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176515 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 363277 Page 1 of�1 ONE CIVIC SQUARE Y R C CHECK AMOUNT: $338.98 s �a. CARMEL, INDIANA 46032 PO BOX 93151 CHICAGO IL 60673-3151 CHECK NUMBER: 176515 CHECK DATE: 8/19/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4237000 323 453637 338.98 REPAIR PARTS i YRC WOrldW1dIeD09 21 D 1 EDC 39 9579 4 7V72dgr 16r,Z0 -09 8:03:48 AM PAGE 2/004 Fax Server YRC (RDWK or P.O. N, OR 471 PAST DUE 040 76N, OR 44309 -0471 07/29/2009 Freight Bill Number (CK) Amount Due 323 453637 3 $338.98 U.3. Dollars Invoice Mailing Address CARMEL CLAY PARKS RECREATION 1195 CENTRAL PARK DR W G j Payment Due 05109/2009 CARMEL, IN 46032 Shipment Date 04120/2009 Z009 Charges PREPAID Shipper Consignee CARMEL CLAY PARKS RECREATION THE FOUNTAIN PEOPLE INCORPORAT 1195 CENTRAL PARK DR W 4600 HIGHWAY 123 Tariff Item CARMEL, IN 46032 SAN MARCOS, TX 76666 YRC.557 R D W Y. 8060 YRC 557 Detail of Charges Pieces Description Class Weight Rate Charges Mail Payments 1 CRT FOUNTAIN OR FOUNTAIN FIGURES C85 250 164.00 419.00 JZYRC NMFC:07630001 CL C851 CRT P.O. BOX 93151 DIM:56x40x28 CHICAGO IL 60673 -315, CFT: 36.30 DEN: 6.89 Mail Correspon nce DISCOUNT DISC 60.00 %6 246.00 YHC SINGLE SHIPMENT PICKUP CHARGE SS 31.50 PO'BOX 471 OH 44309-0471 LIFTGATE SERVICE ORIGIN LFTO 122.00 Akron GENERAL SURCHARGE (FUEUFRT) FSC 13.10% 21.48 Invoicing Questions 8060 TEMPORARY YRC COURTESY DISOUNT REMK Phone (716) 686 -7588 Web Site www.yrc.c0m Late payment penalty and /or collection charge may apply. To Pieces Total Weight Total Amount Due 1 250 33898 Any attachments you receive will be GENERAL CORRECTION ISS: 07 -22 Al RECOGNITION SI ACT DID READ PCS: 1 WT: 250 CHGS printed on the reverse side Of the 38536 .DIRECTPOINTPERTARIFF111— P invoice. 1 hese supporting documents are also available online TYPE REFERENCE NUMBER STORE DEPT NO. CTN COUNT WEIGHT at www.yrc.com. RL W8539 Thank you for using YRC! FED. TAX ID 34- 0492670 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. YRC Terms P.O. Box 93151 Chicago, IL 60673 -3151 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4120109 323 453637 Aquatics repair parts 22326 F 338.98 Total 338.98 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 x Voucher No. Warrant No. YRC Allowed 20 P.O. Box 93151 Chicago, IL 60673 -3151 In Sum of 338.98 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund_ PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 323- 453637 4237000 338.98 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 13 -Aug 2009 Signature 338.98 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund