215638 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 365844 Page 1 of 1
it ONE CIVIC SQUARE FUN EXPRESS CHECK AMOUNT: $172.50
�` ?a CARMEL, INDIANA 46032 PO BOX 790403
ST LOUIS MO 63179-0403 CHECK NUMBER: 215638
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 65446615901 172 . 50 GENERAL PROGRAM SUPPL
C7T1 r1F,'D
80 NOV 2 6 2012 Invoice#: 654466159-01
Date: 11/210-012
When it comes to fun, Page#: 1
we're all business—
SOLD TO: SHIP TO:
CARMEL CLAY PARKS&REC** TOWNE MEADOWS ELEMENTARY
1411 E 116TH ST DENEYSE SOLAZZO
CARMEL, IN 46032-7611 10850 TOWNE RD
CARNIEL, IN 46032-8912
Purclmse;Order Number, Rafe Ordered Date Shipped::. Back Orders, Terms
FOOD2961 11/20/2012 .11/2112012 NO INET30DAYS
Service Representative Number of Cartons Weighf. ... . Mi . ed:Via
: . ... ... _.__, _
1 42::LBS ..
Item'Number_-, Order Qty Ship Qty Description.. DescrG tion' f i- Unit Pr!ee Ext. Amount
1D-4/6147 1 ST I BRIGHT CHRISTMAS WRAPPING PAPER ROLL( 4.00 4.00
1D-4/6146 1 ST I ARGYLE WRAPPING PAPER ROLL(3PC) 4.00 4.00
ID-48/1841 10 UN 10 SNOWMAN PHOTO ORNAMENT CRAFT KIT 5.20 52.00
1D-48/940 10 UN 10 MITTEN ORNAMENT CRAFT KIT 2.39 23.90
1D-4/5721 2 UN 2 SNOWMAN AND SNOWFLAKE MINI ERASERS 4.80 9.60
1D-411515 I GR I HOLIDAY PENCIL ASSORTMENT 14.40 14.40
1D-39/2076 3 UN 3 GLITTER WINTER TATTOOS 4.20 12.60
1D-4/2309 10 UN 10 BLUE SNOWFLAKE CELLO BAGS(12P[?)irchnse 1.60 16.00
1D-414273 3 UN 3 MINI SNOWFLAKE BUBBLES Description Q'.wQPLIES 5.00 15.00
ID-4/22090 5 UN 5 SNOWMAN NOTEPADS(2DZ) P.O.# E o�0aq� P O n 21.00
AO-99/ENVL 1 PC I ATTACH PACKING LIST ENVELOPE �,��;,JJ
G.L.# 1891 •1-I�L3gOb
Budget
Line Descr rr" V
Purchase . OIaz Date
Call to speak to a customer service representative: 1-800-228-0122 Ua e
Merchandise Shipping&.Handling Sales.Tax.:. .Total Amount Certificate/Otber : Payments Balance Due
172. a M.so 172.50
vv PLEASE DETACH AND RETURN WITH REMITTANCE vv
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.
365844 Fun Express Terms
P.O. Box 790403
St. Louis, MO 63179-0403
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
11/21/12 65446615901 Supplies $ 172.50
Total $ 172.50
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.
365844 Fun Express Allowed 20
P.O. Box 790403
St. Louis, MO 63179-0403
In Sum of$
$ 172.50
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-9 65446615901 4239039 $ 172.50 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
13-Dec 2012
Signature
$ 172.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I