160576 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 361204 Page 1 of 1
ONE CIVIC SQUARE SHUMSKY
CARMEL, INDIANA 46032 PO BOX 634934 CHECK AMOUNT: $939.12
CINCINNATI OH 45263 -4934
CHECK NUMBER: 160576
CHECK DATE: 6/10/2008
DEPAR ACCOUNT PO NUMBER INVOICE NUMBER AMOU DESCRIPTION
1047 4356004 K022285 939.12 STAFF CLOTHING
PAGE: 1 Mail Payment To:
I S hu sky P.O. Box 634934
AhM.—d Cincinnati, OH 45263 -4934 INV O I CE
6 Nn
Phone: 937 223 -2203 K0 2 2 2 8 5
Outside Ohio Toll free: 800 326 -2203
Fax: 937-221-7834
Sold To: #45464 Ship To: #45464
CARMEL CLAY PARKS RECREATION THE MONON CENTER EAST
ATT: KATE SCHNEIDER ATT: KATE SCHNEIDER
1411 E 116TH ST 1235 CENTRAL PARK DR. EAST
CARMEL,IN 46032 CARMEL,IN 46032
I INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
05 -23 -08 K022285 K.SCHNEIDER 1 05 -16 -08 UPS GROUND NET 15
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
500 5 0 0 EA XNEUB 3/4" STRETCHY ELASTIC LANYARDS 1.75 875.00
WITH SNAP BUCKLE RELEASE AND
O -RING ATTACHMENT;
COLOR: HUNTER GREEN (E7) WITH
WHITE STEP AND REPEAT IMPRINT
1 1EA SETUP CHARGE P�` y-� 30.00 30.00
1 lEA PROOF: EMAIL �CE
J 0 -R- ED 0.00 0.00
UN 3 2008
Mi,-Y If, onL8 I 8002 0 N(11'
E' Lni
I
Subtotal Deposit 0 0 0 Credit Card 0 00 Tax Total
Gift Cert. 0 S &H 34-1 O
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
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
P.O. Box 634934 Date Due
Cincinnati, OH 45263 -4934
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/23/08 K022285 Elastic Lanyards 939.12
Total 939.12
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
1 20
Clerk- Treasurer
✓oucher No. Warrant No.
Allowed 20
361204 Shumsky
P.O. Box 634934
Cincinnati, OH 45263 -4934 In Sum of
939.12
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 K022285 4356004 939.12 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
4 -Jun 2008
Si ature
939.12 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund