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165296 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00351529 Page 1 of 1 s 0 ONE CIVIC SQUARE JAZZ IT UP CARMEL, INDIANA 46032 525 INDUSTRIAL DRIVE CHECK AMOUNT: $3,847.75 CARMEL IN 46032 CHECK NUMBER: 165296 CHECK DATE: 10/29/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION ;1046 4356004 12172 3,847.75 STAFF CLOTHING i INVOICE JAZZ IT UP Date Invoice No. 525 INDUSTRIAL DRIVE 08/04/2008 12172 CARMEL IN 46032 PH 317 -574 -0066 FX 317 574 -0184 jazzitup @jazzitup.biz SOLD TO: SHIP TO Page 2 BEN JOHNSON CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION 1411 E. 114th Street 1411 E. 114th Street CARMEL IN 46032 CARMEL IN 46032 Cust. No. Cust. Order No. SHIP DATE SHIP VIA /Tracking Terms SALES PER CAR50000 08/04/2008 U P S GRND NET 30 ASN Ordered Shipped Item No. Description Price Amount Order Total 3847.75 INVOICE TOTAL 3847.75 INVOICE JAZZ IT UP Date Invoice No. 525 INDUSTRIAL DRIVE 08/04/2008 12172 CARMEL IN 46032 PH 317 -574 -0066 FX 317 574 -0184 jazzitup @jazzitup.biz SOLD TO: SHIP TO BEN JOHNSON CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION 1411 E. 114th Street 1411 E. 114th Street CARMEL IN 46032 CARMEL IN 46032 Cust. No. Cust. Order No. SHIP DATE SHIP VIA /Tracking Terms SALES PER CAR50000 08/04/2008 U P S GRIND NET 30 ASN Ordered Shipped Item No. Description Price Amount 0 EA 0 Following t -shirts imprinted with: Extended School Enrichment logo on front of shirt Carmel Clay Parks Rec /Peyton Manning Childrens' Hospital logo on back of shirt imprint color for front and back: white 675 EA 675 G5000 Gildan 6.1 oz 100% cotton short sleeve t -shirt 3.23 2180.25 color: navy blue sizes: 100 sm, 300 med, 200 Ig, 75 A 75 EA 75 G5000 Gildan 6.1 oz 100% cotton short sleeve t -shirt 4.75 356.25 color: navy blue sizes: 50 xxl, 25 xxxl 225 EA 225 G5400 Gildan 6.1 oz 100% long sleeve t -shirt 5.05 1136.25 color: navy blue sizes: 25 sm, 100 med, 75 Ig, 25 A 25 EA 25 G5400 Gildan 6.1 oz 100% long sleeve t -shirt 7.00 175.00 color: navy blue sizes: 15 xxl, 10 xxxl Fax: 317 571 -2468 Phone: 317 571 -2467 Continued on following page FOR PROPER CREDIT, PLEASE RETURN STUB WITH YOUR PAYMENT Customer: CAR50000 Invoice: 12172 Invoice Balance 3847.75 JAZZ IT UP FFm7 F T`�'� 525 INDUSTRIAL DRIVE CT 0 9 2008 CARMEL IN 46032 BY: Thank you for your business. 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. 19 H9 F 351529 Jazz It Up Terms 525 Industrial Drive Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/4/08 12172 Staff shirts 3,847.75 Total 3,847.75 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. 351529 Jazz It Up Allowed 20 525 Industrial Drive Carmel, IN 46032 In Sum of t 3,847.75 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. CCT #/TITLE AMOUNT Board Members Dept 1046 12172 4356004 3,847.75 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 15 -Oct 2008 P&-A&MWA.) Signature 3,847.75 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund