159946 05/28/2008 a CITY OF CARMEL, INDIANA VENDOR: 359367 Page 1 of 1
ONE CIVIC SQUARE KELTNER INC
0 CHECK AMOUNT: $1,052.60
f
•�G` CARMEL, INDIANA 46032 LOCKBOX R
PO BOX 11588 CHECK NUMBER: 159946
FT WAYNE IN 46859 -1588
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
],047 4239039 129081 1,052.60 GENERAL PROGRAM SUPPL
i
Lockbox R
Q P.O. Box 11588
INVOICE
Fort Wayne, IN 46859 -1588
317- 844 -0510
Ph:317- 573 -5237 Fx:317- 573 -5254 s
Customer H
s f Carmel Clay Parks and Rec
Carmel Clay Parks and Rec P
5125 s Attn: Emily Randell
D Attn: Emily Randell T 1235 N. Central Park Dr E
Job# T 1235 N. Central Park Dr E
o Carmel IN 46032
98279 o Carmel IN 46032 via UPS GroundTrak
I FOB Factory
Unit Customer po Salesperson Order date Invoice date Date shipped Invoice
0 34 Chuck Ford 04/16/08 04/28/08 04/16/08 129081
Ordered Shipped Qty BO Item Description Price Per Amount
72 72 P170 DEEP NAVY HOODIES 14.020 EA 1009.44
72 72 PRINTING SILK SCREENING 0.000 EA 0.00+
7 77 r' T� FIE)
i' 2008
-A 7m 2 I C may' Nm�
.C1J MAY 0 2008
I
Terms Net 30 PLEASE PAY
Tax 35- 6000972 1009.44 0.00 43.16 0 .00 THIS AMOUNT 1052 .60
Sub -total Insurance Shpq/HdIq 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. C USTOMER I NVOIC E
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
4/28/08 129081 Hoodies League Supplies 1,052.60
Total 1,052.60
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
1,052.60
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 129081 4239039 1,052.60 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
23 -May 2008
Sign 6
1,052.60 Assistant Director
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund