176821 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 360196 Page 1 of 1
ONE CIVIC SQUARE KIEFER ASSOCIATES CHECK AMOUNT: $36.90
CARMEN, INDIANA 46032 1700 KIEFER DRIVE
ZION IL 60099 CHECK NUMBER: 176821
CHECK DATE: 9/2/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239039 11551845 36.90 GENERAL PROGRAM SIUPPL
k A
i
y
Print Date: 07/29/2009 Page: 1 of 1
INVOICE 11551845
Address: 1700 KIEFER DR
ZION IL 60099 -5105
United States
Phone: +1- 847 872 -8866
1 1 I Toll. Free Phone: 800 -323 -4071
Fak +1 -847 -746 6888
t79 Email: eSales @kiefer.com
Website: www.kiefer.com
BILL TO: SHIP TO:
Carmel Clay Parks and Rec Carmel Clay Parks and Rec
Accounts Payable Receiving PO #22322
1411 E 116th Street Monon Center
1235 Central Park Dr E Carrie Keaveney
CARMEL IN 46032 CARMEL IN 46032
United States United States
INVOICE NUMBER, INVOICE DATE` CUSTOMER', NUMBER:. CUSTOMEWNAME
115.51845. 07129/2009 C5497.79 Carmel CLay:Parks and.Rec
PAYMENT TYPE:. SHIPMENT TYPE '.CARRIER BILLJO EMAIL
Payment on Account Ground UPS
ORDBR ORDER'DATE SHIPMENT "SHIPMENT
048844, 07/28/2009' S6821'5 07/29/2009
CUSTOMER PO SHIP TO`EMAIL TRACKING' NUMBER
22322
126260690312472143
S.No. Item Number Item Name Promo. Quantity Price Extended Price
Code
1 753302 SOVA Al CHI FLOOR 0097 1.00 29.95 29.95
SIGN
Total Item Price 29.95
Shipping 8.95
Total Discount 0.00
Total Shipping and Handling Charges 6.95
Total Non Freight Surcharge 0.00
Sales Tax (0.00% on $36.90 included.) 0.00
Grand Total 36.90
Purchase
Description S
P.O. P o I= 110
G.L. 4 1 F DL 2:21 3C O39
Budget f 7!
Line Descr
Purchaser Dom_
Approval Date
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.
360196 Adolph Kiefer Associates Terms
1700 Kiefer Dr
Zion, IL 60099 -5105
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7129109 11551845 Ai chi floor sign 22322 F 36.90
Total 36.90
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.
360196 Kiefer Associates Allowed 20
1700 Kiefer Dr
Zion, IL 60099 -5105
In Sum of
36.90
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 11551845 4239039 36.90 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
24 -Aug 2009
Signature
36.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund