159069 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 361204 Page 1 of 1
91 ONE CIVIC SQUARE SHUMSKY
CARMEL, INDIANA 46032 PO BOX 634934 CHECK AMOUNT: $2,885.65
CINCINNATI OH 45263-4934 CHECK NUMBER: 159069
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4341991 K014182A 1,290.65 MARKETING PROMOTION
1047 4341991 K014185 1,595.00 MARKETING PROMOTION
I
PAGE: 1 Mail Payment To:
Shum 5 P.O. Box 634934
Z.Na Cincinnati, OH 45263 -4934 I NV O MCE
�EmM�
Phone: 937 223 -2203 K01418 2A
Outside Ohio Toll free: 800 326 -2203
Fax: 937 221 -7834
Soid 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 CUSTOMER P.O. DATE SHIPPED SHIPPED VIA =TERMS
04 -11 -08 K014182A L.HOLAJTER 04 -10 -08 UPS GROUND NET 15
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
2000 2 0 0 0 EA SM 6 8 9 0 COLLAPSIBLE CAN KOOLER WITH WHITE 0.60 1,200.00
IMPRINT ON 1 SIDE
NAVY: 1000 QTY
GREEN: 1000 QTY
1 1 EA SETUP CHARGE 40.00 4 0. 0 0
CEIVED
APR 1 4 2008
BY:
p
l NYJIg°,1
Subtotal Deposit 0 0 0 Credit Card 0.00 Tax Total
Gift Cert. S&H 50.6s� 0 0 0
Since careful inspection at the factory often results in some imprinted pieces being disregarded, it is understood that an a derr rrun 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.
PAGE 1 Mail Payment To:
Sh MS P.O. Box 634934
MN. FT Cincinnati, OH 45263 -4934 INVOICE
eeMn
Phone: 937 223 -2203 K014185
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
INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA I TERMS
04 -11 -08 KO14185 L.HOLAJTER 04 -04 -08 JUPS GROUND NET 15
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
1000 10 0 0 EA DS S P DRAWSTRING SACKPACK WITH WHITE 1.50 1,500.00
IMPRINT ON 1 SIDE
NAVY BLUE: 500 QTY
KELLY GREEN: 500 QTY
1 lEA SETUP CHARGE 25.00 2 5. 0 0
1 1EA PROOF: EMAIL 0.00 0.00
PECE1 TED
APR 1 Q 2008
BY:
oy-, J 3 y S n�u cam' -+-s., `t 1 /s(o�
1 $10 Subtotal Deposit 0 0 0 Credit Card 0.00
Tax Total 525, Gift Cert. S &H
Since careful inspection at the factory often results in some imprinted pieces being disregarded, it is understood that a underrun nc averFnna 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
subiect to a 1 ner month_ 18°.'� annum tinanr.R
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
P.O. Box 634934 Date Due
Cincinnati, OH 45263 -4934
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/11/08 K014182A Kooler 1,290.65
4/11/08 K014185 Sack packs 1
Total Is 2,885.65
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
)ucher No. Warrant No.
11 Allowed 20
;,...Shumsky
P.O. Box 634934
Cincinnati, OH 45263 -4934 In Sum of
2,885.65
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 K014182A 4341991 1,290.65 1 hereby certify that the attached invoice(s), or
1047 K014185 4341991 1,595.00 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
22 -Apr 2008
Signatur
2,885.65 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund