213092 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 366018 Page 1 of 1
ONE CIVIC SQUARE M C SPORTS CHECK AMOUNT: $214.27
CARMEL, INDIANA 46032 3070 SHAFFER SE
a� GRAND RAPIDS MI 49512 CHECK NUMBER: 213092
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 2120425 276 . 62 GENERAL PROGRAM SUPPL
1096 4239039 2120512 -62 . 35 GENERAL PROGRAM SUPPL
remit to: MC SPORTS
3070 SHAFFER S.E.
GRAND RAPIDS, MI 49512
(616) 942-2600
Carmel Clay Parks &Recreation Invoice # 2120425
1411 E. 116th Street
Carmel, IN 46032 Date 04/09/12
Order#
QUANTITY DESCRIPTION PRI AMOUNT
6 Foam Football 1832755 10.39 62.35
12 Champro Plastic Basketball Hoop 24in 1832761 4.79 57.50
2 Champro Mesh Ball/Laundry Bag Ry 1970492 6.39 12.78
1 Olympia Cosom 36" Floor Hockey Set 2204032 143.99 143.99
"V
Purchase D L� ,n � "``- 1 -.-
Description U tJ G S E P 17 2012
P.O.# q� n P
G.L.g# UAL , ,, .,,U/�'
Line Des %�W�'�� -
Purchaser Dat
Approval Date
Subtotal 276.62
Terms: Net 30 Days Tax
Thank You For Shopping With MC Sports Total 276.62
MC Sports Tax ID #38-1709049
-..r....-....--- v.- -._._.,..._,
1 1879818 $143:99
$143 99 N '>
ORIGINAL PRICE ,$800,.00
REASON: Special Order Deposit
REASON: 'Non=Prof it,Org
:SUB{:TOTAL:` r, $276.62
TAX $0.00
TOTAL $276.62
CUSTOMER;# 01790243
Wester meie'r, .Mark Ir
HOUSE CHARGE
j HOUSE CHARGE # 01790243
SIGNATURE'
IGN
ATURE
Join Active Rewards-'and earn points ''
on purchases.. Points -this purchase
could have earned-- 277 -
TAX EXEMPT #011968308300
Thank You 'For 'Shopping" at MC Sports!
Customer Care `Line 1=800=626-1762 X643
j April 9, 2012 2:21PM
1 1111111 IIE1 111111111 D'I IIIII IIIIII IIIII IIII IIIII IIIII IIIII III IIIII IIIII
MC SPORTS
3070 SHAFFER S.E.
GRAND RAPIDS, MI 49512
(616) 942-2600
Carmel Clay Parks & Recreation Invoice# 2120512
1411 E. 116th Street
Carmel, IN 46032 Date 05/16/12
Order#
QUANTITY DESCRIPTION PRICE AMOUNT
-6 Foam Football 1832755 10.39 (62.35)
-12 Champro Plastic Basketball Hoop 24in 1832761 4.79 (57.50)
12 Mauitoys Wave Hula Hoop 2195028 4.79 57.50
Purchase
Description rU-�(�
P.O.# 3(-)(00—Q P r F
G.L.# 0:�(p—_I0' LI2:59
Bud--t
Line&scr
Purchaser Date
Approval Date
Subtotal (62.35)
Terms: Net 30 Days Tax
Thank You For Shopping With MC Sports Total (62.35)
MC Sports Tax ID#38-1709049
1799 000022'a
;SSOCIATE ID: 31799 PRICE TOTAL
cjY ITEM ----- -----
CHAMPRO PLASTIC BKBL HOOP 241H $-57,50N
-12 1832761
ITEM % DISCOUNT: 20.00%
REASON: Item did not work out
REASON; Price Match
MAUITOYS WAVE HULA HOOP $57.50N
12 -2195028 20.00%
ITEM%•DISCOUNT; $7 99
,:PRICE,
-REASON.REASON. Price Match
REASON,"F r,i ce-Match
FOAM FOOTBALL,
$-62.35N
.g ,�_,..1832755. . -1 20.00%
ITEM:% DISCOUNT;
REASON.:Item did not work out
REASON: Price`,Match
REASON; .Non-Profit Org.
SUB 101AL $-62.35
$0.00
TAX
$=62.35
TOTAL
$-62.35
I HOUSE CHARGE
HOUSE'CHARGE # •01790243
SIGNATURE X . . . . . . . . .
CUSTOMER m01Mark43
Weste eier
Thank You For Shoppin9;a')MC Sports!
customer Care •Line00- 1762.X643
626- N
3:17PM
May 16, 2012
I I II I I�I I I I I�I i I I I�I I I�I I I I I I I I I II I I II II I I I I I I I
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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.
366018 M C Sports Terms
3070 Shaffer S.E.
Grand Rapids, MI 49512
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
4/9/12 2120425 Adaptive equipment 30622 $ 276.62
5/16/12 2120512 Credit for return 30622 $ (62.35)
Total $ 214.27
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.
366018 M C Sports Allowed 20
3070 Shaffer S.E. r
Grand Rapids, MI 49512
In Sum of$
$ 214.27
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept#
1096-70 2120425 4239039 $ 276.62 1 hereby certify that the attached invoice(s), or
1096-70 2120512 4239039 $ (62.35) 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
`�`J,/ dyl ffj&JLI
Signature
$ 214.27 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund