157542 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 359367 Page 1 of 1
0 ONE CIVIC SQUARE KELTNER INC
CARMEL, INDIANA 46032 LOCKBOX R CHECK AMOUNT: $704.37
PO BOX 11588
o CHECK NUMBER: 157542
FT WAYNE IN 46659 -1588
CHECK DATE: 3/19/2008
DEPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4356004 127914 704.37 STAFF CLOTHING
i
KE Lockbox R
P.O. Box 11588 R+
C
INVOI E CEIV
Fort Wayne, IN 46859 -1588 FEB 1 3 2008 FEB 2 7 2008
T im hW- 317 -844 -0510
Customer# Ph:317- 848 -7275 Fx:317- 571 -4136 H
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
o Carmel IN 46032
97010 Via UPS GroundTrak
FOB Factory
Unit Customer po Salesperson Order date Invoice date Date shipped Invoice
0 1 1 34 Chuck Ford 01 /28/08 1 02/11/ 01/28/08 127914
Ordered Shipped Qty BO Item Description Price Per Amount
30 30 701 Navy super 10 hoody 22.080 EA 662.40
30 30 PRINTING Silk Screening 0.000 EA 0.00
30 hoodies printed
1 ART Electronic Art Charge 2.950 EA 2.95
CW 1 4 3 5
LA
Z
1
Terms Net 30 PLEASE PAY
Tax 0031201550 665.35 0 .00 39 .02 0.00 THIS AMOUNT 704.37
Sub -total Insurance Sh /Hdl Sales tax Total
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. CUSTOM I
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.
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
2/11/08 127914 staff clothing 704.37
Total 704.37
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
Keltner Associates
Lockbox R, PO Box 11588
Fort Wayne, IN 46859 -1588 In Sum of
704.37
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#fTITLE AMOUNT Board Members
Dept
1047 127914 4356004 704.37 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
13 -Mar 2008
Sign ture
704.37 Business Servl es ana er
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund