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Home My WebLink About205516 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 360196 Page 1 of 1 ONE CIVIC SQUARE KIEFER ASSOCIATES CARMEL, INDIANA 46032 1700 KIEFER DRIVE CHECK AMOUNT: $91.65 ZION IL 60099 CHECK NUMBER: 205516 CHECK DATE: 1/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 I1768071 91.65 GENERAL PROGRAM SUPPL Print Date: 12/21/2011 Page: 1 of 2 INVOICE 11768071 Address: 1700 KIEFER DR ZION IL 60099 -5105 United States 1xi Phone: +1- 847 872 -8866 Toll Free Phone: 800 323 -4071 13 Fax: +1- 847 746 -8888 fm Adolph Kiefer Associates Email: eSales @kiefer.com Website: www.kiefer.com nEC 2 7 2011 BILL TO: SHIP TO: I Accounts Payable Brooke Tafflinger BY Carmel Clay Parks Recreation Carmel Clay Parks Recreation 1411 East 116th Street 1235 Central Park Drive East Carmel IN 46032 PO #MC002386 United States Carmel IN 46032 United States INVOICE NUMBER INVOICE DATE CUSTOMER. NUMBER CUSTOMER NAME 117.68071 2611'-"": 9549779 Accounts Payable PAYMENT TYPE SHIP111EN t TYPE CARRIER BILL TO EMAIL Payment;on Accounts C. LISPS FedEx,'. ORDER NUMBER ORDER DATE SHIPMENT _NUMBER SHIPMENT DATE 0238050 12/2 S323954; 12/21/2011 CUSTOMER PO SHIP TO EMAIL TRACKING NUMBER MC002386 364670250130199 S.No. Item Number Item Name Promo. Quantity Price Extended Price Code 1 629700 KIEFER MESH GYM 0119 10.00 4.00 40.00 BAG 2 690026.131ue KIEFER DYNAMO 0119 1.00 3.95 3.95 KIDS SWIM GOGGLE /KIEFER DYNAMO KIDS SWIM GOGGLE.Blue 3 6900261ight Blue KIEFER DYNAMO 0119 1.00 3.95 3.95 KIDS SWIM GOGGLE /KIEFER DYNAMO KIDS SWIM GOGGLE.Light Blue <<f 4 690026.Pink KIEFER DYNAMO 0119 1.00 3.95 3.95 KIDS SWIM GOGGLE/KIEFER DYNAMO KIDS SWIM GOGGLE.Pink 5 690001.Clear KIEFER SPRINTER 0119 2.00 3.95 7.90 SWIM GOGGLE A/F /KIEFER SPRINTER SWIM GOGGLE A/F.Clear 6 690001.Smoke KIEFER SPRINTER 0119 1.00 3.95 3.95 SWIM GOGGLE A/F /KIEFER SPRINTER SWIM GOGGLE A/F.Smoke 8ql �5 7 810487.Yellow KIEFER MAUI DIVE 0119 1.00 12.95 12.95 J MASK/KIEFER MAUI Purchase'' DIVE MASK.Yellow Description P.O. o [»3 E& P cr F Total Item Price 76.65 5 Shipping 15.00 G.L. I Dq� -7 o y� 3�0� i g„ •k�t Total Discount 0.00 Line Descr cq.e ��Q PCO a L- Total Shipping and Handling Charges 15.00 Purchaser Date Approval k Date b Total Non Freight Surcharge 0.00 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. 360196 Adolph Kiefer Associates Terms 1700 Kiefer Dr Zion, IL 60099 -5105 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 12/21/11 11768071 Swim lesson supplies 91.65 Total 91.65 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. 360196 Adolph Kiefer Associates Allowed 20 1700 Kiefer Dr Zion, IL 60099 -5105 44 In Sum of 91.65 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -70 11768071 4239039 91.65 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 11 -Jan 2012 V�fi myw Signature 91.65 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund