HomeMy WebLinkAbout202086 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 365562 Page 1 of 1
ONE CIVIC SQUARE CUSTOM CHALLENGE COINS PLUS CHECK AMOUNT: $560.60
CARMEL INDIANA 46032
5840 RED BUG LAKE ROAD SUITE 35
WINTER SPRINGS FL 32708 CHECK NUMBER: 202086
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBER AMOUNT DESCRIPTION
1201 4341980 25879 46180 560.60 WELLNESS CHALLENGE CO
C ustom Challenge Coins Plus
5840 Red Bug Lake Road, Suite 35
Winter Springs, FL 32708
1 -800- 252 -0904
Date: 8/16/2011
Invoice Number: 46180
Your new invoice from Custom Challenge Coins Plus
Bill To: Ship To:
City of Carmel City of Carmel
PO 25879 PO 25879 Human Resources
One Civic Square One Civic Square
Carmel, IN 46032 Carmel, IN 46032
USA USA
P.O. Number Terms Ship Date Via
Net 30 8/30/2011 UPS
Qty. Description Unit Price Amount
110 1.75 Custom Challenge Coins Medallions $3.96 $435.60
2 Custom Mold Fee $62.50 $125.00
1 UPS International Shipping Free $0.00 $0.00
Total: $560.60
Payments /Credits: $0.00
n Balance Due: $560.60
D [J
SIP 26 2011
B�
VOUCHER NO. WARRANT NO.
ALLOWED 20
Custom Challenge Coins Plus
IN SUM OF
5840 Red Bug Lake Road, Suite 35
Winter Springs, FL 32708
$560.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
25879 46180 43- 419.80 $560.60 I 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
Monday, September 26, 2011
AL"� G�. /C
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund i
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/16/11 46180 $560.60
I 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
,2o
Clerk- Treasurer