199014 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00353338 Page 1 of 1
ONE CIVIC SQUARE GEMPLER'S INC CHECK AMOUNT: $156.85
CARMEL, INDIANA 46032 PO BOX 5176
JANESVILLE WI 53547 -5176 CHECK NUMBER: 199014
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238000 1017431610 156.85 SMALL TOOLS MINOR E
Order By Phone: 1- 800 382 -8473 Gempler's
�Mn�E�s FEI 39 A. 537 18
11 Order Online: www.Gemplers.com
Order B Fax: 1 -800- 551 -1128 1125 Denting Way
Y Madison, WI U.S.A. 53717
PO Box 44993
Madison, WI USA 53744 -4993
000354 PAGE 1 OF 1
B CARMEL CLAY PARRS RECREATION s CARMEL CLAY PARRS RECREATION
L
ACCOUNTS PAYABLE H ATTN: TODD SNEIDER
L 1411 E 116TH ST P 1427 E 116TH ST
T CARMEL IN 46032 -3455 T CARMEL IN 46032 -3455
1 0 1 1
Order No. P.O. No. Sold To No. Invoice No. Invoice Date Due Date
SC08386584 28638 6260182 2 1017431610 06/03/2011 07/03/2011
Buyer Carrier Freight Terms Ship Date Payment Terms
GARSKE,SERRA UPSGNDHAZ LOCKED 06/03/2011 Net 30
QTY. QTY. UNIT
LINE PRODUCT N0. DESCRIPTION B.O. SHIP U.O.M. AMOUNT AMOUNT
1 G51913 FENCING SFTY PP GRN 4 FT 50 0 4 EA 35.25 141.00
Purchase
Description �u 7 T71 P.O. Por �F!
G.L. 1),Z-q DL 4- 2 39600 JUN 1 Q 1081 Dd
Bia %t esc r p� B 4 PliLK)"
Line
Purchaser Date
Approval Date
SUBTOTAL: 141.00
Thank you for your order. FREIGHT: 15.85
TAXES: 0.00
PN9553104283 ML
PAYMENT TERMS: Net 30 TOTAL AMOUNT DUE BY 07/03/2011 156.85 USD
These items are sold for domestic consumption in the United States. If exported, purchaser
assumes full responsibility for compliance with US export controls. ORIGINAL
After 90 days from invoice date, GHC Specialty Brands, LLC will not be responsible to show proof of delivery.
TITLE TO ALL MERCHANDISE SHIPPED PASSES TO THE PURCHASER UPON DELIVERY TO THE COMMON CARRIER.
NO CLAIMS, DEDUCTIONS OR RETURNS ACCEPTED WITHOUT OUR WRITTEN CONSENT. ALL CLAIMS MUST BE MADE
WITHIN 15 DAYS AFTER RECEIPT OF GOODS. ALL PRICES SUBJECT TO CHANGE WITHOUT NOTICE: PRICES
PREVAILING ON TIME OF DELIVERY. THE GOODS COVERED BY THIS INVOICE WERE PRODUCED IN COMPLIANCE
WITH THE REQUIREMENTS OF THE FAIR LABOR STANDARDS ACT OF 1938 AS AMENDED.
THESE COMMODITIES ARE LICENSED FOR THE ULTIMATE DESTINATION SHOWN. DIVERSION CONTRARY TO THE
UNITED STATES LAW IS PROHIBITED. CUSTOMER HEREBY UNCONDITIONALLY AND WITHOUT RESERVATION AGREES
THAT GHC SPECIALTY BRANDS, LLC IS ENTITLED TO ENFORCE THE TERMS OF THIS SHIPPING ORDER UNDER THE LAWS
OF THE STATE OF ILLINOIS AND IN AN ILLINOIS FORUM.
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
Gempler's Purchase Order No.
00353338 Acct 6260182 Terms
P.O. Box 5176
Janesville, WI 53547 -5176
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/3/11 1017431610 Safety fencing 28638 156.85
Total 156.85
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.
Gempler's
00353338 Acct 6260182 Allowed 20
P.O. Box 5176
Janesville, WI 53547 -5176
In Sum of
156.85
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 109 Monon Center
PO# or INVOICE NO. kCCT #/TITLI AMOUNT Board Members
Dept
1125 1017431610 4238000 156.85 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
28 -Jun 2011
Signature
156.85 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund