206408 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 360409 Page 1 of 1
ONE CIVIC SQUARE RACO INDUSTRIES
CARMEL, INDIANA 46032 PO BOX 932312 CHECK AMOUNT: $387.00
CLEVELAND OH 44193
CHECK NUMBER: 206408
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4239099 IN358954 387.00 OTHER MISCELLANOUS
5480 Creek Road �lnvolce�# IN358954
Cincinnati, OH 45242 1/19/2012
Date
Phone: 513- 984 -2101
Fax: 513- 792 -4272 aJe Ra w 1
REMIT TO: PO Box 932312
Cleveland, OH 44193
BILL TO: SHIP TO:
Carmel Clay Parks Recreati Carmel Clay Parks Recreatic
1411 East 116th St. 1235 Central Park Drive East
The Monon Center.
Carmel TN 46032 Carmel IN 46032
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Shi Dated �prderNo e`
Purchase Customer ID� SalespersoID ,SYuppFng�aMethodaymentTe�ms P
w,��. �"^S
30337 CA1N570^ SM I UPS GNDCOM Net 30 1/17/2012 ORD292300
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1,000.000 EA RCC40KEY Monon Ctr -Green Adult Bus Style Key Tag w /Ba $0.3 0 $370.00
p
JAN 2 4 2012
BY:
Purchase WOO ACLLLLL i r0b SE`S
WOO
Description
P.O. P o�
G.L.# (09i L1239099
Budget
Line Descr
Purchaser Date
Approval Date
Attn: Dawn Koepper
Thank You For Your Business!
TRACKING NUMBERS: 121115660359976526
PLEASE PAY FROM THIS INVOICE Feght�s $17.00
A FINANCE CHARGE OF 2% PER MONTH (24% ANNUAL PERCENTAGE RATE)
WILL BE CHARGED ON THE UNPAID BALANCE OF YOUR ACCOUNT NOT PAID Tax $0.00
WITHIN THE TERMS LISTED ABOVE. RETURNS ARE SUBJECT TO A 15 -25%
Total% $387.00
RE- STOCKING CHARGE. ALL RETURNS REQUIRE A RETURN AUTHORIZATION
NUMBER OR SHIPMENT WILL BE REFUSED, MOST PRODUCTS ARE RETURNABLE
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.
360409 RACO Industries LLC Terms
P.O. Box 932312
Cleveland, OH 44193
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1119112 IN358954 MCC Adult key fob passes 30337 387.00
Total 387.00
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
1 20_
Clerk- Treasurer
Voucher No. Warrant No.
360409 RACO Industries LLC Allowed 20
P.O. Box 932312
Cleveland, OH 44193
In Sum of
387.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 IN358954 4239099 387.00 l 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
387.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund