HomeMy WebLinkAbout204014 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 361204 Page 1 of 1
ONE CIVIC SQUARE SHUMSKY
('s CHECK AMOUNT: $486.63
CARMEL, INDIANA 46032 PO BOX 634934
CINCINNATI OH 45263-4934 CHECK NUMBER: 204014
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4356004 N111975A 486.63 STAFF CLOTHING
PAGE: 1 Mail Payment To:
Shms Nffl P.O. Box 634934
Fa Cinc innati, OH 45263 -4934 Nq fRN Ef V ICE
Phone: 937- 223 -2203 N 1119 7 5 A
Outside Ohio Toll free: 800 326 -2203
Fax: 937 -221 -7834 NOV 1 4 201
Sold To: #45464 MI. Ship To: #45464
CARMEL CLAY PARKS RECREATION MONON COMMUNITY CENTER
ATT: DAWN KOEPPER 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
11 -10 -11 N111975A 20560 11 -02 -11 3rd Part NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
25 2 5 EA G2 4 0 GILDAN 6.1 oz. t 00% COTTON LONG 9.29 232.25
SLEEVE T -SHIRT IN NAVY 25 -XXXXL
WITH ESE LOGO ON FRONT PEYTON
MANNING CHILDREN'S HOSPITAL CCPR
ON FULL [SACK
25 25EA G200 GILDAN 6.1 OZ. 100 COTTON SI -TORT 9.29 232.25
SLEEVE T -SHIRT IN NAVY 25 -XXXXL
WITH ESE LOGO ON FRONT PEYTON
MANNING CHILDREN'S HOSPITAL CCPR
trChaS
LOGO ON F �B te ESE G Ar-r- C.�ot iww.
2 2 EA SET UPS P.O. PO T 0.00 0. 00
C.L. 081. 99. �F35c000�-
Bijdgnt
Line Descr Cwmvn
Purchaser Cate
Approval Date
Subtotal Deposit 0 0 0 Credit Card 0 0 0 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.
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
11/10/11 N111975A ESE Staff clothing 20560 486.63
Total 486.63
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
I
Voucher No. Warrant No.
361204 Shumsky Allowed 20
P.O. Box 634934
Cincinnati, OH 45263 -4934
In Sum of
486.63
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. NCCT #f'rITLE AMOUNT Board Members
Dept
1081 N111975A 4356004 486.63 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
17 -Nov 2011
A
Signature
486.63 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund