HomeMy WebLinkAbout199682 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 361204 Page 1 of 1
3i. ONE CIVIC SQUARE SHUMSKY
CARMEL, INDIANA 46032 PO BOX 634934 CHECK AMOUNT: $206.01
CINCINNATI OH 45263 -0934 CHECK NUMBER: 199682
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4356004 N051200A 128.19 STAFF CLOTHING
1082 4356004 N051219A 77.82 STAFF CLOTHING
PAGE: 1 Frail Payment To:
Shum P.O. Box 634934
.x..02..... Cincinnati, OH 45263 -4934
p IN V "I C"E
Phone. 937 223 -2203 N0 51219A
Outside Ohio Toll free. 800 -326 -2203 L� ca
Fax: 937 -227 -7834 2 7 20 1 1
Sold To: #$45464 Ship To: 445464 BY:
CARMEL CLAY PARKS RECREATION MONON COMMUNITY CENTER
ATT: SERRA GARSKE ATT: JENNIFER BROWN
1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST
CARMEL,IN 46032 UNITED STATES CARMEL,IN 46032 UNITED STATES
INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
06 11 N051219A S.GARSKE 06 13 11 3rd Party NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
5 10EA G5 0 0 ADULT 100% COTTON T- SHIRTS WITH 6.79 67.90
SUMMER CAMP SERIES LOGO ON FRONT
PEYTON MANNING CHILDREN'S
HOSPITAL CCPR LOGO ON FULL BACK
COLOR: ROYAL BLUE
SIZE: 5/L
2 2 EA SETUPS 0.00 0.00
Purchase
Description
P.O. P or
G.L.
Budget
Line Descr
Purchaser Date
Approval Date
Subtotal Deposit 0 0 credit Card 0 0 0 1 Tax Total
Gift Cert. Q Q0 S8l f
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 aftershipment. No returns can be made without ourpermission F.O.B. ORIGIN. Invoices not paid within our terms may be
subject to a 1 per month, 18% annum finance charge.
2 Mail Payment To:
U Shums
P.O. Box 634934
,m..., u Cincinnati, OH 45263 -4934
PunHR INVO
Phone: 937 223 -2203 N0 512 0 0A
Outside Ohio Toll free: 800- 326 -2203 0 o T- 9 1 9 PS
Fax: 937 221 -7834
JUN 2 a 2011
Sold To:
#$45464 Ship To: $#45464 BY:
CARMEL CLAY PARKS RECREATION MONON COMMUNITY CENTER
ATT: SERRA GARSKE ATT: CARRIE KEAVENEY AQUATIC C
1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST
CARMEL,IN 46032 UNITED STATES CARMEL,IN 46032 UNITED STATES
INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
06 -24 -11 N051200A S.GARSKE 06 -13 -11 3rd Party NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
1 1 EA COLOR CHANGE 0.00 0.00
Purchase A,
Description
Par P
P.O.
G.L.
Budget
Line Descr
Purchaser_ p D ate I
Approval ovate
Subtotal Deposit 0. 0 0 Credit Card 0 0 0 Tax Total
Gift Cert. S &H J
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 1 per month, 18% annum finance charge.
ZPU' PAGE: 1 Mail Payment To:
Shum P.O. Box 634934
O N U
Cincinnati, OH 45263 -4934 17010E
Phone: 937 223 -2203 N 0 512 0 0
Outside Ohio Toll free: 800 326 2203 0 Troll
Fax: 937 221 -7834
JUN 2 7 2011
mold To: #45464 Ship To: #45464
]BY:
CARMEL CLAY PARKS RECREATION MONON COMMUNITY CENTER
ATT: SERRA GARSKE ATT: CARRIE KEAVENEY- AQUATIC C
1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST
CARMEL,IN 46032 UNITED STATES CARMEL,IN 46032 UNITED STATES
I INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
06 -24 -11 N051200A S.GARSKE 06 -13 -11 3rd Part NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
11 11EA G5 0 0 ADULT 100% COTTON T- SHIRTS WITH 7.8S 86.35
WHITE CCPR LOGO ON LEFT CHEST AND
WHITE GUARD WITH CROSS ON THE FULL
BACK
COLOR:RED
SIZES: S /3, U5, XT-)3
3 3 EA G5 0 0 ADULT 100% COTTON T- SHIRTS WITH 9.8S 29.55
RED CCPR LOGO ON LEFT CHEST AND
RED WATERPARK LL-AD WITH CROSS FULL
BACK
COLOR: ASH GREY
SIZE: 3XU3
3 3 EA RESET UP CHARGE 0.00 0.00
Subtotal Deposit Credit Card Tax Total
Gift Ceti. 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 maybe
subject to a 1 per month, 18% annum finance charge.
Payment Stub
Mail Payment To:
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
6/23/11 N051219A Staff clothing 77.82
6/24/11 N051200A Staff clothing 128.19
Total 206.01
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
206.01
ON ACCOUNT OF APPROPRIATION FOR
108 ESE 1 109 Mono Center
PO# or INVOICE NO. CCT#f! AMOUNT Board Members
Dept
1082 -99 N051219A 4356004 77.82 1 hereby certify that the attached invoice(s), or
1094 N051200A 4356004 128.19 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
12 -Jul 2011
12 Lt'�
Signature
206.01 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
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