213454 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 365844 Page 1 of 1
ONE CIVIC SQUARE FUN EXPRESS
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CARMEL, INDIANA 46032 PO BOX 790403 CHECK AMOUNT: $111.53
ST LOUIS MO 63179-0403 CHECK NUMBER: 213454
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 65320212801 111 . 53 GENERAL PROGRAM SUPPL
80 Invoice 4: 653202128-01
OCT 0 12012
Date: 9/25/2012
----- -- --' --"- When it comes to fun, Page 4:
we're.all business..
SOLD TO: Purchase SHIP TO:
-
Description St�p��cis
CARMEL CLAY PARKS&REC**P.0.# E O00 0 I P ory CLAY ELEMENTARY
1411 E 116TH ST G.L.# I U B I — JEN HAMMONS
CA.RMEL, IN 46032-7611 Budget r �p� �p�3495 W 126TH ST
Line UescF��I� �r Sal "`(°XCRMFT. IN 46032-9557
Purchaser Date
Approval Date
urchin eOrderNumber DateOrderei3 ate:Shipped Back Orders Terms
E0002841 9/25/201:2 9/25)2012 NO NET 3.0DAYS
Setvice Re resentatve Number of Cartons : Wetghf Shlpped,vta
1 3 L3S i
Item Number Order:Qty Ship QEy Descrlptton Untt trice �x.t Au7 cE
1D-39/402 2 UN 2 G-I-D VAMPIRE FANGS(6DZ) 4.20 8.40
1D-25/6073 1 UN 1 HALLOWEEN GLOW ASSORTMENT(100PC) 28.00 28.00
Consists of:
1D-24/1442 1 UN I ASST COLOR GLOW SWIZZLE BRACELETS (5
1D-24/8101 1 UN I GLOW BRACELET ASSORTMENT(50PC)
ID-39/876 1 GR I G-I-D BUGS 5.20 5.20
1D-39/1649 1 UN I GLITTER STICKY HANDS (6DZ) 5.80 5.80
1D-25/716 2 UN 2 G-I-D HALLOWEEN TATTOOS (6DZ) 2.99 5.98
ID-25/5653 1 GR I ASSORTED COLOR SPIDER RINGS 4.20 4.20
ID-5/537 2 UN 2 NOISEMAKER&MUSICAL INSTRUMENT ASST- 10.00 20.00
ID-12/4202 2 DZ 2 PIRATE YO YO 4.00 8.00
1D-12/2483 2 UN 2 MINI WATER BALL YO-YOS (2DZ) 8.00 16.00
AO-99/ENVL 1 PC 1 ATTACH PACKING LIST ENVELOPE
Call to speak to a customer service representative: 1-800-228-0122
Merchandise Shipprng 8i!Handling Sales Tax . Total Amount ':Certificate/Other Payment§ Ralance!Due
;111 53
101 58 9 95 >is . . 111.531
VV PLEASE DETACH AND RETURN WITH REMITTANCE vv
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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.
365844 Fun Express Terms
P.O. Box 790403
St. Louis, MO 63179-0403
In;Date e Invoice Description
Number (or note attached invoice(s) or bill(s)) PO# Amount
92 65320212801 Supplies $ 111.53
Total $ 111.53
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
120_
Clerk-Treasurer
Voucher No. Warrant No. _
365844 Fun Express Allowed 20
P.O. Box 790403
St. Louis, MO 63179-0403
In Sum of$
$ 111.53
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-10 65320212801 4239039 $ 111.53 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
4-Oct 2012
Signature
$ 111.53 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund