179421 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 361270 Page 1 of 1
ONE CIVIC SQUARE SUCCESSORIES LLC
CARMEL, INDIANA 46032 2520 DIEHL ROAD CHECK AMOUNT: $60.44
AURORA IL 60502 -9497 CHECK NUMBER: 179421
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
1047 4239039 5647 60.44 GENERAL PROGRAM SUPPL
r' Succe.ssories I NVOICE
inspire someone
1040 Holland Drive DAT August 11, 2009
Boca Raton, FL 33487 INVOICE 5647
Phone 800 535 -2773 Fax 561- 998 -7716 PC
Bill To:
CARMEL CLAY PARKS RECREATION
1235 CENTRAL PARK DR EAST
CARMEL, IN 46032
Description Item# Quanity Unit Price AMOUNT
I CI 9X11 B /GLD MIH CLIMBER 704230 1 49. 19 49.99
FREIGHT 10.45
n
NOV 0 2 2009
Ly.
Purchase
Description U)L
P.O.# PorF
L Desor 1 f o1 5Ut7j� Lit
�j
Purchaser Date TJ
Apps �}E Y� Date -1
TOTAI
Make all checks payable to SuccessOries.
If you have any questions concerning this invoice, please contact Joseph Hennessey at 561-226-4:.62
or email joe.hennessey @successories.com
THANK YOU FOR YOUR BUSINESS!
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.
Successories Date Due
1040 Holland Drive
Boca Raton, FL 33487
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8/11/09 5647 Plaque 60.44
Total 60.44
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.
Allowed 20
Successories
1040 Holland Drive
Boca Raton, FL 33487 In Sum of
60.44
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 5647 4239039 60.44 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
5 -Nov 2009
Signature
60.44 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund