 60666 -0973
CHECK DATE: 7/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO DESCRIPTION
1047 4239099 00188102 978.55 OTHER MISCELLANOUS
AMERICAN CHANGER HOFFMAN MINI' oo IT 881&P.
"Changing the World"
1400 N.W. 65 Place Fort Lauderdale, Florida 33309
Tel: 954- 917 -3009 Fax: 954 -917 -3079 0:7 0 8 0 8
www.americanchanger.com www.hoffmanmint.com
Toll Free: 800 741 -9840 Toll Free: 800 227 -5813
BILLTO: SHIP TO:
CARMEL CLAY PARKS RECREATION THE MONON CENTER
1427 EAST 116TH STREET 1235 CENTRAL PARK DRIVE EAST
CARMEL, IN 46032
CARMEL, IN 46032 317 571 -4144
CU TOMER NO.
7943 07/01/0 CARIND15 �01 50�
CUST NUMBER JOB NUMBER' SHIP VIA
18900 Fedx
L-7
ERED
ITEM NUMBER
F
T9OOS260 5.00 5.00 107.000 EA
900 'BRASS 'TOKEN_ALLOY 260 F. 9 535 0'
NEW CUST/NEW CUST MON.ON CTR
/E 1.00 1.00 1. 500, EAR
Environmental Fee'- E 1 5'0
T.9;999 2.002.00 195.000 EA= s.�
Preparation Charge f
le
390 0,
i
1 JUL 1 4
2008
L
PLEASE REMIT TO: SALE AMOUNT 92 6 5 0�`
American Changer Corp. MISC. CHARGE. 00'
S
Slot 302119 SHIPPING /HANDLING 52 054
P.O. Box 66973 SALES TAX 00
Chicago, IL 60666 -0973 TOTAL 9 5 5:
.00
AMOUNT RECEIVED
10 DAYS i 9 Z8 5 5
BALANCE DUDE
FEDEX EXPRESS e
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
American Changer Corp. Purchase Order No. 18900 F
Slot 302119
P.O. Box 66973 Date Due
Chicago, IL 60666 -0973
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/8/08 00188102 Tokens 978.55
Total 978.55
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.
American Changer Corp. Allowed 20
Slot 302119
P.O. Box 66973
Chicago, IL 60666 -0973 In Sum of
978.55
I
ON ACCOUNT OF APPROPRIATION FOR
104- Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 00188102 4239099 978.55 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
16 -Jul 2008
Signature
978.55 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund