HomeMy WebLinkAbout176454 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 361270 Page 1 of 1
0 wf ONE CIVIC SQUARE SUCCESSORIES LLC
CARMEL, INDIANA 46032 2520 DIEHL ROAD CHECK AMOUNT: $110.43
AURORA IL 60502 -9497 CHECK NUMBER: 176454
CHECK DATE: 8/19/2009
D EPARTM ENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION
1047 4358400 22314473 110.43 REFUNDS AWARDS INDE
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Successories A I
Please Remit to: 2 9
2520 DIEHL ROAD
AURORA, IL 60502 -9497 Date: 06/29/09 Page: 01
Phone: (800)535 -2773 Fax:(800)932 -9673 1
Sold to: 21521615 000 Ship to: 21521615 000
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
MICHELLE COMPTON MICHELLE COMPTON
1235 CENTRAL PARK DR E 1235 CENTRAL PARK DR E
CARMEL, IN 46032 -4421 CARMEL, IN 46032 -4421 NCj
TERMS DATE SHIPPED SALES REP CUSTOMER# OUR ORDER# INVOICE#
NET 30 DAYS 06/29/09 002 21521615 34164009 -01 22314473
CUSTOMER P.O.# ML 251314 FED. I.D.# 90- 0439929
QTY SHIPPED CODE NO. DESCRIPTION PRICE /UNIT TOTAL AMOUNT`
1 704112 Cl 9X1 1 H B /GLD QUALITY ROSE 49.99 EA 49.99
1 704232 Cl 9X11V B /GLD SERV HUMBIRD 49.99 EA 49.99
1 896093 MULTI PRD 10% INSERT TY CARD .00 EA .00
MERCHANDISE 99.98
TAX .00
SHIPPING 10.45
TOTAL INVOICE AMOUNT 110.43
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�4 JUL 2 2 2009
Purchase
DescriPti(on p p or F NU
P.O.
t3.L
300 ADO
Budget��
Line Descx
Purchaser Date
APPS
MERCHANDISE TAX SHIPPING MISC TOTAL
99.98 .00 10.45 110.43
PLEASE PAY AMOUNT IN TOTAL COLUMN
Thank You
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.
361270 Successories, LLC
2520 Diehl Rd Date Due
i
Aurora, IL 60502 -9497
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) ;22084 O
6/29/09 22314473 Intern plaque Amount
110.43
A Total110.43
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.
Allowed 20
361270 Successories, LLC
2520 Diehl Rd
Aurora, IL 60502 -9497 In Sum of
1
1 110.43
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1047 22314473 4358400 110.43 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
13 -Aug 2009
Signature
110.43 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund