213848 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 355456 Page 1 of 1
0 ` ONE CIVIC SQUARE BARDACH AWARDS CHECK AMOUNT: $222.43
CARMEL, INDIANA 46032 4222 W 86TH STREET
INDIANAPOLIS IN 46268-1706 CHECK NUMBER: 213848
CHECK DATE: 10123/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239031 222 . 43 STREET SIGNS
* 220866 - 202350- 10/10/2012 - HCCPR*
Sales Invoice 220866
r
4222 W. 86th Street
Customer ID HCCPR
Indianapolis, IN 46268 Pagel
(317) 872-7444 Phone
Bill To: Ship To:
CARMEL CLAY PARKS&RECREATION CARMEL CLAY PARKS&RECREATION
1411 EAST 116TH STREET 1411 EAST 116TH STREET
Carmel, IN 46032 BUYER: DAWN KOEPPER
Carmel, IN 46032
Please return this portion with payment
Invoice Date:I -Purchase Order .Terms shin Via I F.O.B. - Sales Person I Shin Frnm I Source
10/10/2012 #A0000157 NET 30 DAYS UPS BARDACH AWARDS JL WH1 SO 202350
Order-Q Shipped,Qt .O.K Item Number Item Status Unit Price Ta> Extended Pri
Back Order Qt(Description
25 25 EA CU-SO Sale 8.50 N 212.50
0 CUSTOM PLASTIC ENGRAVED NO SMOKING SIGNAGE
1 VED
CT 1 1 2012
)L R'r _
Purchase N SIB p k'Lnj
Description r S
P.O.# A CC)oO I S-] P o F
G.L.# 0 25-✓-4- lc( -4422DQD--�
Budget
Line Descr
Purchaser Date
Approval Date
Non Taxable Subtote 1 212.50
NO SMOKING SIGNS Taxable SubtotE 1 0.00
Shipping/Handling 9.93
Sales Tax 0.00
Invoice Tota 222.43
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.
355456 Bardach Awards Terms
4222 W. 86th Street
Indianapolis, IN 46268
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/10112 220866 No smoking signs for Park shelters $ 222.43
Total $ 222.43
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.
355456 Bardach Awards Allowed 20
4222 W. 86th Street
Indianapolis, IN 46268
In Sum of$
$ 222.43
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 220866 4239031 $ 222.43 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
18-Oct 2012
P&QUIYLO-2CILI
Signature
$ 222.43 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund