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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