HomeMy WebLinkAbout174730 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 359457 Page 1 of 1
ONE CIVIC SQUARE AMERICAN DRY GOODS CHECK AMOUNT: $689.85
CARMEL, INDIANA 46032 PO BOX 790051
ST LOUIS MO 63179 -0051 CHECK NUMBER: 174730
CHECK DATE: 7/22/2009
QE PARTMEN T ACC PO NUMBER I NVOICE NUMBER AM OUNT D ESCRIPTION
1207 4356006 90088 689.85 GOLF SOFTGOODS
PAGE
INVOICE,
AM�RIC,®►N DRy GOODS 01 900s�
P.O. BOX 790051 INVOICE DATE
St. Louis, MO. 63179 -0051
04 7/O�l09
`tr• TELEPHONE:
800- 822 -2708 REMIT TO: P.O. BOX 790051
FAX: 800 822 -2709 ST. LOUIS, MO 63179 -0051
ASI 35493x..
r p C C".4F' CARMEN_. H C`IT`1' 0 �,`I�MEL
L DVA /BROOK IRE C. C. I :DS AlBR00KSI-.TRE G. C.
D P N: PAUL _BLOCKOMS P ATTN: PAIJt- Iii. OCKOMS
T 12120 BROO SHIRE F'KvsY T 1 21.20 BROOKS4 -IIRE PKWY
0 fi�#E�.:
ORDER ACCOUNT 'ALES YOUR PURCHASE Foe. r
NUMBER ORDER DATE NUMBER MANS SHIP VIA TERMS
ORDER NUMBER
I
7
6/ 22 f 05? S16 5 405 k6220 r' llPO W OOI D PI Pia .F NET 30
D OTY S EA f ITEM` NUMBER 3 DESCRIPTION:° COLOR i .UNIT PRICE EXTENDED PRICE
_._e w... a
r l °_x ura��4 �tJ1NW x ELMWI�O! 6.
96. 0c
tt .IS1 'RtJCT3�R cs� 6 U CC �STN It 00 96. 00
1 t.
j 1 IAi 72 t If�c s R 7t�l i 7 C{�N W CI BL.K S t ORIE 8. 00 96. 00 1."'1 D 2 UN R LICl U d SAt4b I S I.9H I TE r h�A V 8: C)O 96. Off
d 1' I>v}I.t���� (it"151I LjC.TURE z.��'rNDW�Ck# STs�lL�I�� `!�E 9 �3. 0t? 96. QG+.
tl j 1;"''� If DG'255 UNSTRUCTURED SAN W� 1d KHAKI/CAN S. 00 96. 0
1 i,'�i 0�� 6 Pf;5i WASHED TWsLL= �O#��� STONE 7. 50 90. 00
Y I
k
rl 9 4 a s
1 r
,3 r,i rF
L i Ai' 9 c
WEIGHT LBS.
r SALE AMOUNT
666.
I CARTONSFREIGHT
ORDER COMPLETE
9oo,98
-m 0
I INVOICE NO 689 85
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
Prescribed trj 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 servile „where performed, dates service rendered, by
whom, rates per day, number 'of hours, rate per hour, number of units, price per unit, etc.
�Payee Ip
`ryl'CX� �-J�► �I �bduS Purchase Order No.
Q ..13 w� 5 Terms
I S+ Jl t S 0 03 1 1 0 1 005 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total Le i 9 S5
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.
20
Clerk- Treasurer
VOUCHEh NC. WARRANT NO.
ALLOWED 20
�.0 164- �A 5 1 IN SUM OF
C s+. Lakt s kk o 3l'lg oOSt
ON ACCOUNT OF APPROPRIATION FOR
i y.
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
a0't �g8 JF"C�U (P (Q $4. SS 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 O
aL
f r12 g ignature /V
V Mrt
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund