213008 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 365844 Page 1 of 1
ONE CIVIC SQUARE FUN EXPRESS
CARMEL, INDIANA 46032 PO BOX 790403 CHECK AMOUNT: $59.95
ST LOUIS MO 63179-0403 CHECK NUMBER: 213008
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 65273282101 59. 95 GENERAL PROGRAM SUPPL
80 Invoice 9: 652732821-01
Date: 8/31/2012
When it comes to fun, Page#: 1
we're all business.,,,
SOLD TO: SHIP TO:
CARMEL CLAY PARKS&REC** PRAIRIE TRACE ELEMENTARY SCHOO
1411 E 116TH ST 14200 RIVER RD
CARMEL, IN 46032-7611 CARMEL, IN 46033-9616
PurcliaseOrdzrhlumlier ate Ordered . DafeShlppe'd ackOrders. Terms
.
E00019. 8t31t2412 Sf31i2b12 .. Q
NET39 DAYS:: .
Servlee Representatl�i N1ulber of Cartons w]::elglt Shlpped.U>a
1 ' I�4 ,�.�
Item Nvmber Order:Qty sh li Qtp Description IIn#t Price I x amount
.:.;.
1D-3/1095 10 DZ 10 PAPER CHEF HAT 5.00 50.00
AO-99/ENVL 1 PC I ATTACH PACKING LIST ENVELOPE
Purchase Wpa7UE� T°77�i��
Description
P.O.# �C a�'191 P0'0 SEP 0 7 2012
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Purchaser CS Date
Approval Date
Call to speak to a customer service representative: 1-800-228-0122
Merchandise Shlpprng,&Handling Sales Tax Tota(Amount Certificate/Other Payments Balance'Due
0.00. .:....... 9.45 : 59.951; 59;95!
v♦ PLEASE DETACH AND RETURN WITH REMITTANCE vv
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Ron Ely:it r:0>
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.
365844 Fun Express Terms
P.O. Box 790403
St. Louis, MO 63179-0403
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/31/12 65273282101 Supplies $ 59.95
Total $ 59.95
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.
365844 Fun Express Allowed 20
P.O. Box 790403
St. Louis, MO 63179-0403
In Sum of$
$ 59.95
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-7 65273282101 4239039 $ 59.95 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
20-Sep 2012
Signature
$ 59.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund