163217 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 358126 Page 1 of 1
ONE CIVIC SQUARE GOLDSTAR PRODUCTS INC
0
CARMEL, INDIANA 46032 PO BOX 291630 CHECK AMOUNT: $1,731.68
DAVIE FL 33329 CHECK NUMBER: 163217
CHECK DATE: 9/3/2008
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
651 5023990 18098- 003480 1,731.68 MATERIALS& SUPPLIES
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SOLD TO: q,L�
CARMEL CITY SEWER WATER
PAUL ARNONE
760 3RD AVENUE SW
CARMEL, IN 46032 INVOICE 0018098 0034861
j ;14 ORDER DATE: 7/29/2008
SHIP TO: J i( V
P.O. BOX .291630 QAVIE
PAUL FL 33329 CUSTOMER No: 0018098
CAUL AR NONE CITY SEWER &WATER 1 800-2 3 9 56 99 SALES REP ID: RO1
901 NORTH RANGELINE Tax ID 65- 0597470
CARMEL, IN 46032
CUSTOMER P.O. SHIP VIA TERMS DUE DATE
PAUL ARNONE MOST ECONOMICAL NET 30 DAYS 08/29/2008
SHIPPED ITEM NUMBER DESCRIPTION PRI AMOUNT
2 270 -4 HAND SANITIZING GEL -CASE 500.00 1,000.00
1 543 -6X1 SURVIVORS -6X1 GAL 539.70 539.70
SHIPPING HANDLING 191.98
For your convenience, we accept the American
Express® Card and other major credit cards.
Please fill in the information bellow.
Mo. Yr.
Account Number Expiration Date
X
Cardmember Signature Amount Date
m 01 V /SA
RETURNS SUBJECT TO 30% RESTOCKING CHARGE PLUS FREIGHT. Net Order: 1,731.68
Make Check Payable to GoldStar Products. No retums with written permission. No returns accepted after 30 Sales Tax: 0.00
days. No Exceptions. The parties agree that any legal proceeding brought by either party in connection with or
arising out of this invoice shall be brought in Broward County, Florida and the prevailing party shall be entitled to Total Invoice• 1,731.68
reasonable attorneys fees and all costs incurred including any appeal. Thank you For Your Order Prompt
payment assures good standing future credit.
Payment Received: 0.00
We hereby certify that these goods were produced in compliance with all applicable requirements of Section 6, 7,
and 12 of the Fair Labor Standards Act as amended, and regulations and orders of the U.S. Dept. of Labor issued Balance: 1,731.68
under Section 14 thereof.
INTEREST WILL BE ADDED AT LAWFUL RATES TO PAST DUE ACCOUNTS. Payable in US Funds Only
visit us at http: /Www.Qoldstarproducts.net
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VOUCHER 086163 WARRANT ALLOWED
3:58126 IN SUM OF
GOLDSTAR PRODUCTS INC
PO BOX 291630
DAVIE, FL 33329
t Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
18098 00348E 01- 7200 -01 $1,731.68
0 113 t,�
0
!y Voucher Total $1,731.68
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL r
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
358126
GOLDSTAR PRODUCTS INC Purchase Order No.
PO BOX 291630 Terms
DAVIE, FL 33329 Due Date 8/25/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/25/2008 18098 -00348 $1,731.68
r
hereby certify that the attached invoice(s), or bill(s) is (are) true and
,orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer