HomeMy WebLinkAbout178866 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 361204 Page 1 of 1
ONE CIVIC SQUARE SHUMSKY CHECK AMOUNT: $159.57
b CARMEL, INDIANA 46032 PO BOX 634934
CINCINNATI OH 45263 -4934 CHECK NUMBER: 178866
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIP
`1125 4356004 L052668A 159.57 STAFF CLOTHING
PAGE: 1 Mail Payment To:
S hu sky P.O. Box 634934 J Cincinnati, OH 45263 -4934 INVOICE
Phone: 937 223 -2203 L 0 5 2 6 6 8A
Outside Ohio Toll free: 800 326 -2203
Fax: 937-221-7834
Sold To: #45464 Ship To: #45464
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
ATT: SERRA GARSKE ATT: SERRA GARSKE, ADMIN OFFIC
1411 E 116TH ST 1411 E. 116TH STREET
CARMEL,IN 46032 CARMEL,IN 46032
INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
10 -14 -09 L052668A 22669 10 -08 -09 JUPS GROUND NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
2 2EA 9095 MEN'S FLEECE &NYLON JACKET 33.85 67.70
WITH CCPR LOGO EMB ON LEFT CHEST
BLACK/BLACK: M -2
2 2EA 8095 LADIES' FLEECE NYLON JACKET 33.85 6 7. 7 0
WITH CCPR LOGO EMB ON LEFT CHEST
BLACK/BLACK: XS -2
Purchase
Description VIC
P.O. l �l I r �P� P
G.L.#
Budget ���-u
Line Descr
Purchaser Date
Approval= Date J 6 l
Subtotal Deposit 0 0 0 Credit Card 0 0 0 Tax Total
24 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 maybe
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)) PO Amount
10/14/09 L052668A Fleece jackets 22669 F 159.57
Total Is 159.57
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
�5.
Voucher No. Warrant No.
361204 Shumsky Allowed 20
P.O. Box 634934
Cincinnati, OH 45263 -4934
In Sum of
159.57
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. kCCT#/TlTLE AMOUNT Board Members
Dept
1125 L052668A 4356004 159.57 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
22 -Oct 2009
Signature
159.57 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund