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Home My WebLink About166837 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00350595 Page 1 of 1 ONE CIVIC SQUARE PEN PRODUCTS CHECK AMOUNT: $22,323.20 CARMEL, INDIANA 46032 6075 LAKESIDE BLVD INDIANAPOLIS IN 46278 CHECK NUMBER: 166837 CHECK DATE: 12/10/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1 853 5023990 22069 22,323.20 OTHER EXPENSES 1. PEN Products 6075 Lakeside Boulevard I NVOI C E Indianapolis, IN 46278 1- 800 -PEN -2550 Fo rm m approved PRODUCFS m wed y Form by State Board of Accounts, 2003 317 388 -8580 PH— Em rpi— Network Ship to Address Invoice Date Invoiced THE MONON CENTER 22069 11/05/08 1235 CENTRAL PARK DRIVE EAST PEN order# CARMEL, IN 46032 213121 Bill to Address State Purchase Order Number CARMEL CLAY PARKS RECREATION 1411 E. 116TH STREET Page# CARMEL, IN 3 46032 Cust. Order /Requisition Date Ordered Date Shipped Shipped BY 18844 06/27/08 09/19/08 PEN Products UNIT OF UNIT LINE# OTY. MEASURE CATALOG DESCRIPTION PRICE AMOUNT 35 FABRIC #724.006 SHADOW TRACERY (MAYER) 36 EAST LOBBY 37 5 EA 83311CDO ADAMS CHAIR 936.00 4680.00 38 FABRIC #WC780.001 POMPEII ON THE SPOT. 39 (MAYER) 40 2 EA SP5150B 36" DIA.COFFEE TABLE w /HD 250.00 500.00 41 LAMINATE #1844 -45 ALPINE PASSAGE (WILSONART) 42 2 EA 83313CDO ADAMS SOFA 1654.00 3308.00 43 FABRIC #WC781.001 CINNABAR IN THE LOOP 44 (MAYER) 45 4 EA SP5152 FOlOT2020 w /HD LAMINATE 197.00 788.00 46 LAMINATE #1844 -45 ALPINE PASSAGE (WILSONART) 47 1 EA INSTALLATION SETUP 3794.90 3794.90 RECEIVED Purdwm (V) o r NOV 0 7 2008 t�L R O BY: gib« FT fu rn► a► i SUBTOTAL 41743.90 11181 7% Sales Tax prappricabiel 0.00 Misc.Revenue /Expenses 0.00 r� 1 TOTAL 41743-90 INFORMATION FOR AUDITOR RNkDl FF4 E C State Agency Name C Appr. Name FAy nE 3a3, Agency H CARMEL CLAY PARKS RECREATION R PEN Products 5150 A Fund /Object/Center State Agency E Fund /Object /Center R D G l E Appropriation Name T Q Indiana Department of Correction V130•1403/03 f. PEN Products p t` 6075 Lakeside Boulevard P, INVOICE OICE Indianapolis, IN 46278 SF 47709 (R2/3 -03) ORIGINAL 1 -800 -PEN -2550 a PRODUCTS a Form approved by State Board of Accounts, 2003 317- 388 -8580 Ship to Address Invoice Date Invoiced THE MONON CENTER 22069 11/05/08 1235 CENTRAL PARK DRIVE EAST PEN Order# CARMEL, IN 46032- 213121 Bill to Address State Purchase Order Number CARMEL CLAY PARKS RECREATION 1411 E. 116TH STREET Page# CARMEL, IN I 46032 Cust. Order /Requisition Date Ordered Date Shipped Shipped BY 18844 06/27/08 09/19/08 PEN Products UNIT OF UNIT LINE# CITY. MEASURE CATALOG DESCRIPTION PRICE AMOUNT 1 AREA 1210 HEALTH SCREENING ROOM 2 2 EA 83311CDO ADAMS CHAIR 936.00 1872.00 3 FABRIC #WC781 -006 GRANITE IN THE LOOP 4 (MAYER) 5 1 EA SP5152 FOlOT2020 w /HD LAMINATE 197.00 197.00 6 LAMINATE #1844 -45 ALPINE PASSAGE (WILSONART) 7 AREA 1106 CORRIDOR 8 4 EA 83311CDO ADAMS CHAIR 936.00 3744.00 9 FABRIC #WC780 -001 POMPEII ON THE SPOT 10 (MAYER) 11 2 EA SP5152 FOlOT2020 WHO LAMINATE 197.00 394.00 12 LAMINATE #1844 -45 ALPINE PASSAGE (WILSONART) 13 1 EA SP5150B 36" CIA COFFEE TABLE WHO 250.00 250.00 14 LAMINATE #1844 -45 ALPINE PASSAGE (WILSONART) 15 2 EA 83313CDO ADAMS SOFA 1654.00 3308.00 16 FABRIC #WC792.001 CINNABAR RATIO (MAYER) 17 AREA UNDER THE STAIRS R /E D NOV 0 7 2008 BX: SUBTOTAL 211181 7% Sales Tax (if applicable) Misc. Revenue /Expenses TOTAL INFORMATION FOR AUDITOR C State Agency Name A r. Name Agency App r. R PEN Products 5150 A Fund /Object/Center State Agency Fund /Object/Center E R D G I E Appropriation Name T 0 Indiana Department of Correction V130- RO3103 PEN Products 6075 Lakeside Boulevard INVOICE Indianapolis, IN 46278 SF 47709 (R2i3 -03) ORIGINAL 1- 800 -PEN -2550 ®PRODUCTS o Form approved by State Board of Accounts, 2003 317- 388 -8580 Prison E —pises Network Ship to Address Invoice Date Invoiced THE MONON CENTER 22069 11/05/08 1235 CENTRAL PARK DRIVE EAST PEN Order# CARMEL, IN 46032- 213121 Bill to Address State Purchase Order Number i CARMEL CLAY PARKS RECREATION 1411 E. 116TH STREET Page# CARMEL, IN 2 46032 Cust: Order /Requisition Date Ordered Date Shipped Shipped BY 18844 06/27/08 09/19/08 PEN Products UNIT OF UNIT LINE# CITY. MEASURE CATALOG DESCRIPTION PRICE AMOUNT 18 2 EA 83311CDO ADAMS CHAIR 936.00 1872.00 19 FABRIC #WC780 -001 POMPEII ON THE SPOT 20 (MAYER) 21 1 EA SP5150B 36" DIA COFFEE TABLE w /HD 250.00 250.00 22 LAMINATE #1844.45 ALPINE PASSAGE .(WILSONART) 23 2 EA 83313CDO ADAMS SOFA 1654.00 3308.00 24 FABRIC #WC792.001 CINNABAR RATIO (MAYER) 25 2 EA SP5152 FOlOT2020 w /HD LAMINATE 197.00 394.00 26 LAMINATE #1844.45 ALPINE PASSAGE (WILSONART) 27 AREA WEST LOBBY 28 5 EA 83311CDO ADAMS CHAIR 936.00 4680.00 29 FABRIC #791.000 TRUFFLE REBOUND (MAYER) 30 4 EA SP5152 FOlOT2020 w /HD LAMINATE 197.00 788.00 31 LAMINATE #1844.45 ALPINE.PASSAGE.(WILSONART) 32 4 EA SP51501J 36" DIA COFFEE TABLE w /HD 250.00 1000.00 33 LAMINATE #1844.45 ALPINE.PASSAGE (WILSONART) 34 4 EA 83313CDO ADAMS SOFA 1654.00 6616.00 7 NO C VO 7 2008 SUBTOTAL BY: 211181 T% Sales Tax iifapplicablel Misc. Revenue /Expenses TOTAL INFORMATION FOR AUDITOR C State Agency Name C Appr. Name Agency H R PEN Products 5150 A Fund /Object/Center State Agency E Fund /Object/Center R D G E Appropriation Name T Q Indiana Department of Correction V130- R03f03 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. 18844 F Pen Products Terms 6075 Lakeside Boulevard Date Due Indianapolis, IN 46278 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/5/08 22069 Monon Center Furniture 22,323.20 Total 22,323.20 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. Pen Products Allowed 20 6075 Lakeside Boulevard Indianapolis, IN 46278 In Sum of 22,323.20 ON ACCOUNT OF APPROPRIATION FOR 853 Gift Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 853 22069 5023990 22,323.20 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 i 1 -Dec 2008 Signature 22,323.20 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund