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207092 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 365075 Page 1 of 1 ONE CIVIC SQUARE HODGES BADGE COMPANY INC CARMEL, INDIANA 46032 PO BOX 1290 CHECK AMOUNT: $345.61 PORTSMOUTH RI 02871 -0925 CHECK NUMBER: 207092 CHECK DATE: 3/13/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 12006536 345.61 GENERAL PROGRAM SUPPL INVOICE P.O. Box 1290 HODGES BADGE COMPANY, INC Portsmouth, RI 02871 -0925 nH Quality Award Ribbons, Rosettes PI-J1 I Athletic Medals, and Celluloid Buttons Phone: 800 556 -2440 or 401 682 -2000 HO DGES ce COMi INC. Since 1920 Fax: 800 -292 -7377 or 401 -682 -2329 Shipped To CARMEL CLAY PARKS RECREATION Invoice Number 12006536 ATN DAWN KOEPPER Invoice Date 03/01/12 1411 E 116TH ST Customer Number 460320004 CARMEL IN 46032 Your Order Number 30479 Bill To Our Order Number 12006536 CARMEL CLAY PARKS RECREATION ATN DAWN KOEPPER Date Shipped 03/01/12 1411E 116TH ST Shipped Via NORMAL CARMEL IN 46032 Terms NET 30 6 2 50 YD PRINTED, ROLL 48.00 EACH 288.0 1 CUSTOM LOGO (HOT STAMP DIE) 30.00 EACH 30.00 5 ARTWORK CHARGE 1.00 EACH 5.00 Purchase Description k5 I P.O.# 3D-4 ,_Po0FF U 6 B u Line Descr P urchaser U Date Approval Date MERCHANDISE TOTAL 323.00 SHIPPING CHARGES 22.61 BALANCE DUE 345.61 THIS AMOUNT CHARGED TO YOUR NET 30 ACCOUNT We are authorized to collect sales tax only in Rhode Island and Missouri. Customers residing in other states may have an obligation to pay a use tax directly to their state. i 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. Hodges Badge Company, Inc. Terms P.O. Box 1290 Portsmouth, RI 02871 -0925 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 311112 12006536 Place ribbons for Sea Dragon meets 30479 345.61 Total 345.61 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. Hodges Badge Company, Inc. Allowed 20 P.O. Box 1290 Portsmouth, RI 02871 -0925 In Sum of 345.61 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -10 12006536 4239039 345.61 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 345.61 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund