168185 01/21/2009 f CITY OF CARMEL, INDIANA VENDOR: 00352440 Page 1 of 1
Q� ONE CIVIC SQUARE SERVICE SUPPLY LTD, INC. CHECK AMOUNT: $8,484.25
CARMEL, INDIANA 46032 1524 S HAMILTON ROAD
oM COLUMBUS OH 43227 CHECK NUMBER: 168185
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NUM IN VOICE NUMBER AMOUNT DESC RIPTION
853 5023990 15936 8,484.25 OTHER EXPENSES
Service Supply Ltd., Inc. Invoice Date Invoice
1524 South Hamilton Road 4
Columbus. OH 43227
Local (614 861 -3681 Ohio: 800- 282 -1900
WV Indiana: 800 848 -7556 Fax: (614) 12/3/2008 15936
863 -01 13
Bill To Ship To
CARMEL CLAY PARKS REC. CARMEL CLAY PARKS c& REC.
ADMINISTRATIVE OFFICE COURTNEY SCHAEGEL
141.1 E. 116TH STREET 1.195 CENTRAL, PARR
CARMEL, IN 46032 CARMEL, IN 46032
P.O. No. Terms Payment Due Salesperson Date Shipped Ship Via FOB No Statement Rendered.
19063 20 days 12/23/200 JGS 11/24/200
Item Quantity Shipped Description Price Each Amount
SG115D 2 2 8' ADA TABLE 588.60 1,177.20
SG150D 11 11 46" ROUND TABLE 634.00 6
FREIGHT HANDLING 333.05 333.05
Purchase Pf,c. 6 kj 01 Tr—
Descriptla P r F
P.O.
E d Yt ;]!/mot
L
purchaser, Date,
A
DEC 1 9 2008
BY:
THANK YOU FOR YOUR ORDER.
A charge at the rate of 1 1/2 per month, ANNUAL PERCENTAGE RATE Total may be applied to past due balances. $8
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, 19063 F
00352440 Service Supply Ltd., Inc. Terms
1524 South Hamilton Road Date Due
Columbus, OH 43227
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1213108 15936 Picnic tables 8,484.25
Total 8,484.25
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
Voucher No. Warrant No.
00352440 Service Supply Ltd., Inc. Allowed 20
1524 South Hamilton Road
Columbus, OH 43227
In Sum of
8,484.25
ON ACCOUNT OF APPROPRIATION FOR
853 Gift Fund
PO# or INVOICE NO. ACCT ArrITILE AMOUNT Board Members
Dept
853 1 5936 5023990 8,484.25 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
14 -Jan
2009
Signature
8,484.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund