213513 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 00352199 Page 1 of 1
ONE CIVIC SQUARE INDIANAPOLIS RUBBER STAMP, INC
% CHECK AMOUNT: $176.00
CARMEL, INDIANA 46032 PO BOX 44787
INDIANAPOLIS IN 46204
CHECK NUMBER: 213513
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239039 397S07ADJ 176 . 00 GENERAL PROGRAM SUPPL
Indianavolis Rubber Stainv - Irsco Invoke
955 North Pennsylvania Street Invoice Number:
Indianapolis, Indiana 46204 397557-ADJ
PO Box 44787, Zip 46244 www.indianapolisrubberstampcompany.com Invoice Date:
email: Irscol @aol.com Jun 14, 2012
Voice: 317-263-9540
Fax: 317-263-9543 Page:
1
" .17 7
Sold To: Ship to- -
CARMEL CLAY PARKS & RECREATION CALL PICK UP OCT o 2012
1411 E. 116TH STREET DAWN 573-4026
CARMEL, IN 46032
Customer ID —I Customer PO Payment Terms_
-4026 `DISCOUNT AT 5'0°s 1% 10, Net 30 Days.
Sales�Rep ID Shipping Method —�— Ship Date _j Due'Date
UPS GROUND I 7/14/12
Quantity Item T Description —Unit Price Extension
12.001200NC REMAKE STAMP ITEMS NO CHARGE
(REAL RUBBER REMAKE STAMPS j
6.0175 WATERPROOF INK (PINTS) 23.50 141.00
2 RED - 2 GREEN - 2 BLUE
2.00275 WATERPROOF RECONDITIONER (PINT) 13.50 27.00i
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G.L.# 109L4 —'-1- D39
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P I rchaser 1� i t�l 1Dat�e ��
Ai proval -- — Date
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PLEASE SEND 1 COPY OF INVOICE Subtotal 168.00
WITH PAYMENT. - THANK YOU Sales Tax
Shipping 8.00
Total Invoice Amount 176.DO
Check No: Payment Received
Prices subject to change without notice.
TOTAL 176.00
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.
00352199 Indianapolis Rubber Stamp Co. Terms
P.O. Box 44787
Indianapolis, IN 46284 4(P2441
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
6/14/12 397507ADJ Ink for waterpark stamps 30945 $ 176.00
Total $ 176.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
00352199 Indianapolis Rubber Stamp Co. Allowed 20
P.O. Box 44787
Indianapolis, IN 49204 4t'o24N
In Sum of$
$ 176.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
INVOICE NO. ACCT#MTL AMOUNT !
Dept#
1094 397507ADJ 4239039 $ 176.00 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
$ 176.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund i
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