171717 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 359457 Page 1 of 1
ONE CIVIC SQUARE AMERICAN DRY GOODS CHECK AMOUNT: $502.99
CARMEL, INDIANA 46032 PO BOX 790051
ST LOUIS MO 63179-0051 CHECK NUMBER: 171717
CHECK DATE:' 4/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
,1207 4356006 88272 251.82 GOLF SOFTGOODS
1207 4356006 88420 251.17 GOLF SOFTGOODS
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INV PAGE
INVOI;GF
AMERICAN DOW GOODS 01 B8272
P.O. BOX 79 0051 INVOICE DATE
St Louis, MO. 63179 -0051
04 4/15/Oq
TELEPHONE:
800- 822 -2708 REMIT TO: P.O. BOX 790051
FAX: 800 822 -2709 ST. LOUIS, MO 63179 -0051
ASI 35493
OF TTY O GARMEL
S CITY F H C ITY OF CARMEL
I3 A /LRCiOKSHTRE G. C. I TUBA /BROOKSHIRE G. C.
A T TN: PAUL BLOCKOMS ATTN: PAUL. BLOCKOMS
T 12120 i?ROOKSHTRE PKWY j;T 12120 BROOKSHI PKWY
'O CA ?MEL IN 4f�0 CARMEL.., .46033-----_,
ORDER ACCOUNT SALES- YOUR PURCHASE
DER DATE MAN F.O. F SHIP VIA TERMS
NUMBER E� NUMBER, ORDER NUMBER BOURBON
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696 7 1/14/0`x': 46750' 405 030209 UPS GROUND P f NE 30
QTY SHIP
a ~,ITEM NUMBER DESCRIPTION' COLOR f3 UNIT:PRICE EXTENDED PRICE
e
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6 ADG400 LADIES SOLID CLIP ON VI� WHITE 6.75 40.:50
6 ADG400 LADIES SOLID CLIP PN VI BLACK 6. 75 40.50
j g ADG400 LADI CLIP ON VISOR LEMON 6.75 40.50
ADG401 s LADIES 2 TONE CLIP ON V BLK /WHITE 6.75 40.50
j br ADG401 LADIES 2 TONE CLIP ON V BLK /KHAKI 6. 75 40.50
s ADG401 LADIES TWO TONE CLIP VS LT BLUE/W1 6.75 40.50
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APR 19 2009 I
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BY:
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WEIGHT LBS.
SALE AMOUNT 243 00
c.
CARTONS FREIGHT
8.8
ORDER COMPLETE
88272 PAY THIS
INVOICE NO. c
ALL CLAIMS MUST BE MADE WITHIN 10 DAYS OF RECEIPT OF GOODS. NO RETURNS 'THE GOODS COVERED IN THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH
WITHOUT WRITTEN CONSENT. ALL CORRESPONDENCE TO BE MADE DIRECTLY TO THE FAIR LABOR STANDARDS ACT OF 1938." CUSTOMER COPY
AMERICAN DRY GOODS, P.O. BOX 539/ #1 PARAMOUNT DRIVE, BOURBON, MO 65441
INVOICE N PAGE
,o►MF -P lC,� N DRY GOODS 01 .4.
P.O. BOX 790051 INVOICE DATE
St. Louis, MO. 63179 -0051 04 4/20/09
TELEPHONE:
800 822 -2708 REMIT TO: P.O. BOX 790051
FAX: 800 822 -2709 ST. LOUIS, MO 63179 -0051
ASI 35493
S CITY OF CARMEL H CITY OF CARMEL
L UA /BROOKSHIRE G. C. I DBA /BROOKSHIRE G. C.
D ATTN: PAUL BLOCKOMS P ATTN: PAUL BLOCKOMS
T 12120 BROOKSHIRE PKWY T 12120 BROOKSHIRE PKWY
C.ARPIEL`I.N 46033._ CARMEL IN 46033
ORDER ACCOUNT SALES- YOUR PURCHASE F.O.B.
NUMBER ORDER DATE NUMBER M A N O NUMBER SHIP VIA BOURBON TERMS
70336 3/04/09 46750 405. UPS GROUND PREPAID F NET 30
OTY SHIP ITEM NUMBER DESCRIPTION COLOR UNIT PRICE EXTENDED PRICE
DZ EA
I
12 IADG26`� LADIES PONYTAIL CAP LAKE /MEL 6.75 81.00
12 IADG265 LADIES PONYTAIL CAP BLK /STN 6.75 51.00
i 1 2 I ADG267 LADIES LEGION CAP KHAKI 6.75 81.00
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WEIGHT 10 LBS. SALE AMOUNT 243.
1 CARTONS FREIGHT 1
ORDER COMPL.ETE
58420
PAY THIS
AMOUNT 251.17
INVOICE NO.
ALL CLAIMS MUST BE MADE WITHIN 10 DAYS OF RECEIPT OF GOODS. NO RETURNS THE GOODS COVERED IN THIS INVOICE WERE PRODUCED IN COMPLIANCE WITH
WITHOUT WRITTEN CONSENT. ALL CORRESPONDENCE TO BE MADE DIRECTLY TO THE FAIR LABOR STANDARDS ACT OF 1938." CUSTOMER COPY
AMERICAN DRY GOODS, P.O. BOX 53941 PARAMOUNT DRIVE, BOURBON, MO 65441 n n
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.
Payeee
�1f�G4.J �2y 1o0� Purchase Order No.
Terms
//)G Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
i'o �a7 s 6_4 �a
o Joe
Total
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.
ALLOWED 20
F IN SUM OF
Ln
.9 9
ON ACCOUNT OF APPROPRIATION FOR
C 41 ";f
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
--W o Z -Q(, bill(s) is (are) true and correct and that the
/,261 S 8��O 54;6-06 j materials or services itemized thereon for
which charge is made were ordered and
received except
20
5/
Sig -ar
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund