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212362 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00353358 Page 1 of 1 �0 - ONE CIVIC SQUARE S&S CRAFTS WORLDWIDE INC + CARMEL, INDIANA 46032 ACCOUNTS RECEIVABLE CHECK AMOUNT: $2,057.94 PO BOX 210 CHECK NUMBER: 212362 HARTFORD CT 06141-0210 CHECK DATE: 8/2812012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 7422945 189 . 00 GENERAL PROGRAM SUPPL 1082 4239039 7425927 42 . 96 GENERAL PROGRAM SUPPL 1081 4239039 7438962 133 . 56 GENERAL PROGRAM SUPPL 1081 4239039 7441608 73 . 35 GENERAL PROGRAM SUPPL 1081 4239039 7442650 697 .45 GENERAL PROGRAM SUPPL 1081 4239039 7442709 208 . 33 GENERAL PROGRAM SUPPL 1081 4239039 7442759 713 . 29 GENERAL PROGRAM SUPPL �umon^ ORIGINAL INVOICE°��=z"«»qno�mm coucxcmzx'o�oo4/S-n/^ Po�c } v[ | WIC RETURN SERVICE REQUESTED 07/25/20 12 10459693 Nl---'I'-10 DAYS 7422945 nmvs:*oo-93r-34x2 Mir parnoxcis to improve the moeialfii0ric6-v rso /.o 06'0520020 nn��x�\\7n.cmo helphig peop/ephtv un//lettmn. ----- SOLD TO: AUG 0 3 2012 SF}/pTO: 107750114045107 FOREST DALE ELEMENTARY---- VALES B|MK40NDS C&KMU |-C|.«YpK8»� RECK ----' ACCOUNTS--' PAY&B8LE— C/\k[NEi CLAY PKS &, RECD ------ 1411 E ||6TUS[ 10721 TVLAKESHUKEDk ------ C/U04|--:L [N460;2'7611 C/\KN1EL, IN 46033-3999 I Its : INTGPI764 COLOR ME FOOTBALL HELMETSPK/12 EA I 1 0 30.110 30.11 Purchase Description LuaLLQ� BUZ Purchaser. Data_ Approval Date_ new possibilities Ibr your prograin. Didwc WOWVOU" Please let us know at 1-1\1�iiidA(hiiiiCtiiss\"\,.coiii. Youleedback]CIS us know how we canser,�e SIS9.00 $0.00 S().()() $0.00 $189.00 Amount Ko Received:^ � $Uo0 Credit Applied: m000 mmSS«r\V/x, "PLEASE DO NOT FOLD OR STAPLE" PLEASE PAY THISAMOUNT: lnr�vi,n IrAll 1-11­1­11 All claims must be made within 5 days after receipt of goods. S189.00 OX 516 ORIGINAL INVOICE W I""'"Worldwide L 1"w'C I of I COCI I F.STE'R.CT0641 S-0516 ................... .............. ............................................ q . ....... .... -X ...... :xxx, r ttj ... .......... ............. :.T . ...... ...... . .. ... ........... ............ ...... ...... .......... ..... .......... .......... .................-..................... .................................... RETURN SERVICE REQUESTED 07/30/2012 1045969, NET 10 DAYS 7425927 PI IONE:800-937-3482 Our purpose is to improve the socialfiihric by 1.D.06-0520020 \N1\V\\1.SS\VW p P r� .com helping people phy and learn. SOLD TO: AUG 13 2012 SHIP TO: 107756)11594469-5 CARM E L CLAY PKS &- RECR CAIZMI--'L CLAY PKS& ACCOUNTS PAYAPALE MEGAN STORMS 1411 E 116-11-1 ST 1235 CENTRAL PARK DR E CAIWEI.. IN 46032-7611 CARMEL, IN 46032-4421 ........ ...... ................ ................................. ............................ PAULA S ......... ...........I...................... ........ . ..... ...............................1..................................................... ........-.............. ............. ............................ ..... ...... j. ....`...... ......... ....................... X.. .......... 0 ... ...............:::: -- - . - j% ........ ................................ ..........P11IT111'', r -1.­...........%....-....... ...... .... ....... ....... ...... ..... 9421996-001 INTI-`1RNE­V UPS GROUND .........................-......-...... ........... X ............. ------ ........................ ............. ............................................-............-........................................................... t T v ............ ................. ....................... V 1"', ........... 0.J�. A - 10 ....... .. ... .............. ........ ............ ........................................ ........ ........ ..................................... ......... ............................................... .... ..... ...... ................ ......... INTTRI06 12 X6MM CHEN STEM ASST CLR PK/ EA I 1 0 17.400 17.40 INTASCIO DYNA-MITE MAGNETIC BUTTON PK/S EA 4 4 0 6.390 25.561 Purchase 3pscription 0.# E00oR 735 P 0� 31.# 90;39 -3udaet ? -ine-bescr676%ra,e /1 1luk a�/t/ii L5 'urchaser Date- kpproval_ Date- ............... ............. .......... W new Possibilities for your program. Didwe NVOW vwl? Please let Lis, ................................. ....... at liyaii(]Aclzijii( ss%\,\v.eotii. YOUleedback lets LIS Knox\'how we can serve $42.96 $0.00 S0.00 $0.00 $42.976 Nfou better. I I Amount Received: $0.00 M.1\1 SSW\\fINV "PLEASE DO NOT FOLD OR STAPLE" Credit Applied: $0.00 inrqM Wr 01 000301001 0000 -------All-claims-must-be_made within 5 days after receipt of goods. PLEASE PAY THIS AMOUNT: $42.96 0%&M orldwide P11 - -BOX's 16 ORIGINAL INVOICE '4150w % COLCHI`STE�R.CT0641 5-05 16 11,12C 1 Of I .......................... ......................... .........I.—...................... x:Ni;.Jib -11 T N be I .................. .............................. .................................................... ...... ....... ........... .............................................................................................................. ................ RETURN SERVICE REQUESTED 08/10/2012 10459693 Nl--'.'f'-10 DAYS 7438962 11110NI':800-937-3482 RE -D Our purpose is to improve the Social fabric by C FED.I.D.06-0520020 CFTV ED -C'7 F helping people play and learn. SOLD TO: AUG 162012 SHIP TO: 1077-56118416717 FOREST DALE ELEMENTARY CARMEL CLAY PKS&RECR VALESKA SIMMONDS ACCOUNTS PAYA13A1.1' CARMEL CLAY PARKS & RECREATION 1411 E 116TI-I ST 10721 W LAKESHORE DR CARMEL. IN 46032-7611 CARMEL, IN 46033-3999 ............ ............................................. ............... ................ ........ . ........... ............. ... ......... .... ..... itx. iiii��0.K i:ffi r It"' fil, ..... ................ ................. . ...................... ............ n V 9432728-001 I INTERNET1 U13S GROUND PAULA SCI-II,I--'MMI---'R E0002740 ...................... .. ...... .... ....... ...........I.............................. -X v -X Q. .)o ::.s -M 'R 10, r ..... ......... "A. ............ :q iff r-.:.....*......�**.......*' ....... Iww... ...... .......... ........ ............. ...... .. .......... -....................... ..................I....... INTFA3372 FELT BANNERS PK/12 EA I 1 0 10.870 10.87 INTGP457 VISORS SUPER PK/48 EA 1 1 0 23.520 23.52 INTW9671 KORNHOLE CHUX JUNIOR TOSSING G EA I 1 0 38.390 38.39 INT16827 S&S CHIP CHUCKIN GAME EA 2 2 0 30.390 60.78 Purchase Dr-.,ripiion P.O.# Ocoa-7 40 P off G.L.# Rudoet Unelpsck--�er J RM ro'n C PurchaseMeSha) Date Approval Date_ T 'VIAAI�ks for beult,one Of our VIP Custoniersl We hope vourorder op p il;�ii�iixvf ............ new possibilities f6r.your program. Didwe WOW you? Phase let U know at H_�!aiidAdafii(t-i�ss%%,Nv.coiii. Youleedback lets us know how we call son•e $133.56 $0.00 $0.00 $0.00 $133.56 you better. I I Amount Received: $0.00 Credit Applied: $0.00 NIAl SS\XrWINV "PLEASE DO NOT FOLD OR STAPLE" PLEASE PAY THIS AMOUNT: All claims must be made within 5 days after receipt of goods. $133-56 Morldwide P-'-'30X 516 ORIGINAL INVOICE Paue I of I C0I-ClIE'STI'R.CT06415-0516 .......... ............. ..............-........................... ................. Xv 'J 1.-T. N: b.C. 11NMICC. ............ ....:....0 TU C7 i .................... III fit''::: ..................111. ................................ ......................-....... ..................... ....................... ........ ................. ........... ...... ............................... ....................... RETURN SERVICE REQUESTED 08/14/2012 10459693 NET 30 DAYS 7441608 PHONE-:800-937-3482 Our purpose is to improve the socialfithric by FED.I.D.06-0520020 helping people play and learn. SOLD TO: SHIP TO: 10775611 S596168 RIFE C TF-1 CAIW17L CLAY 13KS&RI---;CR PRAIRIE TRACE ELEMENTARY SCH ACCOUNTS PAYABALE AUG 2 0 2012 MEAGAN STOREM 14111,-- 116TI-I ST 14200 RIVER RD CAI M---L. IN 46032-7611 CARMEL. IN 46033-9616 r rl III .......................- ................... .............................. .............. .................... .... ... ........... .. . ................................ .... . . --- .................... V .1a ...... .......... ....... V .0 . .......... ............ ..................... i M................ ..... v wit W..... .............................. ......... ...... ........................ ................................ We S.k. . ........ .......... ..................... ... .................. . ..... .............. .......... .................... ........................... 9435762-001 iNTE,'INEET UPS GROUND PAULA SCI-ILEMMER E-0002776 .................................................................................................................. ................................................................ ............. ......... T 4.Q: .............. .......:":::::: - -* .:J� - .................. ........................... ..................... .............................. ........................... ..................................... .............................. N" W`---,..,..,.... ................. M ........... 0.�c M.Kr ................ -......... ... ........... .. ... ................ ... ...... ....... ........ ........................ ................ ............................................. .................................................................................. ......... ...................I.......... INTSCIO36 CRAYOLA 12 CT ASSORTED MARKERS EA 7 7 0 4.310 30.17 LNGW4820 MESH COVERED FOAM DISC PK/6 EA 2 2 0 21.590 43.18 1 Purchase Description 54*Rkz P.O.# , ;r-C)00:;,7-7(o P G.L.# 1091--7-423qc)� Budoet Lyl Line-besb e4 --d Pc Purchaser m 5for rr�E!Dat�e Approval Date- .... . - ---- -- . ....... ...... .................... ............................... .... .. .... ... ......... rhanks for being one of our VIP Customers! NVehopeyourorderoPens LIP T, iiexv possibilities--1'6-r-Nr—otii---p-ro-�q--�illl.-]-)i(t-%Ve-\V'()N\,-V-OLI-'? Please let uskil NN, $73.35 ... .............. .............................— i Volt better. o $73.351 it I-IviiiidAdaiii(c-i,)ss%%,xN,.coiii. YOUleedback-lets us know how we call serve WOO $0.00 $0.00 Amount Received: S0.00 N121\1 SSNMINV "PLEASE DO NOT FOLD OR STAPLE" Credit Applied: $0.00 All claims must be made within 5 days after receipt of goods. PLEASE PAY THIS AMOUNT: S73.35 Morldwide P.O.BOX 516 ORIGINAL INVOICE l"we I Of I COLCI-IE'STER.CT0641 5-05 16 ................................................................... ................................ ..............: . ....... .... ........... ............ .......... ..................................................... K ................ ..................................... ....... ................ .............................................................................. .............-............. ........................... ..............................................1-1............. .............-... -........--...... ...................--..... ............................................ RETURN SERVICE REQUESTED 08/14/2012 10459693 MST 30 DAYS 1 7442650 PHONE:800-937-3482 Our purpose is to improve the socialfithric by FED.LD.06-0520020 \\1\VN\1.SS\\1\V.CONI helping people play and learn. REC rED7 �F SOLD TO: �,Tlv SHIP TO: T N3r 02 107756118596536 C:G CARME1 CLAY PKS 10---CR 7AU 2 0 2012 WEST CLAY ELEMENTARY SCHOOL Y. JENNIFER HAMMONS ACCOUNTS PAYABALI] 7BY 1411 ►-,' 1 16TI-I ST 3495 W 126TH ST CARME-L. IN 46032-7611 CARMEL, IN 46032-9557 . ................... ...... ....... ........ - . .................... .................................... G :ffi V. .... ........... ...... . ......... ............ VT.: umb k4..... ......... . .. .. -94>5 187-001 1INTE R-N­E T UPS GROUND PAULA SC f ILF.MM1 R 31 155 ....................................................... .............---:xX�:�X: ... ....................... -T....... ... 4 .......... ............ ....... 111ti. M-0i, ot .............. ................... ...... ... ..... .......... ................................. INTW9175 GATOR SKIN DODGEBALLS PK/6 EA 2 2 0 54.390 108.78 INTSZ660 RED HANDLE SAFETY SCISSORS PK EA I 1 0 6.790 6.79 INTPE1163 SUNWORKS GW CNSTR PAPER 9X12 A EA 2 2 0 8.950 17.90 INTGA4817 SCRABBLE EA 1 1 0 21.590 21.59 INTW7506 TWISTER EA I 1 0 22.390 22.39 INTW2040 UNO CARD GAME EA 2 2 0 6.390 12.78 INTSLI254 PLAYING CARDS PK/12 EA I 1 0 8.390 8.39 INTW9199 KIDS GAME PACK EA I 1 0 110.390 110.39 INTSC550 MARKER CR-AYL WSHBL CLSSPK/200 EA 1 1 0 79.960 79.96 INTW8522 SEA ATTACK GAME EA I 1 0 15.990 15.99 INTPE121 PAPER KRAFT 36INXI000FT WHITE EA I 1 0 51.990 51.99 INTPE676 RLRD BD 22X28 ZIPLY WHT PK25 EA 2 2 0 13.990 27.98 INTPE431 PAPER ORIGAMI 5-7/8IN PK/100 EA 2 2 0 8.000 16.00 INTSC1002 COLORSPLASH PENCILS PK/240 COL EA 1 1 0 49.430 49.43 INTBE1277 PONY BEAD BUCKET EA I 1 0 19.190 19.19 INTTRI06 12 X6MM CHEN STEM ASST CLR PK/ EA 1 1 0 17.400 17.40 INTSC890 CRAYONS COLOR SPLASH BOX 800 EA I 1 0 29.980 29.98 INTBE1245 FUSE BEAD BUCKET ASSORTMENT EA 1 1 0 17.190 17.19 INTW3801 NUMBERED PINNIES PK/12 RED EA 1 1 0 27.190 27.19 INTW3804 NUMBERED PINNIES PK/12 YE/GLD EA 1 1 0 27.190 27.19 C, rr purchase De Z 761 . . ........ ....... ................................. a.... ........... -order opens tip Thanks 1`6r,be�lq 0 Ir VIP pe youi 1 ew pos., .... ........- WMI..xx fl- 4 1 �ym e r vo we its know i� 6, ai Flvand. or v 11). Y01.1feedba ilaa an serve $698.50 $8.95 $0.00 $0.00 $697.45 ser you belle. I I Pureha Amount Received: $0.00 Credit Applied: $0.00 ,\,IAI ssNvW1NV "PLEASE DO NOT FOLD OR STAPLE" PLEASE PAY THIS AMOUNT: S697.45 11111----.---.-.-- . All claims must be made within 5 days after receipt of Ponds. MWorldwide P-0-BON 516 ORIGINAL INVOICE Paue I ot, I (201-CI-11',STE'R,CT06415-0516 ......................................... ...........................................i . ............................................... , ...................... ............................................... ................ ................................................................................. ...... ...... .............................. ...........................—.................................................................... ...... ....... er ......... ............................................ ...................-.1..................... ...... ......— .............. RETURN SERVICE REQUESTED OS/14/2012 10459693 NET 30 DAYS 7442709 PI-IONI':800-937-3482 Our purpose is to improve the social fabric' by j--i-a I.D.06-0520020 helping people play and learn. SOLD TO: REC F-,T*\.rFD SHIP TO: 107756118596572 AUG 2 0 2012 CARME-I,CLAY PKS&RECR PRAIRIE TRACE ELEMENTARY SCH ACCOUNTS PAYABALE MEAGAN STOREM 1411 E 116'ri-1 s,i, 14200 RIVER PD CARME-L, IN 46032-7611 CAR-MEL, IN 46033-9616 . ...........—...... ....................... .......... ............ ........................ ........... ........... ....... . ..... . .............. ..........P............... ............. . ................. ........... wr .......................................................... ...................— .... ............. .............. ........ . .. .... ..... ...... ................ ... ...................................... ....... ....... PAULA SCHI,E101%1F_lz E-000-2749 ... .............. ...... ....................-....................... ..................... ............. ........... ................... ................ �b. .... ........ .. .... ...... ......... .................. ....... ...................... . .....— .................. .................................................................... .................. ................... .... INTW4264 LITE FLITE SOFTBALLS PK/6 EA 2 2 0 6.390 12.78 INTW2637 CHESS EA 2 2 0 6.070 12.14 INTPT3049 GLITTER GLUE PAINT SET PK/4 EA I 1 0 6.070 6.07 INTPE1685 ARRAY CARDSTOCK COLORFUL ASSOR EA I 1 0 16.630 16.63 INTW3956 ECONOMY INDOOR/OUTDOOR SHUTTLE EA 4 4 0 3.190 12.76 INTW9706 COMPETITION FLYING DISC 10IN S EA 2 2 0 12.790 25.58 WBPW9365 JUMBO FLYING DISC SET OF 6 EA 2 2 0 31.190 62.38 INTPE113BK SUNWORKS GW PAPER CSTRCTN 9X12 EA 3 3 0 0.800 2.40 INTW9759001 SPECTRUM SUPER HOOPS 24IN PK12 EA I 1 0 45.590 45.59 INTPE113BL SUNWORKS GD PAPER CSTRCTN 9X12 EA 3 3 0 0.800 2.40 INTPE113BG SUNWORKS GW PPR CSTRCTN 9X12 P EA 3 3 0 0.800 2.40 INTPE113OG SUNWORKS GW PAPER CSTRCTN 9X12 EA 3 3 0 0.800 2.40 INTPE113PK SUNWORKS GW PPR CSTRCTN 9X12 P EA 3 3 0 0.800 2.40 INTPE113YE SUNWORKS GW PPR CSTRCTN 9X12 P EA 3 3 0 0.800 2.40 Purchase Dpscriotion'aw" P.O.# E000 2-7 49 PorF G.L.# Budqt Line g eSkIMOL' PrOM, � Purchaser l(M.16r U Date Approval Date_ Thanks for hemp .......... one of VIP Customer,,! We hope yourorder opens Lip X.. ............... --new Ifossibilities FoCwurprograim Please iet LIS'Kllo\\' ......—........... ---............ at FIN,aiidAdiiiii(,--i)ssN\,N\,.coiii. Youfeedback-lets its know how we can serve $208.33 $0.00 s0.00 $0.00 $208.33] you better. I I Amount Received: $0.00 ,MAI ssNN-wiNv "PLEASE DO NOT FOLD OR STAPLE" Credit Applied: $0.00 .... All claims must be made within 5 days after receipt of i2oods. PLEASE PAY THIS AMOUNT: $208.33 M&Orldwide P.O.BON 516 ORIGINAL INVOICE Pate I of I C'OLCHE'STER.cr06415-0516 .......... ................ ....... ............................................... ...... JIN, t.11 ..N wr 'U N be ......... .............X....4... xq............. X,-................ ....... ...... .............. ........I...................... ........ ... . ........ RETURN SERVICE REQUESTED 08/14/2012 10459693 NET 30 DAYS 7442759 PHONE:800-937-3482 Our purpose is to improve the social fabric by FED.I.D.06-0520020 helping people play and learn. SOLD TO: R.EcEiNTED SHIP TO: 107756118596605 �F�1'1 2017 AUG 2 0 S&RIJ TOWNE MEADOW ELEMENTARY CARMI_-L CLAY PK z ACCOUNTS PAYABALE DENEYSESOLAZZO 14 11 1-, 1 16'r11 ST BY:-: 10850 TO\VNE RD CARME-1. IN 46032-7611 CARMEL, IN 460332-8917 1 �X_2� CA,\_ C'� .... ................... ....... .................... .................*.............. ............................................. ............ W ...... .- --6.4k G . .......... ..... ........................................ ..... ......................... ....... ........ ............ . . ........ ....... . ....... . ........... ­04 73T2 r)7 75 Mr-1 TRTE IZ IW-, I RS G R 0 UIM J__ -PAU LA SCI I L 3i156 ........................... .. . ................. ......... .. ........................X-* -x -:-x-:-:-x.x.x.,-,. ................... ........................... "Vw, ...... ...... ..... .................... X ...... "D ... - ,* , 0 ........ ................ ;v vlv, ............. . ............. INTBE1207 FEATHERS FLUFF PK/200 ASST EA 2 2 0 3.750 7.50 INTPE431 PAPER ORIGAMI 5-7/8IN PK/100 EA 1 1 0 8.000 8.00 INTW9429 SPECTRUM SPIRAL FOAM FOOTBALL EA I 1 0 29.590 29.59 INTTRI05 POMPONS ASST SZ & CLR PK/300 EA 1 1 0 6.200 6.20 INTLR1902 LEGO BRICK SET EA I 1 0 47.990 47.99 INTW8360 SMEDLEY PLAYGROUND BALL SET PK EA I 1 0 27.990 27.99 WBPAC822 9X12 2MM EVA SHEETS PK/78 ASST EA 2 2 0 14 .990 29.98 INTCL266 MODEL MAGIC CRAYOLA 4 CLR -2LB EA 1 1 0 16.790 16.79 INTCL287 CRAYOLA MODEL MAGIC NEON 2LB EA I 1 0 19.190 19.19 INTBE1277 PONY BEAD BUCKET EA I 1 0 19.190 19.19 INTBE435 BEAD BUDGET ILB ASSORTED EA 3 3 0 5.590 16.77 INTLA462 CS ASSORTED LACING BX/50 EA 1 1 0 70.790 70.79 INTSC795 PENCLS CLRD CLSPK/240 12COLRS EA 1 1 0 46.910 46.91 INTSC809 CRAYOLA MARKR CLSSPACK 16COLR EA I 1 0 60.790 60.79 INTAC756 1/2 LB FOAM ALPH W/ADH EA 1 1 0 7.510 7.51 INTPE1685 ARRAY CARDSTOCK COLORFUL ASSOR EA I 1 0 16.630 16.63 INTST2479 JUMBO VALUE PK 105 SKEIN EMBRD EA 1 1 0 18.790 18.79 INTSC800 CRAYOLA CRAYNS CLSPK/800 16CL EA 1 1 0 62.860 62.86 INTPE1163 SUN-WORKS GW CNSTR PAPER 9X12 A EA 2 2 0 8.950 17.90 INTPE1660 SCRATCH ART CREATIVE SHAPES PK EA I 1 0 15.990 15.99 INTPE1497 MULTI-COLOR SCRATCH ART BOARD EA I 1 0 17.190 17.19 INTBE1245 FUSE BEAD BUCKET ASSORTMENT EA 2 2 0 17.190 34.38 INTW4860002 SPECTRUM B-BALL INTER PK6 EA 1 1 0 46.390 46.39 WBPW9969001 SPECTRUM SOCCER FUNBALL SET SZ EA 1 1 0 47.990 47.99 LNGW5944003 48X24 MESH BALL BAG GREEN EA 2 2 0 9.990 19.98 . .. ............... U "N... 'flianks for being one of V113 Customers! XN'ehopeyourorderopens tip il�i� .......................... lieNN,Possil)ilitiesl'oi--Notii-pro.graiii. Did%veNN'OWN0L1? Pleasc let usknoM..... . . ...... ............... -)ssww.coni. Youteedback-lets iisknowhowwecan, i it 1-1-yariclAclarri(a, se We $713.29 $0.00 $0.00 $0.00 $713.29 you better. I i Amount Received: S0.00 " Credit Applied: $0.00 "PLEASE DO NOT FOLD OR STAPLE NIA]SSNV\V1N\1 PLEASE PAY THIS AMOUNT: All claims must be made within 5 days after receipt of izoods. $713.29 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. 00353358 S & S Worldwide, Inc. Terms P.O. Box 210 Date Due Hartford CT 06141-0210 j7/25/12 oice Invoice Description ate Number (or note attached invoice(s) or bill(s)) PO# Amount 7422945 Sup lies $ 189.00 0112 7425927 Su plies $ 42.96 8/10/12 7438962 Supplies — $ 133.56 8/14/12 7441608 Supplies $ 73.35 8/14/12 7442650 Supplies 31155 $ 697.45 8/14/12 7442709 Supplies $ 208.33 8/14/12 7442759 Supplies 31156 $ 713.29 I 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 TOTAL $ 2,057.94 120 Clerk-Treasurer i Voucher No. Warrant No. 00353358 S & S Worldwide, Inc. Allowed 20 P.O. Box 210 Hartford CT 06141-0210 In Sum of$ $ 2,057.94 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-4 7422945 4239039 $ 189.00 1 hereby certify that the attached invoice(s), or 1082-1 7425927 4239039 $ 42.96 bill(s) is(are)true and correct and that the 1081-4 7438962 4239039 $ 133.56 materials or services itemized thereon for 1081-7 7441608 4239039 $ 73.35 which charge is made were ordered and 1081-10 7442650 4239039 $ 697.45 received except 1081-7 7442709 4239039 $ 208.33 1081-9 7442759 4239039 $ 713.29 23-Aug 2012 7 Signature $ 2,057.94 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund