HomeMy WebLinkAbout210968 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00350730 Page 1 of 1
ONE CIVIC SQUARE NASCO CHECK AMOUNT: $120.59
CARMEL,INDIANA 46032 901 JANESVILLE AVE
FORT ATKINSON VN 53538-0901 CHECK NUMBER: 210968
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 923056 120 . 59 GENERAL PROGRAM SUPPL
For proper credit to your account,please return this portion with your remittance and write your cuiiorrie;n6mberrinvoice#on your check.
Account: 538-026-00 P.O.Number: E0002616 Order No.: 52-3804-0 Invoice No.: 923056 Date: 6/13/12
-P-. —�e";g
r ---'�ExtendMi�
ata dg S6 11'".'-
orde�0 'C
LSh�ipi -'BaCko
21 AUTO 317/5734026
CONTACT NAME KOEPPER, DAWN
2 2 PK 9729921 CLAY PLUFFY 4 OZ ASST ST15 54.95 109.90
*YOUR ORDER IS COMPLETE*
***WITH THIS INVOICE""
Purchase 3awlirs
Description
P.o.# E0002.61G P or(p
G.L.4 q-- LL2 L039
Budget pAb q am &*&«
Line Descr&16jT"
Purchaser(T. Date
Approval Date_
Sold To: DETERS,TIFFANY Ship To: BUCKINGHAM,STEPHANIE NET TOTAL 109.90
CARMEL CLAY PARK&REC CARMEL CLAY PARK&REC SHIPPING/INSURANCE/HANDLING 10.69
1411 E 116TH ST 1235 CENTRAL PARK DR E
CARMEL IN 46032-3455 ORIGINAL INVOICE CARMEL IN 46032 SUB TOTAL: 120.59
TERMS: NET 30 DAYS
rajC0 Fort Atkinson TOTAL DUE: ---7-120�59-1
901JANESALLEAVENUE FORTATKINSON,WI 5353M901 THANK YOU
(9'0)56}2446 =:20)563-8296 FED.I.D.NO. 06-1165854
TOLLFREE M)55&9595 "SCO.- For Your Order
For proper credit to your account,please return top portion of this document with your remittance and write your account numberfinvoicL#on your check All claims for damages and/or shortages MUST be reported
WITHIN 10 DAYS after receipt of merchandise.MERCHANDISE MAY NOT BE RETURNED WITHOUT AUTHORIZATION.
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.
00350730 Nasco Terms
P.O. Box 901
Fort Atkinson, WI 53538-0901
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO # Amount
6/13/12 923056 Supplies $ 120.59
Total $ 120.59
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.
00350730 Nasco Allowed 20
P.O. Box 901
Fort Atkinson, WI 53538-0901
In Sum of$
$ 120.59
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-4 923056 4239039 $ 120.59 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
12-Jul 2012
Signature
$ 120.59 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund