166386 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 361204 Page 1 of 1
ONE CIVIC SQUARE SHUMSKY CHECK AMOUNT: $1,448.44
%a CARMEL, INDIANA 46032 PO BOX 634934
`o. CINCINNATI OH 45263 -4934 CHECK NUMBER: 166386
CHECK DATE: 11/24/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239039 K031133 71.50 GENERAL PROGRAM SUPPL
1047 4239039 K042581A 1,376.94 TOUR DE CARMEL TSHIRT
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PAGE: 1 Mail Payment To:
P.O. Box 634934
(:Shu Cincinnati, OH 45263 -4934
Is�aNn INVOICE
Phone: 937 223 -2203 K0 3113 3
Outside Ohio Toll free: 800 326 -2203
Fax: 937 221 -7834
NOV 1 9 2008
Sold To: #45464 Ship To: #45464�I:
CARMEL CLAY PARKS RECREATION THE MONON CENTER
ATT: KATE SCHNEIDER ATT: KATE SCHNEIDER TESS PIN
1411 E 116TH ST 1235 CENTRAL PARK DR EAST
CARMEL,IN 46032 CARMEL,IN 46032
INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA =TERMS
10-31-08 K.SCHNEIDER 07 -09 -08 3rd Party NET 15
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
2 2 EA SCREEN PRINT ON FIRST AID BAGS 9.00 18.0 0
(PROVIDED BY CLIENT) ON TOP AND
FRONT
COLOR: YELLOW BAGS
1 1 EA PROOF: EMAIL 0.00 0.00
2 2 EA SCREEN CHARGE 25.00 5 0. 0 0
2 2 EA SCREEN PREPS Purchase 0.00 0.00
Description C" ,(j -0156
P.O. _NR Per F
r312g N gS4o
Bud P /e-La. -ems S -yob s
Line Deacr lyo,.,p 'PP�ie
Purchaser De+0
Approval -736 'Ct/ Da:, 10!_0/-0$
Subtotal Deposit 0 0 0 Credit Card 0 0 0 Tax Total
Gift Cert. 0 00 S &H 3.50 0.00� 71.50
Since careful inspection at the factory often results in some imprinted pieces being disregarded, it is understood that an underrun or overrun of up to
10% to be billed pro -rata, is acceptable by the customers. Quoted prices do not include shipping charges or any applicable taxes. All claims must be
made within 10 days after shipment. No returns can be made without our permission F.O.B. ORIGIN. Invoices not paid within our terms maybe
subject to a 1 per month, 18% annum finance charge.
e
PAGE: 1 Mail Payment To:
S P.O. Box 634934
�.�tl Cincinnati, OH 45263 -4934 INV PfBNFT
Phone: 937 223 -2203 K0 4 2 5 81A
Outside Ohio Toll free: 800 326 -2203
Fax: 937-221-7834
Nov Ob�008
BY.
Soiti To: #45464 #45464
CARMEL CLAY PARKS RECREATION' THE MONON CENTER
ATT: SARAH CARLING ATT: SARAH CARLING -TOUR DE CAR
1411 E 116TH ST 1235 CETNRAL PARK DRIVE EAST
CARMEL,IN 46032 CARMEL,IN 46032
INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPEDI SHIPPED VIA TERMS
10 -31 -08 KO42581A S.CARLING 09 -10 -08 ILOCAL PACKAG NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
275 275EA 11730 ADULT SHORT SLEEVE T- SHIRTS 3.53 970.75
WITH 3 -COLOR TOUR DECARMEL DESIGN
ON FRONT AND SPONSORS ON BACK
COLOR: SKY BLUE
SIZES: S -100; M -75; L -50; XL -50
Pumhas
�oua h' f 5 1 NOV 1 8 2008
P O I
P o 4 U
Punch&se late
ApproVal '011 Date-60
Subtotal Deposit 0 70SC&H redit Card 0 00 Tax Total 0] Gift Cert.
Since careful inspection at the factory often results in some imprinted pieces being disregarded, it is understood that an underrun or overrun of up to
10% to be billed pro -rata, is acceptable by the customers. Quoted prices do not include shipping charges or any applicable taxes. All claims must be
made within 10 days after shipment. No returns can be made without our permission F.O.B. ORIGIN. Invoices not paid within our terms maybe
subject to a 1 per month, 18% annum finance charge.
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.
361204 Shumsky Terms
P.O. Box 634934
Cincinnati, OH 45263 -4934
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/31/08 K031133 Print on trauma bags 71.50
10/31/08 K042581A Extra Tour de Carmel shirts PO 19561 F 1,376.94
Total 1,448.44
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.
361204 Shumsky Allowed 20
P.O. Box 634934
Cincinnati, OH 45263 -4934
In Sum of
1,448.44
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 K031133 4239039 71.50* 1 hereby certify that the attached invoice(s), or
1047 K042581A 4239039 1,376.94 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
18 -Nov 2008
Signature
1,448.44 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund