206243 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 365924 Page 1 of 1
ONE CIVIC SQUARE GEIGER CHECK AMOUNT: $143.26
a CARMEL, INDIANA 46032 PO Box 712144
o �o CINCINNATI OH 45271 -2144 CHECK NUMBER: 206243
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4239045 2209045 143.26 RETAIL GOODS
k INVOICE 2209045
Date 01130/12 OUR ORDER 6444546 Page 1
GEIGER REPRESENTATIVE: R1 R /RAY JESS
MIDWEST DIVISION DUE DATE: 02/09/12
Phone 8131319-7600 SHIP VIA UPS Ground COMMERCIAL
Fax 813/319 -7601 TERMS: Net 10
CUST REFERENCE:
For billing questions call: 1 -800- 5 548 5820 TERMS OF DEL: Shipping Handling (Invoice)
CUST PO# M0002491
BILL TO; CARMEL CLAY PARKS RECREATION SNIP TO; CARMEL CLAY PARKS RECREATION
DAWN KOEPPER DAWN KOEPPER
1411 E. 116TH ST. 1411 E. 116TH ST.
CARMEL IN 46032 CARMEL IN 46032
Customer number 673308
Buying entity
Ship Quantity
Description Date Shipped Back Order Unit Price Amount
WRIST COIL 01/26/12 500 0.250 125.00
Purchase s i ST eu L$ Fo�k
Description I FQE PL1G,STS
P.O. 0A 0 4OAyq 4 P 01`0
G.L. I09a 92,?)gQ 45
Line D KetCi I C O�S
Line Descr s
Purchaser Date
Approval Data
7 JAN302012
BY'
PLEASE REMIT PAYMENT TO: Rate Subtotal 125.00
10Qw*cmd using tor paMium Sales Tax
Geiger Ship 8 Handling 18.26
PO Box 712144 5p'soarpo Affe k 9 —i-- Ev— other Fees
Cincinnati, OH 45271 -2144 Total Invoice 143.26
Ar: —xsmmfk x. —r-d Payment
Please reference our invoice number 2209045 when remitting payment. Balance Due USD 143.26
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.
365924 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
219112 2209045 Wrist coils for key fob passes 143.26
Total 143.26
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
20_
Clerk- Treasurer
I
Voucher No. Warrant No.
365924 Geiger Allowed 20
P.O. Box 712144
Cincinnati, OH 45271 -2144
In Sum of
143.26
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #f AMOUNT Board Members
Dept
1092 2209045 4239045 143.26 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
9 -Feb 2012
Signature
143.26 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund