158002 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 359367 Page 1 of 1
ONE CIVIC SQUARE KELTNER INC
CARMEL, INDIANA 46032 LOCKBOX R CHECK AMOUNT: $285.77
PO BOX 11588 CHECK NUMBER: 158002
FT WAYNE IN 46859 -1588
CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4356004 128118 285.77 STAFF CLOTHING
I
P.O. ox R
P.O. Box 11588
Fort Wayne, IN 46859 -1588 INVOICE
inC. 317- 844 -0510
Customer# Ph:317- 848 -7275 Fx:317- 571 -4136 s
s i Carmel Clay Parks Recreation
1277 Carmel Clay Parks Recreation P Attn: Tina Hotze
D Attn: Tina Hotze T 1411 East 116th Street
Job# T 1411 East 116th Street o Carmel IN 46032
97011
o Carmel IN 46032 Via UPS GrounFdTrak
FOB Factory
Unit Customer po Salesperson Order date Invoice date Date shipped Invoice
0 34 Chuck Ford 01/28/08 02/26/08 01/28/08 1 128118
Ordered Shipped Qty BO Item Description Price Per Amount
14 14 706 GREY SWEAT PANTS 19.070 EA 266.98
14 14 PRINTING SILK SCREENING 0.000 EA 0.00
1 ART Electronic Art Charge 2.950 EA 2.95
FEB :aiit
BY:
R-E 1i71 TED
MAR 0 6 2008
7BY: 3 Z5 �,EI.l�Y17
Terms Net 30 PLEASE PAY
269.93 0.00 15.84 0.00 285.77
Tax 0031201550 THIS AMOUNT �Ota
Sub -total Insurance Sh /Hdl Sales tax
Any amount not paid within 30 days will be assessed a finance charge of 1.5 per month, 18% per year. Future orders will be held if account is past due. CUSTOMER I NVOIC E
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
ti
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.
Keltner Associates Date Due
Lockbox R, PO Box 11588
Fort Wayne, IN 46859 -1588
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/26/08 128118 staff clothing 285.77
Total 285.77
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
'oucher No. Warrant No.
Allowed 20
Keltner Associates
Lockbox R, PO Box 11588
Fort Wayne, IN 46859 -1588 In Sum of
285.77
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 128118 4356004 285.77 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
27 -Mar 2008
Si nature
285.77 Assistant Director
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund