HomeMy WebLinkAbout175897 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 361204 Page 1 of 1
ONE CIVIC SQUARE SHUMSKY
0 CHECK AMOUNT: $54.30
CARMEL, INDIANA 46032 PO BOX 634934
CINCINNATI OH 45263 -4934
CHECK NUMBER: 175897
CHECK DATE: 8/6/2009
DEPAR ACCOUNT PO NUMB IN VOICE NUMBER AMOUNT DESCRIPTI
1125 4356004 L032444A 54.30 STAFF CLOTHING
r„
�i}
PAGE: 1 Mail Payment To:
SE'hu P.O. Box 634934 .r^1
Cincinnati, OH 45263 -4934
P ®Nn l� L �AT� T ®��rj
Phone: 937 223 -2203 L 0 3 2 4 4 4 A
Outside Ohio Toll free: 800 326 -2203
Fax: 937-221-7834
JJJt
Sold To: #45464 62D 5464
Ship To:
CARMEL CLAY PARKS RECREATION..__ CARMEL CLAY PARKS RECREATION
J ATT: SERRA GARSKE ATT:j'COURTNEY: MAINTENANCE APP
1411 E 116TH ST 1411 E. 116TH STREET
CARMEL,IN 46032 CARMEL,IN 46032
I INVOICE DATE INVOICE CUSTOMER P.O. DATE SHIPPED SHIPPED VIA TERMS
07 -13 -09 LO32444A 1 20826 07 -06 -09 3rd Part NET 30
QUANTITY QUANTITY ITEM DESCRIPTION UNIT AMOUNT
ORDERED SHIPPED NUMBER PRICE
1 1 EA 9931 EVOLUX FLEECE JACKET WITH EMB 44.50 4 4. 5 0
CCPR LOGO ON LEFT CHEST
CHARCOAL HEATHER/BLACK: XXL -I
Desaiptlon i1'ICCUr1 ��YIU 6 l
�1c o D �L� P
Bud
P.O. S
D b
Date
Subtotal Deposit 0 0 0 Credit Card 0 00 Tax Total
Gift Cert. 0 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.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
7/13/09 L032444A Maintenance jacket 20826 F 54.30
Total 54.30
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
J
Voucher No. Warrant No.
361204 Shumsky Allowed 20
P.O. Box 634934
Cincinnati, OH 45263 -4934
In Sum of
54.30
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. NCCT #/TITLE AMOUNT Board Members
Dept
1125 L032444A 4356004 54.30 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
30-Jul 2009
Signature
54.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund