209158 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 365924 Page 1 of 1
ONE CIVIC SQUARE GEIGER
CARMEL, INDIANA 46032 PO Box 712144 CHECK AMOUNT: $411.70
CINCINNATI OH 45271 -2144 CHECK NUMBER: 209158
CHECK DATE: 5/2212012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4356004 2249665 411.70 STAFF CLOTHING
CFrVFD INVOICE 2249665
MAY 7u01r��2 Pa ge
1
os,oa OUR ORDER 6488 78 g
GEIGER REPRESENTATIVE: R1 R /RAY JESS
Phone 207 755 -2252 DUE DATE: 05/14/12
Fax 207 755 2152 SHIP VIA UPS Ground COMMERCIAL
TERMS: Net 10
CUST REFERENCE:
For billing questions call: 1- 800 508 -5820 TERMS OF DEL: Shipping Handling (Invoice)
CUST PO# 30667
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
50/50 BLEND T -SHIRT 04/19/12 60 6.350 381.00
IMPRINT RUN CHARGE 05/02/12 60
SETUP CHARGE 05/02/12 2
Purchase
Description i s I
P.O. �(X�(n� P r F
Budget
Lina Descr
Purchaser Date
Approval Date
PLEASE REMIT PAYMENT TO: Rate Subtotal 381.00
faroNun+ber
Check card using for pays ent
020M Sales Tax
Geiger VI& Ship Handling 30.70
PO Box 712144 EvpnBann Date Am m
uxe amexen eWas Other Fees
Cincinnati OH 45271 -2144 a��
Total Invoice 411.70
S ere DiscovefNBMDri Masmr Card
Payment
Please reference our invoice number 2249665 when remitting payment. Balance Due USD 411.70
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
5/4/12 2249665 Uniforms for summer concessions 30667 411.70
Total 411.70
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
1 20_
Clerk- Treasurer
Voucher No. Warrant No.
365924 Geiger Allowed 20
P.O. Box 712144
Cincinnati, OH 45271 -2144
In Sum of
411.70
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1095 -1 2249665 4356004 411.70 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
17 -May 2012
Signature
411.70 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund