214793 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 360409 Page 1 of 1
0 ONE CIVIC SQUARE RACO INDUSTRIES CHECK AMOUNT: $64.18
CARMEL, INDIANA 46032 PO BOX 932312
CLEVELAND OH 44193 CHECK NUMBER: 214793
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4350000 IN377310 64 . 18 EQUIPMENT REPAIRS & M
* * * H I S T O R I C A L
5480 Cre oad
Invoice# IN377310
Cin in ati, OH 45242
Date
` : Phone: 513-984-2101 10/12/2012
Fax: 513-792-4272 1
REMIT TO: PO Box 932312
Cleveland, OH 44193
BILL TO: SHIP TO:
Carmel Clay Parks & Recreati Carmel Clay Parks & Recreatio
1411 East 116th St. 1235 Central Park Drive East
ATTN: Linda Acosta
Carmel IN 46032 Carmel IN 46032
s
Purchase Order No Customer ID- Sa persop D� µ shipp�i ethod Payment Termsr� �Ship,Date rderN
29071 CAIN5701 SM UPS-GNDCOM Net 30 10/12/2012 ORD317960
a Shipped U of M Item Number , _ Descnption U�Price Ext*Price
�... .. �,
1.000 KT RCK00 Card Cleaning Kit $54.250 $54.25
OCT 16 2012
b'
Purchase (CARD C>_CgNIKiC
Description
P.O.# 9171 P r F
G.L.# 1081- -�3�000c�
Line D e-& ll 2
Line escr ,.o
Purchaser Date
Approval Date
Thank You For Your Business!
TRACKING NUMBERS: 1Z546E960362333528
PLEASE PAY FROM THIS INVOICE
$9.93
A FINANCE CHARGE OF 2%PER MONTH(24%ANNUAL PERCENTAGE RATE)
� Freight�;, �
WILL BE CHARGED ON THE UNPAID BALANCE OF YOUR ACCOUNT NOT PAID �¢Taxi, $0 . 0 0
WITHIN THE TERMS LISTED ABOVE. RETURNS ARE SUBJECT TO A 15%-25% Tot3li $64 .18
RE-STOCKING CHARGE. ALL RETURNS REQUIRE A RETURN AUTHORIZATION
NUMBER OR SHIPMENT WILL BE REFUSED. MOST PRODUCTS ARE RETURNABLE
ONLY WITHIN 14 DAYS FROM THE DATE OF SHIPMENT.
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.
360409 RACO Industries LLC Terms
P.O. Box 932312
Cleveland, OH 44193
Invoice Invoice Description Amount
Date Number
or note attached invoice(s) or bill(s)) PO#
10/12112 IN377310 Card cleaning kit
29071 $ 64.18
Total $ 64.18
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
20_
Clerk-Treasurer
Voucher No. Warrant No.
360409 RACO Industries LLC Allowed 20
P.O. Box 932312
Cleveland, OH 44193
In Sum of$
$ 64.18
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 IN377310 4350000 $ 64.18 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
$ 64.18 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund