HomeMy WebLinkAbout163400 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 361204 Page 1 of 1
ONE CIVIC SQUARE SHUMSKY CHECK AMOUNT: $1,057.07
CARMEL, INDIANA 46032 PO BOX 634934
CINCINNATI OH 45263 -4934 CHECK NUMBER: 163400
CHECK DATE: 9/3/2008
DEPARTM ACCOUNT PO NU MBER I NVOICE NUMBER AMO DESCRIPTION
1047 4239039 K027082B 1,057.07 GENERAL PROGRAM SUPPL
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(:Shums PAGE: 1 Mail Payment To:
P.O. Box 634934
Cincinnati, OH 45263 -4934
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Phone: 937-223-2203 Q�i, C K027082B
Outside Ohio Toll free: 800 326 -220 1�'� a
Fax: 937 221 -7834 ,UL Q ®o 9 g
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BY
1 F 7 AUG
Sold To: #45464 Ship To: #45464
CARMEL CLAY PARKS RECREATION THE MONON CENTER EAST
ATT: DUSTIN MENDENHALL ATT: D.MENDENHALL K.SCHNEIDE
1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST
CARMEL,IN 46032 *FAMILY CAMP OUT T- SHIRTS*
CARMEL,IN 46032
INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
07 -28 -08 KO27082B K.SCHNEIDER 1 06 -13 -08 LOCAL PACKAG NET
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
153 153EA 5280 ADULT HEAVYWEIGHT T- SHIRTS WITH 4.05 619.65
1 -COLOR IMPRINT ON FULL FRONT
AND I -COLOR IMPRINT ON FULLBACK
WHITE: S -30; M -30; L -46; XL -47
5 5EA 5280 ADULT HEAVYWEIGHT T- SHIRTS WITH 5.30 26.50
1 -COLOR IMPRINT ON FULL FRONT
AND I -COLOR IMPRINT ON FULLBACK
WHITE: XXL -5
102 102EA 5480 YOUTH HEAVYWEIGHT T-SHIRTS WITH 3.43 349.86
1 -COLOR IMPRINT ON FULL FRONT
AND 1 -COLOR IMPRINT ON FULL BACK
WHITE: S -46; M -42; L -14
2 2EA SETUP CHARGE 0.00 0.00
Subtotal Deposit 0 0 0 Credit Card 0 00 Tax Total
9 9 6 0 1 Gift Cert. S&H 61.06 0 0 0
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 may be
sub t �.;k"p 18% annum finance charge.
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Payment Stub
g To pay by credit card: M/C VISA
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�1 Cardholder Name:
0
ai 4 bff o humsky Cust Name: CARMEL CLAY PARKS RECREATION
.O. Box 634934 Cust Acct# 45464
incinnati, OH 45263 -4934 Invoice K027082B
-L Total: $1,057.07
b_.
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. 19207
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
7/28/08 K027082B Family Campout T -shirts 1,057.07
Total 1,057.07
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
1,057.07
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 K027082B 4239039 1,057.07 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
18 -Aug 2008
Signature
1,057.07 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund