HomeMy WebLinkAbout199187 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 361204 Page 1 of 1
ONE CIVIC SQUARE SHUMSKY
CHECK AMOUNT: $221.15
CARMEL, INDIANA 46032 PO BOX 634934
CINCINNATI OH 45263 -4934 CHECK NUMBER: 199187
CHECK DATE: 716/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4356004 N043615 221.15 STAFF CLOTHING
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Phone: 937 223 -2203 N0 4 3 615
Outside Ohio Toll free: 800 326 -2203
Fax: 937-221-7834
Sold To: #45464 Ship To: #45464
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
ATT: SERRA GARSKE ATT: SERRA GARSKE
1411 E 116TH ST 1411 E 116TH ST
CARMEL,IN 46032 UNITED STATES CARMEL,IN 46032 UNITED STATES
I INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
06 -14 -11 N043615 S.GARSKE 05 -12 -11 3rd Part NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
1 1EA J97 CARHARTT SANDSTONE DETROIT JACKET 90.50 9 0. 5 0
COLOR: PETROL BLUE
SIZE: medium
1 1 EA C 0 0 3 CARHARTT DUCK TRADITIONAL COAT 108.50 108.50
COLOR: NAVY BLUE
SIZE: LARGE
Purchase
Description
P.O.
PorF
G.L.
Budget
Line Descr
Purchaser
Appro,jal Date
Date
Subtotal Deposit 0 0 0 Credit Card 0 00 Tax Total
Gift Cert. S&H
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 may be
subject to a 1 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.O. Box 634934
Cincinnati, OH 45263 -4934
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6114111 N043615 Staff clothing 221.15
Total 221.15
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.
361204 Shumsky Allowed 20
P.O. Box 634934
Cincinnati, OH 45263 -4934
In Sum of
221.15
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. kCCT#/TITLE AMOUNT Board Members
Dept
1125 N043615 4356004 221.15 I 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
28 -Jun 2011
Signature
221.15 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund