169623 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 361204 Page 1 of 1
ONE CIVIC SQUARE SHUMSKY
s•. a CARMEL, INDIANA 46032 PO BOX 634934 CHECK AMOUNT: $1,463.43
CINCINNATI OH 45263 -4934
CHECK NUMBER: 169623
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION
1047 4356004 K065510A --1,023.53 STAFF CLOTHING
1047 4356004 L000397A _,,60.02 STAFF CLOTHING
1047 4356004 L000862A 379.88 STAFF CLOTHING
PAGE: 1 Mail Payment To:
(:]Sjhumi P.O. Box 634934
��...a,� Cincinnati, OH 45263 -4934
PEmMIT INVOIC
Phone: 937 223 -2203 K 0 6 5 510 A
Outside Ohio Toll free: 800 326 -2203
Fax: 937 221 -7834
Sold To: #45464 Ship To: #45464
CARMEL CLAY PARKS RECREATION THE MONON CENTER
ATT: MANDY SPADY ATT: MANDY SPADY
1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST
CARMEL,IN 46032 CARMEL,IN 46032
IINVOICEE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
01 -14 -09 KO65510A M.SPA 1 01 -02 -09 13rd Part NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
40 4 0EA SJF FLEECE FULL ZIP JACKETS WITH The 17.00 680.00
Morten Center LOGO EM B ON UC
COLOR: CHARCOAL GREY
SIZES: XS -8; S -8; M -8; L -8; XL -8
16 16EA SJF FLEECE FULL ZIP JACKETS WITH The 19.00 304.00
Monon Center LOGO EMB ON L/C
COLOR: CHARCOAL GREY
SIZES: XXL -8; 3XL -8 Purchase
Description f
P.O. it Q Po F
G.L. (C��J 35
Budget
Line Descr b
Purchaser Date
Approval Date OC/`�
Subtotal Deposit 0 0 0 Credit Card 0 Tax Total
Gift Cert. 0 S&H 39.5 0.00 $1,023.91
Since careful inspection at the factory often results in some imprinted pieces being disregarded, it is understood that an underrun or overrun of up to
10% to be billed pro -rata, is acceptable by the customers. Quoted prices do not include shipping charges or any applicable taxes. All claims must be
made within 10 days after shipment. No returns can be made without our permission F.O.B. ORIGIN. Invoices not paid within our terms may be
subject to a 1 per month, 18% annum finance charge.
PAGE: 1 Mail Payment To:
P.O. Box 634934
As- Cincinnati, Cincinnati, OH 45263 -4934 INVOICE Peax�r
Phone: 937 223 -2203 L0 0 0 8 62A
Outside Ohio Toll free: 800 326 -2203
Fax: 937-221-7834 ✓,9�
1490
Sold To: #45464 Ship To: #45464
CARMEL CLAY PARKS RECREATION THE MONON CENTER
ATT: ACCOUNTS PAYABLE ATT: MANDY SPADY
1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST
CARMEL,IN 46032 CARMEL,IN 46032
I INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
01 -22 -09 L000862A M.SPADY 01 -12 -09 3rd Part NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
25 25EA K500 PA SILK TOUCH POLO W /EMBThe 14.39 359.75
Monon Center LOGO ON L/C
COURT GREEN: XS -10; S -15
Purchase P O I
Description r J
P.O. p
G.L. 0) c (I L q
Budget
Line Descr,g l h
Purchaser Date
Approval Date_ i
Subtotal Deposit 0 0 0 Credit Card 0 0 0 Tax Total
Gift Cert. 0 S &H
Since careful inspection at the factory often results in some imprinted pieces being disregarded, it is understood that an underrun or overrun of up to
10% to be billed pro -rata, is acceptable by the customers. Quoted prices do not include shipping charges or any applicable taxes. All claims must be
made within 10 days after shipment. No returns can be made without our permission F.O.B. ORIGIN. Invoices not paid within our terms may be
subject to a 1 per month, 18% annum finance charge.
ISh u m PAGE 1 Mail Payment To:
s� P.O. Box 634934
Cincinnati, OH 45263 -4934 IN���
PMNFI
Phone: 937-223-2203 L 7A
Outside Ohio Toll free: 800 326 -2203
Fax: 937-221-7834
X0
Sold To: #45464 Ship To: #45464
CARMEL CLAY PARKS RECREATION THE MONON CENTERS
ATT: KIM ATT: KIM
1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST
CARMEL,IN 46032 CARMEL,IN 46032
INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
01 -22 -09 L000397A KIM 1 01 -16 -09 JUPS GROUND NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
2 2 EA MUN7 0 0 MUNSINGWEAR MEN'S ESSENTIAL POPLIN 21.45 42.90
SHIRT WITH EMB LOGO ON L/C
BLACK: M -2
Purchase A e I
Description
P.O.# 1 q r
Budget "tte Une Descr Purchaser f Approval J
Subtotal Deposit 0 0 0 Credit Card 0 0 0 Tax Total
Gift Cert. 0 S &H 17-12 $60.02
Since careful inspection at the factory often results in some imprinted pieces being disregarded, it is understood that an underrun or overrun of up to
10% to be billed pro -rata, is acceptable by the customers. Quoted prices do not include shipping charges or any applicable taxes. All claims must be
made within 10 days after shipment. No returns can be made without our permission F.O.B. ORIGIN. Invoices not paid within our terms may be
subject to a 1 per month, 18% annum finance charge.
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.
361204 Shumsky Terms
P.O. Box 634934
Cincinnati, OH 45263 -4934
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/22/09 L000862A Staff polos PO 19958 F 379.88
1/22109 L000397A Concierge shirts PO 19958 F 60.02
1/14/09 K065510A Fleece jackets PO 19958 F 1,023.53
Total 1,463.43
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.
361204 Shumsky Allowed 20
P.O. Box 634934
Cincinnati, OH 45263 -4934
In Sum of
1,463.43
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 L000862A 4356004 379.88 1 hereby certify that the attached invoice(s), or
1047 L000397A 4356004 60.02 bill(s) is (are) true and correct and that the
1047 K065510A 4356004 1,023.53 materials or services itemized thereon for
which charge is made were ordered and
received except
26 -Feb 2009
Signature
1,463.43 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund