159601 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 361204 Page 1 of 1
ONE CIVIC SQUARE SHUMSKY
i CHECK AMOUNT: $701.90
CARMEL, INDIANA 46032 PO BOX 634934
CINCINNATI OH 45263 -0934 CHECK NUMBER: 159601
CHECK DATE: 5114/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239099 K017239 350.95 OTHER MISCELLANOUS
1125 4239000 K017239 350.95 MISCELLANEOUS SUPPLIE
r
PAGE: 1 Mail Payment To:
(:Zs P.O. Box 634934
Cincinnati, OH 45263 -4934 I V V®ICE
PEMNU Phone: 937 223 -2203 K017 2 3 9
Outside Ohio Toll free: 800 326 -2203
Fax: 937 221 -7834
Sold To: #45464 Ship To: #45464
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
ATT: Lindsay Holajter ATT: Lindsay Holajter
1411 E 116TH ST 1411 E 116TH ST
CARMEL,IN 46032 CARMEL,IN 46032
I INVOICE DATE INVOICE I CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
04 -24 -08 KO17239 L.HOLAJTER 04 -21 -08 UPS GROUND NET 15
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
1 1 EA TC4 6 4 -SIDED 6 TABLE COVER WITH 341.85 3 41.8 5
2 -COLOR IMPRINT
(THE MONON CENTER LOGO)
1 1EA TC4 6 4 -SIDED 6' TABLE COVER WITH 341.85 3 41.8 5
2 -COLOR IMPRINT
(CARMEL CLAY PARKS RECREATION)
I I zs) z 3 av J I.�; s., 34 l g s
APR 2 R zoos
10 1 1 71 1 Z- 0 -1 311 BY:- L�.
�lsl�
Subtotal Deposit 0 0 0 Credit Card 0 ]7Ta
x Total
Gift Cert. S&H
Since careful inspection at the factory often results in some imprinted pieces being disregarded, it is understood that an 1m Fn u, or�i 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.
Payment Stub
To pay by credit card: M/C VISA
Credit card Exp
Cardholder Name:
Mail Payment To:Shumsky Cust Name: CARMEL CLAY PARKS RECREATION
P.O. Box 634934 Cust Acct# 45464
Cincinnati, OH 45263 -4934 Invoice K017239
Total: $701.90
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.
Shumsky Terms
P.O. Box 634934
Cincinnati, OH 45263 -4934
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/24/08 K017239 Table Covers 350.95
4/24/08 K017239 Table Covers 350.95
Total 701.90
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.
Shumsky Allowed 20
P.O. Box 634934
Cincinnati, OH 45263 -4934
In Sum of
701.90
ON ACCOUNT OF APPROPRIATION FOR
101 General 104 Program
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 K017239 4239000 350.95 1 hereby certify that the attached invoice(s), or
1047 K017239 4239099 350.95 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
12 -May 2008
Signature
701.90 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund