180087 12/08/2009 \Mf
CITY OF CARMEL, INDIANA VENDOR: 355622 Page 1 of 1
ONE CIVIC SQUARE GOPHER CHECK AMOUNT: $80.97
CARMEL, INDIANA 46032 NW5634
PO BOX 1450 CHECK NUMBER: 180087
MINNEAPOLIS MN 55485 -5634
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
1046 4239037 8011883 80.97 CLUB ACTIVITY SUPPLIE
Page 1 of 1
Invoice
Phone: 1- 800 533 -0446 Fax: 1-800-451-4855' Remit To:
Online: www.gophersport.com Qa NW 1
CP O Box 1 450
Mnneapolis;M 55485
Invoice Number: (8011 883" Customer Number: 4050363
Invoice Date: C1.1_N Order Date: 10- NOV -09
Customer Po Number: 22881 Order Number: 3000624
Date Shipped: 11- NOV -09
Billing Address: Attn: Accounts Payable Shipping Address: Carmel Clay Park Recreation
Carmel Clay Park 14200 N River Rd
Recreation Before And After School
1411 E 116th St Progrm
Carmel Clay Park And Rec Prairie Trace Elementary
Carmel IN 46032 Carmel IN 46033
ITEM ITEM DESCRIPTION QTY QTY QTY UNIT PRICE EXTENDED
NUMBER ORDERED SHIPPED BACK PRICE
ORDERED
43 -708 Rainbow Skinny No -Kink Hoops 30" 1 1 $39.95 $39.95
dia, Set of 12
61 -314 Rainbow Performer Rubber Football 3 3 $9.95 $29.85
Size 3, Blue
Sub Total: $69.80
Tax Total: $0.00
Shipping, Handling Processing: $11.17
Invoice Total: r- $80:97.
Purchase
Description
P.O. 1 P oCOD r_�o
a. 4 D L "007 ��?�I 5
Budget
Line 1?escr
Purchaser Date
Approval Date Net Due in 30 days
We apply Late payment charge of 1 per month (18% annum) may be assessed on invoices not paid within terms.
Customer is liable for collection costs; reasonable attorney fees and court costs if the account is placed for collection.
Unconditional 100% Satisfaction Guarantee
unconditional If you are not satisfied with any Gopher® purchase for any reason at any time, contact us and we will replace
too %satisfaction the product, credit your account, or refund the purchase price.
1 Guarantee No restocking fees. No hassles. No Kidding.
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.
355622 Gopher Terms
NW 5634
P.O. Box 1450
Minneapolis, MN 55485 -5634
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/11/09 8011883 Club supplies PT 22881 F 80.97
Total 80.97
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
1
Voucher No. Warrant No.
355622 Gopher Allowed 20
NW 5634
P.O. Box 1450
Minneapolis, MN 55485 -5634 In Sum of
80.97
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 8011883 4239037 80.97 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
3 -Dec 2009
Signature
80.97 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund