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179571 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 363610 Page 1 of 1 m ONE CIVIC SQUARE ARTISTIC AWARDS CHECK AMOUNT: $66.57 J CARMEL, INDIANA 46032 2510 E 56TH STREET INDIANAPOLIS IN 46220 CHECK NUMBER: 179571 CHECK DATE: 11/24/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239099 11363 66.57 OTHER MISCELLANOUS 4 2501 East 56th Street In voice 1136 3 RAT1ST11� Indianapolis IN 46220 Date Ordered: 10/29/09 RIA/RA��:! P 317 297 -1125 Date Invoiced: 11/6/09 F 317 297 -0180 bate Due: 1116109 Ordered By: Phone Fax Email Serra Garske 573 -4026 573 -4136 SGerske carmelcla arks.com SHIP TO: CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION ADMINISTRATIVE OFFICES ADMINISTRATIVE OFFICES 1411 E. 116TH STREET 1411 E. 116TH STREET CARMEL, IN 46032 CARMEL, IN 46032 ATTN SERRA GARSKE Customer Po Number Terms Salesperson Ship Method 1904 122845 DOR ITim Reinhart lGround Design Design Title 3235 Youth 2 -4 6 -8 10 -12 14 -16 Other Unit Total Qty Part Item Adult S M LG XL 2X Sizes Price Price 1 RAGLB -810 Plaque, Piano Black Raised Acrylic 8 x 10 1 55.65 55.65 1 Handling Boxing Charge 1 5.00 5.00 1 Subtotal 60.65 Note: Sales Tax 0.00 Thanks for your order. Prompt payment is appreciated. Please call immediately with any discrepancies Shipping 5.92 or damages. Damages are not accepted after 7 days from receipt of order. Total 66.57 Paid Balance 66.57 Purchase Descrlption N a V 2009 P.O. a p ,3.L. 104_/' jQD t D._ Lk Li Cr7Cj ]BY.... Line Destx Purchaser Date Approval Date Report Date: 1 11612 00 9 Page 111 ti 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. Terms Artistic Awards 2510 East 56th Street Indianapolis, IN 46220 Invoice invoice Description PO Amount Date Number (or note attached invoice(s) or bill(s)) 22845 F 66.57 1116109 11363 Plaque K. Schneider Total 66.57 1 hereby certify that the attached invoice(s), or bi11(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20, Clerk- Treasurer 1 Voucher No. Warrant No. Artistic Awards Allowed 20 2510 East 56th Street „t Indianapolis, IN 46220 In Sum of 66.57 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members Dept 1047 11363 4239099 66.57 1 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 19 -Nov 2009 T Signature 66.57 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund e, t