168481 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 355622 Page 1 of 1
ONE CIVIC SQUARE GOPHER
CARMEL, INDIANA 46032 Nw5634 CHECK AMOUNT: $94.77
PO BOX 1450 CHECK NUMBER: 168481
MINNEAPOLIS MN 55485 -5634
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT P NU MBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239039 7675454 94.77 GENERAL PROGRAM SUPPL
8- gr o m m INVOICE NO.:
Paie 1 DATE: 67`4 =4
PHONE 1- 800 533 -0446 1- 507 451 -7470 u FAX 1- 800 451 -4855 1 ``_.t�$
SHIPPED VIA: I
a GOPHER FOB: FeedEx Ground
NW5634 TERMS: Shipping '`t
PO BOX 1450 GA-Net -C; Lags
MINNEAPOLIS, MN 55485 -5634
CUSTOMER NO.: 36',
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DATE SHIPPED SALESPERSON RDER NO.
ORDER DATE
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LINE QUANTITY QUANTITY QUANTn° QUANTITY UNITOF, EXTENDED
NO. ORDERED SHIPPED eACKQNQeNEO CANCELLED MeasuNe, ITEMNUMBE,R DESCRIPTION P UNITIPRICE PRICE
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Purch aser date I off
Apprc Date
O RDER. THANK YOU FOR YOUR N O T RECEIVED A ND NOT MAR P W BE W 2-3 WEEKS. FOR QUEST
REGARD NG DAMAGEDMERCHANDISE,SHO TAGES,OR ERRORSCALL TOLLF EE(800 533 (80033-0446) WITHIN 5 DAYS. MERCHANDISE
CANNOT BE RETURNED WITHOUT PRIOR AUTHORIZATION. HAVE YOUR ORDER NUMBER AND CUSTOMER ACCOUNT NUMBER READY. PO B o x 998
A LATE PAYMENT CHARGE OF 1 -1/2% PER MONTH (18% ANNUM) MAY BE CHARGED ON ALL INVOICES NOT PAID WITHIN 30 DAYS FROM Owatoinna, MN 55060 -0998
INVOICE DATE.
4
TERMS OF SALE ARE LISTED ON THE BACK OF THIS FORM.
ORIGINAL INVOICE 1
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TERMS F
.TER,MS. OF- SALE.ARE NET BALANCE DUE 30 DAYS AFTER INVOICE DATE WITH APPROVED
CREDIT. A LATE PAYMENT CHARGE OF 1'/2% PER MONTH (18% PER ANNUM) MAY BE
CHARGED ®N ALL PAST DUE ACCOUNTS.
f THE CU %TOMER IS LIABLE FOR COLLECTION COSTS, REASONABLE ATTORNEY FEES AND
COURT COjSTS IF THIS ACCOUNT IS- PLAC.EQ- OR, COLLECTION.
THE r)NTiCIPATED SHIPPING DATE IS GUARANTEED, WE WILL NOT ASSUME EXTRA
EXPENSE.'; INCURRED IN SHIPPING TO EXPEDITE DELIVERY. WE WILL DO EVERYTHING
POSSIBL�� TO MEET THE REQUESTED DELIVERY DATE.
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ACCOUNTS PAYABLE VOUCHER
r� CITY OF CARMEL
An invoiz- 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.
Terms
355622 Gopher
NW 5634
P.O. Box 1450
Minneapolis, MN 55485 -5634
Invoice
In Description
Date N 94.77
or note attached invoice(s) or bill(s)) Amount
12/22/08 ;76;75;45;4 Basketball Goal nets
Total 94.77
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
355622 Gopher Allowed 20
NW 5634
P.O. Box 1450
Minneapolis, MN 55485 -5634 In Sum of
94.77
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 7675454 4239039 94.77 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
27 -Jan 2009
Signature
94.77 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
s