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214545 11/19/2012 CITY OF CARMEL, INDIANA VENDOR: T361513 Page 1 of 1 ONE CIVIC SQUARE AMERICAN HOTEL REGISTER COMPAN&ECK AMOUNT: $195.99 CARMEL, INDIANA 46032 PO BOX 71299 CHICAGO IL 60694-1299 CHECK NUMBER: 214545 CHECK DATE: 11/1912012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4238900 3912777 195 . 99 OTHER MAINT SUPPLIES FI'American HOTEL REGISTER COMPANY OCT 0 9 2012 Government Division 100 S. Milwaukee Avenue FED. ID.#36-0726190F':___ Vernon Hills, IL 60061 INVOICE NUMBER DATE PAGE NUMbEk� 3912777 10/03/12 1 of 1 SHIP TO: 2920 1 AB 0.374 E0014X 10021 D560083959 P1205576 0001:0001 CARMEL CLAY PARKS THE MONON CENTER r' AND RECREATION 1235 CENTRAL PARK DRIVE EAST 1411 E 116TH ST CARMEL IN 46032 CARMEL IN 46032-7611 CUSTOMER NO. CUSTOMER P.O.NUMBER OUR ORDER NUMBER SHIPPED VIA ENTERED BY S/M D/C 245447 MC003393 3394703 SUS _.__ _ .G02_ VHL • CATALOG NUMBER DESCRIPTION 24 N57RD-10-W SHOWER CURTAIN 6X6 6.75 162.00 Purchase S/„LU uer Description � P.O.# r_n(-,C)03q 3 -P F G.L.# /099- 42-33q DD-- Budget Line Descr Purchase (T• 31' Date Approval e 6-9--'r« Date RETURNS: All items require pre-authorization and will be accepted within 30 days of purchase. In addition,returns must be in the FREIGHT: 33.99 original packaging and in unused condition. Restocking fees may apply. Call 1-800-323-5686 for Return Authorization Number. FOR DAMAGE: Please open and inspect package(s)upon receipt. Damaged merchandise or shortages must be signed for on delivery SUBTOTAL: 195.99 receipt and reported within 10 days of delivery or American Hotel cannot assume liability. ADJUSTMENTS: TERMS: All bills are due and payable Net 30 days following invoice date. A LATE CHARGE:of 1.5 %per month will be imposed on past balances,being an annual rate of 18.0 %. TAX: 0.00 DELIVERY CHARGES: Prices are F.O.B.the factory or our Regional Distribution Center. ADVANCE PAY/CREDITS: DROP SHIP: Shipping direct from manufacturer. For 24 hour information or a copy of your transaction,please call 1-800-766-6676 for domestic,or 1-847-743-6016 for overseas,or go to INVOICE TOTAL: 195.99 www.americanhotel.com 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. T361513 American Hotel Register Co. Terms P.O. Box 71299 Date Due Chicago, IL 60694-1299 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 10/3/12 3912777 Shower curtains $ 195.99 1 Total $ 195.99 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 i Voucher No. Warrant No. T361513 American Hotel Register Co. Allowed 20 P.O. Box 71299 Chicago, IL 60694-1299 In Sum of$ $ 195.99 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members Dept# 1093 3912777 4238900 $ 195.99 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 15-Nov 2012 _ Signature $ 195.99 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund