212177 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 353538 Page 1 of 1
0 ONE CIVIC SQUARE DISCOUNT SCHOOL SUPPLIES
CARMEL, INDIANA 46032 PO BOX 6013 CHECK AMOUNT: $86.47
CAROL STREAL IL 60197-6013
CHECK NUMBER: 212177
CHECK DATE: 8/2812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239012 1081 86 . 47 SAFETY SUPPLIES
•v
)JIGUINS0®®L�.. PLEASE REMIT TO:
www.DiscountSchoolSupply.com ZF-, 'C .��� __._ DISCOUNT SCHOOL SUPPLY
P.O. BOX 6013
Accounting Dept.Ph: 800-482-5846 Fax: 800-631-539 Carol Stream, IL 60197-6013
email:actrec @discountschoolsupply.com AUG 17 2012
Customer Service:800-627-2829 Fax:800-879-3753
email:customerservice @discountschoolsupply.com BY: _I SHIP TO(IF OTHER THAN"SOLD TO")
YOUR ACCOUNT NO.
>®y e e e e e e DENEYSE SOLAZZO
e•e e e � e �•e e
0007470867 TOWNE MEADOW ELEMENTARY
SCHOOL
TOLD I�Ir�Lllr�ll�r���ll���l�l��lir�l��lrl�lr�l�lr���ll��rll�ll��l 10850 TOWNE RD
CARMEL CLAY PARKS & RECREATION CARP/IEL, IN 46032
Accounts Payable
1411 E 116th St
Carmel IN 46032-3455
7:377
EOOC2763
YOUR PURCHASE ORDER NUMBER AND DATE
OUR INV.DATE SHIPPED VIA DATE SHIPPED
INV.NOdORDER NO. Payment Due by: 09/13/12
W155695SO102 08/14/12 UPS GROUND 08/13/12
ORDERED SHIPPED ITEM NO. DESCRIPTION UNIT PRICE EXTENDED AMOUNT
DENEYSE SOLAZZO
1 1 BIGFAB BRIGHT FUN FABRIC - 35 SHEETS, 9" X 12" 5.95 5.95
2 2 FANNYPK FANNY PACK FIRST AID KIT- 113 PIECES 38.99 77.98
1 1 FUEL ORDER FUEL SURCHARGE 2.54 2.54
t;i r,6L Aid
Purchase - OOPU U)
1
Description p cr.F
P.O.# E000 a-7 -
G.L.# I0$I -C1-.0423901
Budget
Line Descr
Purchaser Date
Approval Date —ORIGINAL SALES TAX FOB SHIPPING&HANDLING
.: .. KS $ 86 .47
, s "ThsnX you for choosing Discount School Sup s' 1 °f 1
Remember!You can also pay your invoice by VISA, MasterCard, Discover or American Express. Please see reverse of payment stub.
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.
353538 Discount School Supply Terms
P.O. Box 6013 Date Due
Carol Stream, IL 60197-6013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO # Amount
8/14/12 W15569550102 First aid supplise $ 86.47
Total $ 86.47
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
i
Voucher No. Warrant No.
Discount School Supply Allowed 20
353538 P.O. Box 6013
Carol Stream, IL 60197-6013
In Sum of$
$ 86.47
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-9 W15569550102 4239012 $ 86.47 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
23-Aug 2012
Signature
$ 86.47 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund