216191 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 360884 Page 1 of 1
` ONE CIVIC SQUARE SCHOOL OUTFITTERS
€ CHECK AMOUNT: $259.88
�. ?o CARMEL, INDIANA 46032 3736 REGENT AVE
CINCINNATI OH 45212-3724 CHECK NUMBER: 216191
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 INV11083531 259 . 88 GENERAL PROGRAM SUPPL
Phone: 1-866-619-3776 Invoice IT-BY:R CIREIV D
SCHu%jL Fax: 1-800-494-1036 3736 Regent Ave. InV 10 #INV110 DEC 13 2012
Cincinnati, Ohio 45212-3724 OUTFI TERS 83531 www.schooloutfitters.com Dec 11, 2012
Page 28 of 118
Bill To Ship To
Carmel Clay Parks& Recreation Towne Meadow Elementary School
Accounts Payable Denise Solazzo
1411 E 116th St 10850 Towne Rd
Carmel, IN 46032-3455 USA Carmel, IN 46032-8912 USA
Phone: 1 (317) 573-4026 Fax: 1 (317) 571-4136 Phone: 1 (317) 573-4026 Fax:
Email: dkoepper @carmelclayparks.com Email: dkoepper @carmelclayparks.com
Customer PO: 29227
ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE ORDER NUMBER PAYMENT DUE
CL 142665 I NV11083531 12/10/2012 ORD 1466645 1/9/2013
SKU# DESCRIPTION QUANTITY UNIT EXTENDED
PRICE PRICE
NOR-1015787-00000 DOUBLE-SIDED SLOPED-SHELF BOOK TRUCK(37'vv) 1 $169.88 $169.88
ANY QUESTION OR DISCREPANCIES CONCERNING THIS ORDER MUST BE REPORTED SUB TOTAL $169.88
WITHIN SEVEN DAYS TO OUR SALES AND SERVICE DEPARTMENT AT 1-866-619-1776 SHIPPING&HANDLING $90.00
SALES TAX $0.00
'urchase INVOICE TOTAL $259.88
,i:�::,:crption
.0.# PorF
03.L.# AMOUNT PAID/CREDITI $0.00
urc°t AMOUNT DUE $259.88
Ling;Descr
Purchaser Date
r`prov l Date
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.
360884 School Outfitters Terms
3736 Regent Ave. Date Due
Cincinnati, OH 45212-3724
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
12/11/12 INV11083531 Book shelf TM 29227 $ 259.88
Total $ 259.88
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.
360884 School Outfitters Allowed 20
3736 Regent Ave.
Cincinnati, OH 45212-3724
—<( In Sum of$
$ 259.88
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT �'4 Board Members
Dept#
1081-9 INV11083531 4239039 $ 259.88 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
3-Jan 2013
Signature
$ 259.88 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i