157128 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 00350404 Page 1 of 1
0 ONE CIVIC SQUARE KELTNER ASSOCIATES, INC
CARMEL, INDIANA 46032 520 W CARMEL DRIVE
CARMEL IN 46032 CHECK AMOUNT: $2,006.73
s.
CHECK NUMBER: 157128
CHECK DATE: 3/5/2008
,DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
'047 4356004 127481 1,920.26 STAFF CLOTHING
„1047 4356004 127765 86.47 STAFF CLOTHING
I
Lockbox R PZE CEIVED
P.O. sox 11588 FEB 0 8 2008
I JLll 1 \JL'11`�' Fort Wayne, IN 46859 -1588 ON SCE
in 317- 844 -0510 BY:
Customer s Ph:317- 573 -5237 Fx:317- 573 -5254 H
i Carmel Clay Parks and Rec
5125 L Carmel Clay Parks and Rec P Attn: Emily Randell
Attn: Emily Randell T 1235 N. Central Park Dr E
Job# T 1235 N. Central Park Dr E Carmel IN 46032
Carmel IN 46032 Via UPS GroundTrak
96521 FOB Factor
Unit Customer po Salesperson Order date Invoice date Date shipped Invoice
Ordered Shipped Qty BO Item Descrip Price Per Amount
90 90 K50OLS LS SPORT SHIRT, NAVY BLUE 19.450 EA 1750.50
7 7 K50OLS LS SPORT SHIRT, NAVY BLUE 20.990 EA 146.93
3 3 K50OLS LS SPORT SHIRT, NAVY BLUE 00.00 EA 000.00
100 100 EMBROIDERY EMBROIDERY 0.000 EA 0.00
Terms Net 30 PLEASE PAY
1897.43 0.00 22.83 THIS AMOUNT 1920.26
Sub -total Insurance Sh /Hdl Sales tax
CUSTOMER INVOICE
4(w
Lockbox R M.E D r
Q P.O. Box 11588
Fort Wayne, IN 46859 -1588 IN OICE
.C. 317- 844 -0 510
Customer# s Ph:317- 573 -5237 Fx:317- 573 -5254 H
i Carmel Clay Parks and Rec
5125 L Carmel Clay Parks and Rec P Attn: Emily Randell
Attn: Emily Randell T 1235 N. Central Park Dr E
Job T 1235 N. Central Park Dr E Carmel IN 46032
Carmel IN 46032
97034 via UPS GroundTrak
FOB Factor
Unit Customer po Salesperson Order date Invoice date Date shipped Invoice
Ordered Shipped Qty BO Item Description Price Per Amount
3 K50OLS LS SPORT SHIRT, NAVY BLUE 24.060 EA 72.18
Terms Net 30 PLEASE PAY
Tax 35- 6000972 72.18 0.00 14 .2 9 0.00 THIS AMOUNT 86.47
Sub -total Insurance ShDg Sales tax Total
CUSTOMER INVOICE
�v
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
1/10/08 127481 staff clothing 1,920.26
1/29/08 127765 staff clothing 86.47
Total 2,006.73
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
r
Voucher No. Warrant No.
Allowed 20
Keltner Associates
Lockbox R, PO Box 11588
Fort Wayne, IN 46859 -1588 In Sum of
2,006.73
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 127481 4356004 1,920.26 1 hereby certify that the attached invoice(s), or
1047 127765 4356004 86.47 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
29 -Feb 2008
Signature
2,006.73 Amt Director
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund