215398 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 360409 Page 1 of 1
ONE CIVIC SQUARE RACO INDUSTRIES
s 0
CARMEL, INDIANA 46032 PO BOX 932312 CHECK AMOUNT: $231.91
�? CLEVELAND OH 44193 CHECK NUMBER: 215398
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 IN379907 231 . 91 GENERAL PROGRAM SUPPL
* * * H I S T O R I C A L
5480 Creek Road Invoice#;'`°Y IN379907
INDUSTRIES Cincinnati, OH 45242 bate: ., 11/19/2012
Phone: 513-984-2101
Fax: 513-792-4272 Page. 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
Purchase Order No:`:yr✓'. Customer ID Salesperson ID'.. :, Shipping Method Payment.Terms Ship Date Order No,
29071 CAIN5701 SM UPS-GNDCOM Net 30 11/19/2012 ORD317961
,Shipped ,;, Item Number•"" Descnptiori Urnf rnce;` Ext:?nce=`
2.000 EA RA534000-005 SD SERIES BLACK RIBBON KT 1000 CARD YIELD $110.150 $220.30
Yy)r
NOV 2 8 2012
Purchase
Description Na ft RLii
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P.O.#__c290-71 fi�or F
G.L.#
Budget
Desc
Purchaser Date
Approval Date
Backorder Pending!
TRACKING NUMBERS: 1Z546E960363472000
PLEASE PAY FROM THIS INVOICE
A FINANCE CHARGE OF 2%PER MONTH(24%ANNUAL PERCENTAGE RATE) Freight ,..; $11.61
WILL BE CHARGED ON THE UNPAID BALANCE OF YOUR ACCOUNT NOT PAID Tax,, $0 . 00
WITHIN THE TERMS LISTED ABOVE. RETURNS ARE SUBJECT TO A 15%-25% Total $231 . 91
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
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/16/12 IN379907 Printer ribbon kits 29071 $ 231.91
Total Is 231.91
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.
360409 RACO Industries LLC Allowed 20
P.O. Box 932312
Cleveland, OH 44193
In Sum of$
$ 231.91
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#MTLE AMOUNT Board Members
Dept#
1081-99 IN379907 4239039 $ 231.91 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
6-Dec 2012
Signature
$ 231.91 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund