168705 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 361270 Page 1 of 1
ONE CIVIC SQUARE SUCCESSORIES LLC
CARMEL, INDIANA 46032 38646 EAGLE WAY
CHECK AMOUNT: $60.44
CHICAGO IL 60678 -1386 CHECK NUMBER: 168705
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4359000 22282534 60.44 SPECIAL PROJECTS
t��
INVOICE
Please Successories, LLC
Please Remit to:
38646 EAGLE WAY
CHICAGO, IL 60678 -1386 Date: 12/16/08 Page: 01
Phone: (800)535 -2773 Fax:(800)932 -9673
Sold to: 21521615 000 Ship to: 21521615 000
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
jESS PINTER TESS PINTER
1235 CENTRAL PARK DR E 1235 CENTRAL PARK DR E
CARMEL, IN 46032 -4421 CARMEL, IN 46032 -4421
TERMS DATE SHIPPED SALES REP CUSTOMER# OUR ORDER# INVOICE#
NET 30 DAYS I 12/16/08 I 002 I 21521615 34092654 -01 I 22282534 I
CUSTOMER P.O.# ML 158420 FED. I.D.# 30- 0150021
QTY SHIPPEb CbDEiNO. DESCRIPTION PRICE /UNIT TOTAL A.MOUNT::
1 704102 CI 9X1 1 V B /GLD ATTD DROP 49.99 EA 49.99
MERCHANDISE 49.99
TAX .00
SHIPPING 10.45
TOTAL INVOICE AMOUNT 60.44
RECETNT M
JAN 2 9 2009
BY:
Purchase
Description yl
P.O. U P
r ff
G.L. `i 4 0 �I C
Budget
Line Descr 0 r Ca f4�__
Purchaser Date
Appro Da
MERCHANDISE TAX SHIPPING MISC TOTAL
49.99 .00 10.45 60.44
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.
J
361270 Successories, LLC Date Due
38646 Eagle Way
Chicago, IL 60678 -1386
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/16/08 22282534 Intern plaque 60.44
Total 60.44
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.
Allowed 20
361270 Successories, LLC
38646 Eagle Way
Chicago, IL 60678 -1386 In Sum of
Or
�r 60.44
t.
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 22282534 45bqO0O 60.44 1 hereby certify that the attached invoice(s), or
y 3590 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
2 -Feb 2009
Signature
60.44 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I