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Home My WebLink About203164 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 Descript on 2o7+ A N yEnec anuP�/1� 1 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. .f 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