207869 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 365924 Page 1 of 1
ONE CIVIC SQUARE GEIGER CHECK AMOUNT: $629.85
CARMEL, INDIANA 46032 PO BOX 712144
CINCINNATI OH 45271 -2144 CHECK NUMBER: 207869
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CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4356005 2226960 68.27 PARTICIPANT CLOTHING
1094 4356004 2232835 561.58 STAFF CLOTHING
4 INVOICE 2226960
Date 03/14/12 OUR ORDER 6462061 Page
GEIGER REPRESENTATIVE: R1 R /RAY JESS
MIDWEST DIVISION DUE DATE: 03/24/12
Phone 813/319 -7600 SHIP VIA UPS Ground COMMERCIAL
Fax 813/319 -7601 TERMS: Net 10
CUST REFERENCE:
For billing questions call: 1 -800- 508 -5820 TERMS OF DE Shipping dling (Invoice)
CUST PO# MC002588
BILL TO: CARMEL CLAY PARKS RECREATION SHIP TO: CARMEL CLAY PARKS RECREATION
DAWN KOEPPER DAWN KOEPPER
1411 E. 116TH ST. 1411 E. 116TH ST.
CARMEL IN 46032 CARMEL IN 46032
Customer number 673308
Buying entity
Ship Quantity
Description Date Shipped Back Order Unit Price Amount
TANK, REVERSIBLE MESH ADULT 02/24/12 1 19.950 19.95
TANK, REVERSIBLE MESH ADULT 02/24/12 2 19.950 39.90
IMPRINT CHARGE 03/02/12 3
NUMBERS CHARGE 03/02/12 6
Purchase
Description JERSEYS
P.O.# MCn0QSRB PorF
G.L. 10910. 50 .43-5 (b o05 MAR 6 2012
L D t f* N
Line Uescr l� �1
Purchaser Date By
Approval Date
PLEASE REMIT PAYMENT TO: Rate Subtotal 59.85
CudMpbw ®Checkcwd using for p
Sales Tax
Geiger 0 Ship Handling 8.42
PO Box 712144 bwaWi A wx
Other Fees
Cincinnati, OH 45271 -2144 a Total Invoice 68.27
XsO N Mt Ckd Payment
Please reference our invoice number 2226960 when remitting payment. Balance Du USD 68.27
A 1.5% per month service charge will be added to balances more than 30 days past due.
-R-ECEIVED
MAR 2 9 2012 INVOICE 2232835
Ge W
Date 03/28/12 OUR ORDER 6473089 Page
BY:
GEIGER REPRESENTATIVE: R1 R /RAY JESS
MIDWEST DIVISION DUE DATE: 04/07/12
Phone 813/319 7600 SHIP VIA UPS Ground COMMERCIAL
Fax 813/319 7601 TERMS: Net 10
CUST REFERENCE:
For billing questions call 1- 800-508-5820 TERMS OF DEL: Shipping Handling (Invoice)
CUST PO# 30569
BILL TO: CARMEL CLAY PARKS RECREATION SHIP TO: CARMEL PARKS MONO CENTER
DAWN KOEPPER ERIC MEHL
1411 E. 116TH ST. 1235 CENTRAL PARK DR. EAST
CARMEL IN 46032 CARMEL IN 46032
Customer number 673308
Buying entity
Ship Quantity
Description Date Shipped Back Order Unit Price Amount
EMBROIDERY RUNNING CHARGE 03/27/12 100
VISOR, STORM, COTTON TWILL 03/22/12 50 5.000 250.00
CAP, LOW CROWN UNCONSTRICTED 03/22/12 50 5.520 276.00
Purchase 1� K U1')i -kXM5
De a iption
P.O. I P r F
G.L. c— )'t�t�, L--
Line cJ o f C�Q4 tl
Line �Descr
Purchaser Date
Approval Date
PLEASE REMIT PAYMENT TO Rate Subtotal 526.00
Sales Tax Check
Geiger Ca�Nu Ship Handling 35.58
PO Box 712144 5wwa"Data Amamt F x Other Fees
Cincinnati, OH 45271 -2144 Total Invoice 561.58
SO?A"B DkWWX0W,* M=WC -d Payment
Please reference our invoice number 2232835 when remitting payment. Balance Due USD 561.58
A 1.5% per month service charge will be added to balances more than 30 days past due.
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.
365924 Geiger Terms
P.O. Box 712144
Cincinnati, OH 45271 -2144
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/14/12 2226960 Jerseys 68.27
3/28/12 2232835 Visors, caps for waterpark uniforms 30569 561.58
Total 629.85
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.
365924 Geiger Allowed 20
P.O. Box 712144
Cincinnati, OH 45271 -2144
In Sum of
629.85
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 2226960 4356005 68.27 1 hereby certify that the attached invoice(s), or
1094 2232835 4356004 561.58 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 -Apr 2012
2&mIlYmA
Signature
629.85 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund