HomeMy WebLinkAbout160963 06/25/2008 a�. CITY OF CARMEL, INDIANA VENDOR: 361429 Page 1 of 1
ONE CIVIC SQUARE M D A
CARMEL, INDIANA 46032 PO Box 794 CHECK AMOUNT: $204.95
MONUMENT CO 60132 CHECK NUMBER: 160963
Roy do
CHECK DATE: 6/25/2008
DEPARTME ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPT
905 F 4239045 20428 204.95 RETAIL GOODS
(MDA) MARX SUNGLASSES r
MAXX SUNGLASSES
PO BOX 794 DATE INVOICE
MONUMENT CO 80132
6/2/2008 20428
BILL TO SHIP TO
c
Brookshire Golf Club IN Brookshire Golf Club IN
MELISSA MONTGOMERY MELISSA MONTGOMERY
12120 Brookshire Parkway 12.120 Brookshire Parkway
Carmel, IN 46033 Carmel, IN 46033
TERMS DUE DATE REP SHIP VIA
��fi��
ONRECEIPT 6/17 %2008 BT 6/2/2008 UPS
QUANT DESCRIPTION EA AMOUNT
STAND 24 0.00 0.00
2 SUNGLASSES -2 MARX CINCO, 1 RED, 1 BLACK 0.00 0.00
1 DEMO SUNGLASSES FOR DISPLAY STAND 0.00 0.00
1 SHIPPING AND HANDLING FIRST TIME ORDER 12.95 12.95
8 MAXX 2--- ASSORTED 8.00 64.00
V 4 MAXX 3--- ASSORTED 8.00 32.00
4 MAXX 4--- ASSORTED 8.00 32.00
8 MAXX CINCO ASSORTED 8.00 64.00
SEE ALL OUR STYLES ON OUR WEB SITE!
www.ma sunglass .cam j
PLEASE MAKE CHECKS PAYABLE TO "MDA"
WE ACCEPT MASTER CARD, VIS'AIAND DISCOVER THIS INVOICE $204.95
877.550.8116 PHONE
719.622.1153 FAX
TOTAL DUE THIS ACCQUNT $204.95
Brookshire Golf Club Inventory Received Report
12120 Brookshire Parkway Order Number: 06152008-1
Carmel, IN 46033 111111111111111 11111111111111111111111
T ,D 'scn tiara a Ordered To Date ;Receivetl 'Unit Cosh nded Exten
af ed
2002907 MAXX SUNGLASSES 24 24 0 $8.54 $204.96 $0.00
�A
4x "'I'Vo 24�*W$A 5.4, 4$204
k2!t".J
Authorized by Date
Order Number: 06152008-1 Page 1 of 1
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
ALLOWED 20
IN SUM OF
'co �3 7�-
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), o,
US )D d? 7 J� o 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
20
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund