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207025 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 353538 Page 1 of 1 ONE CIVIC SQUARE DISCOUNT SCHOOL SUPPLIES CARMEL, INDIANA 46032 PO BOX 6013 CHECK AMOUNT: $295.92 CAROL STREAL IL 60197 -6013 CHECK NUMBER: 207025 CHECK DATE: 3/13/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 W14302320101 295.92 GENERAL PROGRAM SUPPL I 1 8 PLEASE REMIT TO: www.DiscountSchoolSupply.com i F E 2 1 201 DISCOUNT SCHOOL SUPPLY l9 12 P.O. BOX 601.3 Accounting Dept. Ph: 800 482 -5846 Fax: 800 631 -5397 Carol Stream, IL 60197 -6013 email: actrec @discountschoolsupply.com Customer Service: 800 627 -2829 Fax: 800 879 -3753 BY: email: customerservice @discountschoolsupply.com SHIP TO (IF OTHER THAN "SOLD TO YOUR ACCOUNT o o pro m{ytQ o o oo cQ DENEYSE SOLAZZO :___00074.7.0867___ TOWNE MEADOW ELEMENTARY SCHOOL SOLD 10850 TOWNE RD TO: CARMEL CLAY PARKS RECREATION CARMEL, IN 46032 Accounts Payable 1411 E 116th St Carmel IN 46032 -3455 30463 6:322 YOUR PURCHASE ORDER NUMBER AND DATE j OUR INV. NOJORDER NO. INV. DATE t� SHIPPED VIA DATE SHIPPED Pa Due by 03 116/1 2 k, -W- 1430232.0101 .02./_15./ -12 UPS- GROUND 02./14/_.12._?_ ITEM NO. DESCRIPTION UNIT PRICE EXTENDEDAMOUNT ORDERED SHIPPED l i 1 :DENEYSE SOLAZZO i 8 8 FANNYPK FANNY PACK FIRST AID KIT- 113 PIECES 36.99 295.92 1 Purchase Description 51 1EEL1 E 5 TM P.O. ©�1 G3 P o� �.L. L� �1— 9— 42- Budget C,01 C3YYl es I Line Descr 1 Purchaser Date Approval Date I i r HIPPING R HANDLING o SALES TAX FOB S ORIGINAL I t_ KS i 295.92 Remember! You can also pay your invoice by VISA, MasterCard, Discover or American Express. Please see reverse of payment stub. 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. 353538 Discount School Supply Terms P.O. Box 6013 Date Due Carol Stream, IL 60197 -6013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 2115112 W14302320101 Supplies TM 30463 295.92 Total 295.92 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 i Voucher No. Warrant No, Discount School Supply Allowed 20 353538 P.O. Box 6013 Carol Stream, IL 60197-6013 In Sum of 295.92 ON ACCOUNT OF APPROPRIATION FOR 108 ESE Fund PO# or, INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -9 W143023201ol 4239039 295.92 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 8 -Mar 2012 Signature 295.92 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 1