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209185 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 354296 Page 1 of 1 ONE CIVIC SQUARE HOBBY LOBBY STORES CARMEL, INDIANA 46032 PO BOX 960070 CHECK AMOUNT: $136.01 OKLAHAMA CITY OK 73196 -0070 CHECK NUMBER: 209185 CHECK DATE: 5/22/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 9232090 136.01 GENERAL PROGRAM SUPPL 7707 SOUTHWEST 44th STREET PAGE:1 of 1 OKLAHOMA CITY, OKLAHOMA 73179 FED. I.D. #73- 1032203 FAX (405) 745 -1512 Account Inquiries https :Hcards.hobbylobby.com /archarge or (877) 303 -4938 RYCE IVED- D TE: Email: acctsrec @hobbylobby.com 04/30/2012 MAY 0 7 2012 CARMEL CLAY PARKS RECREATION BY: ATTN: ACCOUNTS PAYABLE ACCOUNT NO. 9232090 1411 EAST 116TH STREET i CARMEL IN 46032 CARD N0. 79000019370 6TE DESCRIPTION 3122112 Charge 33997434 32212 71'7 4/19/12 Charge 34251780 041912 4/19/12 Charge 34252903 2382 4/19/12 Charge 34252937 2338 19.71 4/27/12 Payment 208323 0.00 0.00 5.99 136.01 5.99- 136.01 6£06£ZV l 6£06£ZV 6£06£ZV I 96ZtS£ #A 66 8. 6806 5 sailddns sailddns sailddns wei6oid wei6oid wei6oid jeaauaO leaaueo lejaueo 806 pun_A Aggo AggoH 14101 60'9£6 9L'£9 6L'66 17979 I I bS'ZS 08L �SZ j Z 6/6 �/b0 9L'c9 1 I £06ZSZ Z �/6 070 1 6L j L£6ZSZ Z 6/6 0VO I6£06£ZV I6£06£ZV I6£06£Zb I96ZI79£ #A 66 8 5 sailddns sailddns sailddns uaea6ojd wei6oid wei6oid jeaaua0 Ie aauaO jejaua 806 punk Aqqo AggoH 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. 354296 Hobby'Lobby Date Due P.O. Box 960070 Oklahoma City, OK 73196 -0070 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4/30/12 9232090 Supplies 52.54 4/30/12 9232090 Supplies 19.71 4/30/12 9232090 Supplies 63.76 Total 136.01 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 354296 Hobby Lobby P.O. Box 960070 Oklahoma City, OK 73196 -0070 In Sum of 136.01 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -5 9232090 4239039 52.54 1 hereby certify that the attached invoice(s), or 1081 -8 9232090 4239039 19.71 bill(s) is (are) true and correct and that the 1081 -11 9232090 4239039 63.76 materials or services itemized thereon for which charge is made were ordered and received except 17 -May 2012 Signature 136.01 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund