204766 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 353538 Page 1 of 1
ONE CIVIC SQUARE DISCOUNT SCHOOL SUPPLIES
i CHECK AMOUNT: $159.98
CARMEL, INDIANA 46032 Po eox 6013
CAROL STREAL IL 60197 -6013 CHECK NUMBER: 204766
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 W13712150101 159.98 GENERAL PROGRAM SUPPL
DISCOUNT F
.Iy SCH OOL SUPPLY l 'I l �3.7 PLEASE REMIT TO:
D il P. O. BOX 6013
www.DiscountSchoolSupply.com DISCOUNT SCHOOL SUPPLY
LQI� 0
Accounting Dept. Ph: 800 482 -5846 Fax: 800- 631 -5397 Carol Stream, IL 60197 -6013
email: actrec@discountschoolsupply.com
Customer Service: 800 627 -2829 Fax: 800 -879- 3753w,
email: customerservice @discountschoolsupply.com a SHIP TO (IF OTHER THAN "SOLD TO
YOUR ACCOUNT NO.
INV AND JENNIFER HOLDER
ORDER NO. IN ALL COMMUNICATIONS REGARDING THIS INVOICE
0007470867 ORCHARD PARK
ELEMENTARY /CCPR
SOLD 10404 ORCHAARD PARK DRIVE S.
TO'
CARMEL CLAY PARKS RECREATION INDIANAPOLIS, IN 46280
ACCOUNTS PAYABLE
1411 E 116TH ST
CARMEL, IN 46032
E0002073
YOUR PURCHASE ORDER NUMBER AND DATE
OUR INV. DATE SHIPPED VIA DATE SHIPPED
INV. NO.lOADE R NO.
Paymen Dtze by: 12/24/11 'Y
W13712150101 11/24/11 UPS GROUND 11/23/11
ORDERED SHIPPED ITEM NO. DESCRIPTION UNIT PRICE EXTENDED AMOUNT
JENNIFER HOLDER
1 1 CPPENCIL COLORATIONS COLORED PENCILS SET 240 29.69 29.69
2 2 SDBOARD .SCRATCH DESIGNS BOARDS 100 SHEETS 11.69 23.38
1 1 LCWG GALLON COLORATIONS WASHABLE GLUE 6.29 6.29
1 1 IPCSET PIPE CLEANERS SET OF ALL 10 PACKS 12.51 12.51
1 1 POUNDPOM POUND OF POMS 9.89 9.89
1 1 VELKIT HOOK LOOP FASTENER 3 YARDS 8.99 8.99
2 2 LGTRAY 12 LG COLORATIONS GLUE STICKS IN TRAY 6.74 13.48
1 1 WINK COLORED WIGGLY EYES 1000 PIECES 11.69 11.69
2 2 CSHRINK SHRINK IT SHEETS 24 CLEAR 12.59 25.18
1 1 MASKSET REGULAR MASKING TAPE 3/4" SET OF 6 8.09 8.09
1 1 BIGGY FOAM SHEET SUPER PACK -100 SHEETS 10.79 10.79
Purchase
Description
P.O. I~ 0 CID o'7CO P or F
G.L.
ORIGINAL Budget SALES TAX FOB SHIPPING HANDLING
Line Descr
Purchaser Date PA
Approval Date
dm,��� "Thank you for choosing Discount School Supply" 1 of 1
Remember! You can also pay your invoice by VISA, MasterCard, Discover or American Express. Please see reverse of payment stub.
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.
353538 Discount School Supply Terms
P.O. Box 6013 Date Due
Carol Stream, IL 60197 -6013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/24/11 W13712150101 Supplies OP 159.98
Total 159.98
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
i
Voucher No, Warrant No.
Discount School Supply i Allowed 20
353538 P.O. Box 6013
Carol Stream, IL 60197 -6013
In Sum of$
159.98
ON ACCOUNT OF APPROPRIATION FOR
108 -'ESE
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1081 -6 W13712150101 4239039 159.98 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
15 -Dec 2011
Signature
159.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund