208457 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 360884 Page 1 of 1
ONE CIVIC SQUARE SCHOOL OUTFITTERS
CARMEL, INDIANA 46032 3736 REGENT AVE CHECK AMOUNT: $412.16
CINCINNATI OH 45212 -3724 CHECK NUMBER: 208457
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 1926474 412.16 GENERAL PROGRAM SUPPL
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Phone: 1- 866 619 -3776 Invoice Fax: 1- 800 -494 -1036
i invoice
3736 Regent Ave.
OUTF
Cincinnati, Ohio 45212 -3724 INV1926474
Apr 6, 2012
www.schooloutfitters.com A p
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Bill To Ship To
City of Carmel Carmel Clay Parks Recreation
Accounts Payable Tiffany Buckingham
1411 E 116th St 1235 Central Park Dr E
Carmel, IN 46032 -3455 USA Carmel, IN 46032 -4421 USA
Phone: 1 (317) 573 -4026 Fax: 1 (317) 571 -4136 Phone: 1 (317) 573 -4026 Fax:
.Email: dkoepper@carmelclayparks.com Email: tbuckingham @carmelclayparks.com
Customer PC: 30627
ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE= ORDER NUMBER PAYMENT DUE
C1494835 INV1926474 4/5/2012 ORD1403812 515/2012
UNIT °EXTENDED
SKU DESCRIPTION QUANTITY PRICE PRICE
NPS -6218H 6200 STOOL ADJUSTABLE HEIGHT (19" 27' H) 10 $27.99 $279.90
ANY QUESTION OR DISCREPANCIES CONCERNING THIS ORDER MUST BE REPORTED SUB TOTAL $279.90
WITHIN SEVEN DAYS TO OUR SALES AND SERVICE DEPARTMENT AT 1- 866 619 -1776 SHIPPING HANDLING $132.26
SALES TAX $0.00
INVOICE TOTAL $412.16
Purchase
o 1� AMOUNT PAID /CREDIT $0.00
Q= =:cription �y t� Z0 AMOUNT DUE $412.16
P.O.# PorF U J
G.L.
'CUdget
Line Descr
Purchaser Date
Approval Data
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.
360884 School Outfitters Terms
3736 Regent Ave. Date Due
Cincinnati, OH 45212 -3724
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/6/12 INV1926474 Art Studio stools 30627 412.16
Total 412.16
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
i
Voucher No. Warrant No.
360884 School Outfitters Allowed 20
3736 Regent Ave.
Cincinnati, OH 45212 -3724
In Sum of
412.16
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -99 INV1926474 4239039 412.16 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
19 -Apr 2012
Signature
412.16 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund