201482 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 361092 Page 1 of 1
ONE CIVIC SQUARE ZOGICS LLC
CHECK AMOUNT: $1,057.07
CARMEL, INDIANA 46032 P o aox 50
RICHMOND MA 01254 CHECK NUMBER: 201482
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239099 4487 1,057.07 OTHER MISCELLANOUS
Q
PO Box 50
Richmond, MA Q1254
vuww.zogics.com
8/1512011 4487
Dill To: Ship To
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Attn. Accounts Payable Lindsay Willard
1411 East 116th St, 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
317 573 -5249
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standing order 8/15/2011 Net 30 9/1412011 PRL Freight
16 Z1000 Zogics Wellness Center Wipes 211000 CT 59.95 959.20
Shipping shipping 97.87 97.87
i AUG 22 2011 Purches9
Description
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Purchaser Date_
Approval Date
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Accessorial charges extra (liftgate, inside delivery, etc.). Payments /Credits 50. 00
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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.
361092 Zogics, LLC
Date Due
P.O. Box 50
Richmond, MA 01254
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) PO Amount
8115/11 4487 G m wi es
28123 1,057.07
Total 1,057.07
I 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
361092 Zogics, LLC
P.O. Box 50
Richmond, MA 01254 In Sum of
1,057.07
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -21 4487 4239099 1,057.07 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
8 -Sep 2011
r
Signature
1,057.07 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund