175867 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 363215 Page 1 of 1
O ¢r ONE CIVIC SQUARE QUEST
CARMEL, INDIANA 46032 PO Box 2406 CHECK AMOUNT: $21.30
PAGOSA SPRINGS CO 81147 -2409
CHECK NUMBER: 175867
CHECK DATE: 8/6/2009
DEPAR A CCO UNT PO NUMBE INVOICE NUMBER AMO DESCRIPTION
Y 1046 4239037 SI -10921 21.30 CLUB ACTIVITY SUPPLIE
K al UE S T li SAFES INVOICE
Shaping M8Mure ofJ1 oriel I' Deft y S I -10 9 21 6/9/2009
PO Box 2409
Pagosa Springs CO 81147 -2409
800 -858 -7302 970 -264 ax)
Customer i Contact ej$y'� Ship Tc
SUN
Y� 2009 Carmel Clay Parks Recreation
Amy Baldauf
Carmel Clay Parks Recreation Orchard Park Elementary
'i. Attn: Accounts Payable 10404 Orchard Park Drive South
1411 E 116th St. INDIANAPOLIS IN 46280
CARMEL IN 46032 UNITED STATES
Tel: (317)- 4186917,(317) 5735254
Account Terms Due Date Account Rep Schedule Date
T
Accou
Schedule
3354 NET 30 7/9/2009 Nettie Hunsicker I 6/9/2009
Sales Order PO Reference Ship VIA Page Printed
SO -6659 20902 USPS- Postal 1 e /11 /2009
9: 16:93AM
LTItem Description Or der Ship Price UM Discount Amount
17510 Model Rocket Launch Controller 1 1 $14.50 EA $14.50
2 S CONSUMER SHIPPING /HANDLING 1 1 $6.80 EA $6.80
Purchase z-a ltme o
Description
P.o. L 9f P (W C Yl O
o.L WO
Budget Dscr
Purchaser Date
Approval Date
i
Thanks for your order! Tax Details Taxable $0.00
EXEMPT $0.000
We Have Moved!
Please note our New Address Telephone Numbers:
PO Box 2409 Payment Details Total Tax $0.00
Pagosa Springs, CO 81147 -2409 Exempt $21.30
Toll Free 1- 800 858 -7302; voice 970- 264 -4050 and Total $21.30
Fax 970- 264 -9330 Payment Disc $0.00
Paid $0.00
Balance $21.30
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.
Quest Terms
P.O. Box 2409
Pagosa Springs, CO 81147 -2409
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/9/09 SI -10921 Science of summer supplies 20902 F 21.30
Total 21.30
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
Voucher No. Warrant No.
Quest Allowed 20
P.O. Box 2409
Pagosa Springs, CO 81147 -2409
In Sum of
21.30
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1046 SI -10921 4239037 21.30 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
30 -Jul 2009
�D /lei i')lyhJ
Signature
21.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I