177306 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 363328 Page 1 of 1
g 0 ONE CIVIC SQUARE MANCOMM CHECK AMOUNT: $86.68
CARMEL, INDIANA 46032 315 W 4TH ST
DAVENPORT IA 52501 CHECK NUMBER: 177306
CHECK DATE: 9115/2009
DEPARTME ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIP
1125 4357003 161714 86.68 INTERNAL INSTRUCT FEE
MA
let
315 W. 4th Street G6at�inQ 0•he Camplez lam: Caunpli�tteoc* Saeely Tx�atne, bx.
Davenport, IA 52801 0•0.
FEIN #:42 1460821 1NVOI -CE: =161 71.4_
ACCOUNT P50090
(DATE:_ _812612009
Our Order 0000765234
BILL TO: SHIP TO:
Paula Schlemmer Purchase Serra Garske
Carmel Clay Parks Recreatig@scription OSHA Carmel Clay Parks Recreation
1411 E 116th St P.O �j3 ���a Np 1411 E 116th St
Carmel, IN 46032 Carmel, IN 46032
G.L. _1125 q 3 5-7003 s
Bud et FRP�'1T�
(317)573 -4023 Line D a I I`)feri'tCtE l 11`S- 1 �-t—c+ (317)573 -4026
Dom_ AUG 2 7 2009
Purchaser
Approval Date
Salesperson Rickie Hodge P.O. NUMBER 22503
Terms Net 30 Days Ship Method UPS Ground
DESCRIPTI Quantity Unit Extended
ITEM Shipped
366- 001 -02 Complete OSHA Guide to Fall Protection June 1.00 36.95 36.95
2008
3313- 001 -17 Construction CFR 1926 Jul 2009 1.00 39.98 39.98
Net Amount $76.93
State Tax
Tha Y Shipping $9.75
Total Invoice
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
M
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.
ManComm Terms
315 W. 4th Street
Davenport,lA 52801
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8/26/09 161714 OSHA Regulations 22503 F 86.68
Total 86.68
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.
ManComm Allowed 20
315 W. 4th Street
Davenport, IA 52801
In Sum of
s
86.68
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 161714 4357003 86.68 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
10 -Sep 2009
Signature
86.68 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund