205842 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 365924 Page 1 of 1
ONE CIVIC SQUARE GEIGER CHECK AMOUNT: $381.26
CARMEL, INDIANA 46032 PO Box 712144
CINCINNATI OH 45271 -2144 CHECK NUMBER: 205842
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4356004 6431190 18.68 STAFF CLOTHING
1125 R4356004 30304 6431190 219.40 PARK BOARD SHIRTS
1091 4239099 6436609 143.18 OTHER MISCELLANOUS
G COPY INVOICE 2197328
Date 01/04112 OUR ORDER 6436609 Page 1
GEIGER REPRESENTATIVE: R1 R /RAY JESS
MIDWEST DIVISION DUE DATE: 01/14/12
Phone 813/319 -7600 SHIP VIA UPS Ground COMMERCIAL
Fax 813/319 7601 TERMS: Net 10
CUST REFERENCE:
For billing questions call: 1- 800 508 -5820 TERMS OF DEL: Shipping Handling (Invoice)
CUST PO# MC002165
BILL TO: CARMEL CLAY PARKS RECREATION SHIP TO: CARMEL CLAY PARKS RECREATION
DAWN KOEPPER DAWN KOEPPER
1411 E. 116TH ST. 1411 E. 116TH ST.
CARMEL IN 46032 CARMEL IN 46032
Customer number 673308
Buying entity
Ship quantity
Description Date Shipped Back Order Unit Price Amount
KEY HOLDER, WRIST COIL 10/19/11 500 0.250 125.00
THIS INVOICE REPLACES IPNJOICE 2150559. PLEASE PAY USIN- THIS
INVOICE.
JAS 0 9 2012
Purchase
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Sr Cl)Y
Description IL.g
P.O. M00021(o5 P or F
G.L. I09I `f 239099
Budget n
Line Descr Q 1— S wx jt 1 t
Purchaser Date
Approval Date
PLEASE REMIT PAYMENT TO: Rate Subtotal 125.00
Chock card using f°`payment Sales Tax
Geiger Ca�Nu OM Ship Handling 18.18
PO Box 712144 &kpnMDab Amount uss a Ex Other Fees
a� er 1:1 Cincinnati, OH 45271 -2144 Total Invoice 143.18
Signs— Us- Nawrk Mazmrrard Payment
Please reference our invoice number 2197328 when remitting payment. Balance Due USD 143.18
A 1.5% per month service charge will be added to balances more than 30 days past due.
Ge4w, INVOICE 2203292
Date 01/16/12 OUR ORDER 6431190 Page 1
GEIGER REPRESENTATIVE: R1 R /RAY JESS
MIDWEST DIVISION DUE DATE: 01/26/12
Phone 813/319 -7600 SHIP VIA UPS Ground COMMERCIAL
Fax 813/319 -7601 TERMS: Net 10
CUST REFERENCE:
For billing questions call 1 $00 -508 TERMS OF DEL: Shipping Handling (Invoice)
CUST PO# 30304
BILL TO: CARMEL CLAY PARKS RECREATION SHIP TO: CARMEL CLAY PARKS RECREATION
DAWN KOEPPER DAWN KOEPPER
1411 E. 116TH ST. 1411 E. 116TH ST.
CARMEL IN 46032 CARMEL IN 46032
Customer number 673308
Buying entity
Ship Quantity
Description Date Shipped Back Order Unit Price Amount
SHIRT, LADIES INTERLOCK SILK T 12/21/11 4 17.600 70.40
SHIRT, PORT AUTHORITY SILK TOU 12/21/11 4 17.600 70.40
SHIRT, PORT AUTHORITY SILK TOU 12/21/11 1 18.600 18.60
TAPE CHARGE 12/21/11 1 60.000 60.00
EMBROIDERY RUNNING CHARGE 01/13/12 9
Purchase
Description PARE Boa.kD SV%+ P ;T5
P-- -EC T� TF,D P.O. 3030N P orQ CT ZO 11
JAN 17 2012 G.L. 1125 1 02.4350004
kwrEcet
Line Descr STAFF CL�H I NC7
BY: Purchaser Date
Approval Date
PLEASE REMIT PAYMENT TO: Rate Subtotal 219.40
R1 Check cud using nx pam*nt
GNAhmbx o Sales Tax
Geiger 0%� ti Ship 8 Handling 18.68
PO Box 712144 ocher Fees
Cincinnati, OH 45271 -2144 o Total Invoice 2
o
S'!> Mo—* Am-tw Payment
Please reference our invoice number 2203292 when remitting payment. Balance Due USD 238.08
A 1.5% per month service charge will be added to balances more than 30 days past due.
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.
Geiger Terms
P.O. Box 712144
Cincinnati, OH 45271 -2144
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/14/12 6436609 Wrist coils 143.18
1/16/12 6431190 Park board shirts 30304 219.40
1/16/12 6431190 Park board shirts 18.68
Total 381.26
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.
Geiger Allowed 20
P.O. Box 712144
Cincinnati, OH 45271 -2144
In Sum of
381.26
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center 101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 6436609 4239099 143.18 1 hereby certify that the attached invoice(s), or
30304 F 6431190 4356004 219.40 bill(s) is (are) true and correct and that the
1125 6431190 4356004 18.68 materials or services itemized thereon for
which charge is made were ordered and
received except
26 -Jan 2012
Signature
381.26 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund