210365 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 365924 Page 1 of 1
0 ONE CIVIC SQUARE GEIGER
CARMEL, INDIANA 46032 PO BOX 712144 CHECK AMOUNT: $354.49
CINCINNATI OH 45271 -2144
CHECK NUMBER: 210365
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4356004 2263884 104.95 STAFF CLOTHING
1091 4356004 2263884 220.54 STAFF CLOTHING
1096 4356004 2263884 15.30 STAFF CLOTHING
1125 4356004 2263884 13.70 STAFF CLOTHING
a
INVOICE 2263884
Date 06/05/12 OUR ORDER 6486862 Page 1
GEIGER REC VED REPRESENTATIVE: R1 R /RAY JESS
Phone 207 -755 -2252 �IAI DUE DATE: 06/15/12
Fax 207 755 -2152 JUN 062012 SHIP VIA UPS Ground COMMERCIAL
TERMS: Net 10
BY: CUST REFERENCE:
For billing questions call: 1 -800 -508 -5820 TERMS OF DEL: Shipping Handling (Invoice)
CUST PO# A0000106
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 Ouantity
Description Date Shipped Back Order Unit Price Amount
SHIRT, LADIES FINE PIMA PIQUE 04/17/12 4 17.990 71.96
SHIRT, FINE PIMA PIQUE POLO 04/17/12 5 20.990 104.95
T- SHIRT. GILDAN 04119112 1 6.350 6.35
T- SHIRT, GILDAN 04/19/12 1 7.350 7.35
EMBROIDERY RUNNING CHARGE 05/02/12 15
CARDIGAN, CHELSEA LADIES 04/19/12 1 34.970 34.97
JACKET, LADIES SOFT SHELL PERF 04/25/12 1 47.800 47.80
WOMENS TECH CREW 04/25/12 2 15.300 30.60.
Purchase
d 5 4 _D J 13'� Description
P.O. P 0j F
/0 Y/ -Q9 1(��l Qjr- G.L.#
Budget
Line Descr
1 3 0 Purchaser Dat
Approval Date
PLEASE REMIT PAYMENT TO: Rate Subtotal 303.98
Check card using for paynnem Sales Tax
Card Number
Geiger VISA* Ship Handling 50.51
PO Box 712144 Fp"wn Date Anwum V+ Ame .Ew— Other Fees
Cincinnati, OH 45271 -2144 Total Invoice 354.49
Sgnaa,m Disco v Nefw hf.S C ld
Payment
Please reference our invoice number 2263884 when remitting payment. Balance Due USD 354.49
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
6/5/12 2263884 Uniforms 30913 13.70
6/5/12 2263884 Uniforms 30913 104.95
6/5/12 2263884 Uniforms 30913 220.54
6/5/12 2263884 Uniforms 30913 15.30
Total 354.49
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
354.49
ON ACCOUNT OF APPROPRIATION FOR
101 General 108 ESE 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 2263884 4356004 13.70 1 hereby certify that the attached invoice(s), or
1081 -99 2263884 4356004 104.95 bill(s) is (are) true and correct and that the
1091. 2263884 4356004 220.54 materials or services itemized thereon for
1096 -21 2263884 4356004 15.30 which charge is made were ordered and
received except
28 -Jun 2012
Signature
354.49 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund