178056 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 360486 Page 1 of 1
ONE CIVIC SQUARE BLICK ART MATERIALS
CARMEL, INDIANA 46032 6910 EAGLE WAY CHECK AMOUNT: $226.00
CHICAGO IL 60678 -1069 CHECK NUMBER: 178056
pox
CHECK DATE: 10/11412009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239039 7888852 226.00 GENERAL PROGRAM SUPPL
I
.1 €:M TELEPHONE: 309 343 6181 INVOICE ALL CORRESPONDENCE INVOLVING THIS INVOICE
MUST BE MARKED WITH THIS INVOI NUM BER
U C K ma D -U -N -S NO. 00- 193 -3258 CUSTOMER P.O. NO. INVOICE DATE INVOICE NO.
6910 Eagle Paq CHICAGO, IL 60678 -1069 F.E.I.N. 364124121 22532 9/28/091 7908852
BILL TO! SHIP TO
CARREL CLAY PARKS REC HONOR CENTER ci ko ja
ACCOUNTS PAYABLE, 1235 CENTRAL PARK DR E
1 EAST 116TH STREET CARREL, IN 46032 USA O
CARREL, IN 460332 USA
7367654 MIORM09 49312 NET 30 DAYS FR INV DATE 9128/09 LEARNING INSTITUTION FEDEX GRD
HIRE
IF 99ffiU6Wj
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2 00 200 10085 1 06 2 1373 -10) 300 SERIES WC PAPER 22X30 14OLD CP 1.13 226.00
Purchase
Descriptions
P.O.# �I P F
Budget
Line Descr
Purchaser Date
Approval Date
KKCD TO: UDH.D1CRBLICK.CDUISTA EHENTS
KKUIED-PRINT-PAY -EMAIL INUDIC£ ANYTIME
U Indicates items substituted For items ordered 226.00 226.
a Indicates items Back Ordered
F Indicates items Shipped From Factory
S Indicates items Cancelled ue ALL DISCOUNTS ARE REFLECTED IN THE UNIT PRICE COLUMN
C Indicates items Cancelled by Customer THE ARTICLES AND /OR THE PERFORMANCE OF THE SERVICES COVERED BY THIS INVOICE WERE PROCUCED IN COMPLIANCE WITH THE FEDERAL FAIR LABOR STANDARDS ACT OF 1938 AS AMENDED.
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.
360486 Blick Art Materials Terms
6910 Eagle Way
Chicago, 1L 60678 -1069
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9128109 7888852 Program supplies 22532 F 226.00
Total Is 226.00
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
Voucher No. Warrant No.
360486 Blick Art Materials Allowed 20
6910 Eagle Way
Chicago, IL 60678 -1069
In Sum of
226.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #rFITLE AMOUNT Board Members
Dept
1047 7888852 4239039 226.00 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
7 -Oct 2009
Signature
226.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund