HomeMy WebLinkAbout176933 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 361204 Page 1 of 1
ONE CIVIC SQUARE SHUMSKY CHECK AMOUNT: $971.65
CARMEL, INDIANA 46032 PO BOX 634934
`o CINCINNATI OH 45263 -4934 CHECK NUMBER: 176933
CHECK DATE: 9/2/2009
DEPAR ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIP
1047 4356004 L034784A 766.40 STAFF CLOTHING
1047 4356004 L035439A 205.25 STAFF CLOTHING
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PAGE: 2 Mail Payment To:
Shums
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P.O. Box 634934
M....�.a Cincinnati, OH 45263 -4934 INY
Phone: 937-223-2203 L0339A 3Z��9
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: SERRA GARSKE ATT: SARAH CARLING: FAMILY FIS
1411 E 116TH ST 1235 CENTRAL PARK DRIVE
CARMEL,IN 46032 CARMEL,IN 46032
INVOICE DATE INVOICE I CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
07 -29 -09 LO35439A 22273 1 07 -24 -09 L6CAL PACKAG NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
4 4 EA 11730 ADULT HEAVYWEIGHT 100% COTTON 5.28 21.12
T -SHIRT WITH FAMILY FISHING DERBY
IMPRINT
COLOR: WHITE
ADULT SIZES: XXL -4
Pumhan
DeSWptlorl Am lw E i 1l NCB
P.O. N L- c�7 f� P F j1 D
Purchaser Date
Approv -099-
Subtotal Deposit 0 0 0 Credit Card 0 0 0 Tax Total 0:� Gift Cert. Q 00 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.D.B. ORIGIN. Invoices not paid within our terms may be
subject to a 1 per month, 18% annum finance charge.
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PAGE: 1 Mail Payment To:
P.O. Box 634934
Cincinnati, OH 45263 -4934 IN V ®IC 1®NEr
Phone: 937 223 -2203 N 3 9A
Outside Ohio Toll free: 800 326 -2203
Fax: 937-221-7834
1� Y 9l/CO
�9
Sold To: #45464 Ship To: #45464
CARMEL CLAY PARKS RECREATION THE MONON CENTER
ATT: SERRA GARSKE ATT: SARAH CARLING: FAMILY FIS
1411 E 116TH ST 1235 CENTRAL PARK DRIVE
CARMEL,IN 46032 CARMEL,IN 46032
I INVOICE DATE INVOICE I CUSTOMER P.=#DATE SHIPPED SHIPPED VIA TER
e PAGE: 1 Mail Payment To:
Shums�(�/ P.O. Box 634934
A�.�M Cincinnati, OH 45263 -4934 Il��
I ®Nn -1
Phone: 937 223 -2203
--L ,O 3 4 7 8 4A
Outside Ohio Toll free: 800 326 -2203
Fax: 937 221 -7834 AUG U 3 2009
Sold To: #45464 Ship To: #45464
CARMEL CLAY PARKS RECREATION THE MONON CENTER
ATT: SERRA GARSKE ATT: JEREMY KERR BUILDING SR
1411 E 116TH ST 1235 CENTRAL PARK DRIVE
CARMEL,IN 46032 CARMEL,IN 46032
I INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
07 -29 -09 LO34784A 22235 07 -20 -09 UPS GROUND NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
80 80EA 055 ADULT POLO SHIRTS WITH EMBLOGO 9.58 766.40
ON LEFT CHEST
MAROON: S -6; M -16; L -14; XL -8
FOREST: S -6; M -6; L -12; XL -12
Purft Pl �ct�I 1t sl1- Li' s -(v1L
P.O. r L o P o() i)o
G.L 3q4,90
Budget
ut� y7 -lob 300 35�p
t)ate
Appro Date
Subtotal Deposit 0 0 0 Credit Card 0 0 0 Tax Total
Gift Cert. S&H p--
Since careful inspection at the factory often results in some imprinted pieces being disregarded
10% to be billed pro -rata, is acceptable by the customers. Quoted prices do not include: ;M
made within 10 days after shipment No returns can be made without our permis
tw f
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.
Terms
361204 Shumsky
P.O. Box 634934
Cincinnati, OH 45263 -4934
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
22273 F 205.25
7129109 L035439A Family fishing derby shirts 22235 F 766.40
7129109 L034784A Bldg maint. Shirts MC
Total 971.65
I 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
971.65
ON ACCOUNT OF APPROPRIATION FOR
104 Program fund
PO# or INVOICE NO. 0 ,CCT#/ rITLE AMOUNT Board Members
Dept
1047 L035439A 4356004 205.25 1 hereby certify that the attached invoice(s), or
1047 L034784A 4356004, 766.40 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
27 -Aug 2009
Signature
971.65 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund