210519 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 360409 Page 1 of 1
ONE CIVIC SQUARE RACO INDUSTRIES CHECK AMOUNT: $839.04
CARMEL, INDIANA 46032 PO BOX 932312
CLEVELAND OH 44193 CHECK NUMBER: 210519
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4239099 IN367944 839.04 OTHER MISCELLANOUS
H I S T O R I C A L
5480 CreekRoad �Involce# IN36794
Cincinnati, OH 45242
Phone: 3- 984 -2101 g Date w 5/25/2012
INDUST�iIES Fax: 51 792 -4272 sp age
REMIT TO: PO Box 932312
Cleveland, OH 44193
BILL TO: SHIP TO:
Carmel Clay Parks Recreati Carmel Clay Parks Recreatio
1411 East 116th St. 1235 Central Park Drive East
The Monon Center.
Carmel IN 46032 Carmel IN 46032
Purchase Order No Customer ID S esperson D�� Sh�ippmg Met Payment Terms gf Ship ate Order No
30769 CAIN5701 SM UPS GNDCOM Net 30 5/24/2012 ORD303716
x c3 CeS�r lor' ..a. Unt�P r.Ce `�.s EXt f�rlCe
Shipped Uof M ItemtNumbert
p
4..,. .'r
88.000 EA RCC40KEY Monon Ctr Green- Bus Style Key Tag w /Barcode $0.330 $821.04
TVED
MAY 3 0 2012
Purchase bm-c
Description
P.o. 3070 P o(F
G.L. 101 4 Z?)9C)99
Bt!eg t p
Line Descr
Purchaser Data
Approval Daate
Attn: Dawn Koepper
Item (s) Listed May Reflect An Underrun
TRACKING NUMBERS: 121115860360379482
PLEASE PAY FROM THIS INVOICE Frfe ght $18.00
A FINANCE CHARGE OF 2% PER MONTH (24% ANNUAL PERCENTAGE RATE)
WILL BE CHARGED ON THE UNPAID BALANCE OF YOUR ACCOUNT NOT PAID Tax $0.00
WITHIN THE TERMS LISTED ABOVE. RETURNS ARE SUBJECT TO A 15 -25% Total $839.04
RE- STOCKING CHARGE. ALL RETURNS REQUIRE A RETURN AUTHORIZATION
NUMBER OR SHIPMENT WILL BE REFUSED. MOST PRODUCTS ARE RETURNABLE
ONLY WITHIN 14 DAYS FROM THE DATE OF SHIPMENT.
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.
360409 RACO Industries LLC Terms
P.O. Box 932312
Cleveland, OH 44193
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/25/12 IN367944 Green key FOB passes 30769 839.04
Total 839.04
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.
360409 RACO Industries LLC Allowed 20
P.O. Box 932312
Cleveland, OH 44193
In Sum of
839.04
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. CCT #/TITLE AMOUNT Board Members
Dept
1091 IN367944 4239099 839.04 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
28 -Jun 2012
Signature
839.04 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund