HomeMy WebLinkAbout203164 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 361204 Page 1 of 1
ONE CIVIC SQUARE SHUMSKY
l= I' CHECK AMOUNT: $6,279.60
CARMEL, INDIANA 46032 PO BOX 634934
o CINCINNATI OH 45263 -4934 CHECK NUMBER: 203164
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4359000 28966 N089816 946.97 LAPEL PINS
1081 4356004 N09SS93A 5,332.63 STAFF CLOTHING
PAGE: 1 Mail Payment To:
Shu:m sk y P.O. Box 634934
F�eNnm Cincinnati, OH 45263 -4934 INVOICE
Phone: 937 223 -2203 N0 8 9 816
Outside Ohio Toll free: 800 326 -2203
Fax: 937 221 -7834
Sold To: #45464 Ship To: #45464
CARMEL CLAY PARKS RECREATION MONON COMMUNITY CENTER
ATT: LINDSAY LABAS ATT: LINDSAY LABAS
1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST
CARMEL,IN 46032 UNITED STATES CARMEL,IN 46032 UNITED STATES
INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
10- 12 11 N 0 8 9 816 L. DABAS 0'9 2'7 11 UPS GROU.NL D
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
550 5 5 0EA CUSTOM LAPEL PINS WITH 20 YEAR Cannel 1.35 742.50
Clay Parks Recreation DESIGN,
MILITARY CLUTCH BACK, GOLD
FINISH AND EPDXY DOME
SIZE: 1.25" WIDE X 1.33"
1 1EA SET UP CHARGE 80.00 80.00
Purchasi i �n �t
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P.O. P g9lofo P o�Yt� OAT
G.L. ��a,� a 43 590W
Budget
Line Des
Purchase .r Date
Approva Date
Subtotal Deposit 0 0 0 Credit Card 0 00 Tax Total
Gift Cert. 0 S&H
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 maybe
subject to a 1 per month, 18% annum finance charge.
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PAGE: 3 Mail Payment To:
Sh ms 11 1C}/ P.O. Box 634934
Cincinnati, OH 45263 -4934 INVOICE
PE�xN�r
Phone: 937 223 -2203 N0 9 5 5 9 3A
Outside Ohio Toll free: 800 326 -2203
Fax: 937 221 -7834
Sold To: #45464 Ship To: #45464
CARMEL CLAY PARKS RECREATION MONON COMMUNITY CENTER
ATT: AUDREY KOSTRZEWA ATT: BEN JOHNSON
1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST
CARMEL,IN 46032 UNITED STATES CARMEL,IN 46032 UNITED STATES
INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
10 -12 -11 N095593A 28997 10 -06 -11 LOCAL PACKAG NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
25 25EA G240 ADULT 100% COTTON L/ST- SHIRTS 9.29 232.25
WITH ESE LOGO ON FRONT PEYTON
MANNING CHILDREN'S HOSPITAL
CCPR LOGO ON FULL BACK
COLOR: NAVY BLUE
SIZE: 3XL
2 2 EA RESET UP CHARGES 0.00 0.00
Purchase
Description ESE StQfK UO /Ar_ w
P.O. 99997 P or F
G.L. 100 99• 4/35(o004
Budget
Line Descr �Qf 1 0-
Purchaser Date
Approval Date s
Subtotal 222 So Deposit 0 0 0 Credit Card o.00 Tax Total
Gift Cert. 0 S &H
3
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 maybe
subject to a 1 per month, 18% annum finance charge.
PAGE: 1 Mail Payment To:
4C: ESh:umsii ft y P.O. Box 634934
PPECnNn,a Cincinnati, OH 45263 -4934 INV ®ICE
Phone: 937 223 -2203 N0 9 5 5 9 3A
Outside Ohio Toll free: 800 326 -2203
Fax: 937-221-7834
Sold To: #45464 Ship To: #45464
CARMEL CLAY PARKS RECREATION MONON COMMUNITY CENTER
ATT: AUDREY KOSTRZEWA ATT: BEN JOHNSON
1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST
CARMEL,IN 46032 UNITED STATES CARMEL,IN 46032 UNITED STATES
INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
10- 12� 11 28997 10 -06 -11 LOCAL PACKAG NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
675 675EA G500 ADULT 100% COTTON S/S T-SHIRTS 4.35 2,936.25
WITH ESE LOGO ON FRONT PEYTON
MANNING CHILDREN'S HOSPITAL
CCPR LOGO ON FULL BACK
COLOR: NAVY BLUE
SIZE: 100 /S, 150 /M, 225/L, 200 /XL
75 75EA G500 ADULT 100% COTTON S/S T-SHIRTS 6.35 476.25
WITH ESE LOGO ON FRONT PEYTON
MANNING CHILDREN'S HOSPITAL
CCPR LOGO ON FULL BACK
COLOR: NAVY BLUE
SIZE: 50 /2X, 25/3X
Subtotal Deposit Credit Card Tax Total
Gift Cert. S &H
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 maybe
subject to a 1 per month, 18% annum finance charge.
Payment Stub
Mail Payment To:
PAGE: 2 Mail Payment To:
SEhu:ms i ii�y P• O. Box 634934
AP—M-1 Cincinnati, OH 45263 -4934 INVOICE
NuNn
Phone: 937 223 -2203 N0 9 5 5 9 3A
Outside Ohio Toll free: 800 326 -2203
Fax: 937-221-7834
Sold To: #45464 Ship To: #45464
CARMEL CLAY PARKS RECREATION MONON COMMUNITY CENTER
ATT: AUDREY KOSTRZEWA ATT: BEN JOHNSON
1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST
CARMEL,IN 46032 UNITED STATES CARMEL,IN 46032 UNITED STATES
I INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
10 -12 -11 N095593A 28997 10 -06 -11 LOCAL PACKAG NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
200 200EA G540 ADULT 100% COTTON UST- SHIRTS 6.79 1,358.00
WITH ESE LOGO ON FRONT PEYTON
MANNING CHILDREN'S HOSPITAL
CCPR LOGO ON FULL BACK
COLOR: NAVY BLUE
SIZE: 25/S, 25/M, 50 /L, 100 /XL
25 25EA G540 ADULT 100% COTTON UST- SHIRTS 8.79 219.75
WITH ESE LOGO ON FRONT PEYTON
MANNING CHILDREN'S HOSPITAL
CCPR LOGO ON FULL BACK
COLOR: NAVY BLUE
SIZE: 2XL
Subtotal Deposit Credit Card Tax Total
Gift Cert. S&H
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.
Payment Stub
Mail Payment To:
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 Terms
P.O. Box 634934
Cincinnati, OH 45263 -4934
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/12/11 N089816 20th anniversary lapel pins 28966 946.97
10/12/11 N095593A ESE staff uniforms 28997 5,332.63
Total 6,279.60
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
6,279.60
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 108 ESE
PO# or INVOICE NO. CCT#/TITLE AMOUNT Board Members
Dept
28966 F N089816 4359000 946.97 1 hereby certify that the attached invoice(s), or
1081 -99 N095593A 4356004 5,332.63 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
20 -Oct 2011
Signature
6,279.60 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund