216225 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 355851 Page 1 of 1
ONE CIVIC SQUARE UNITED ART&EDUCATION CHECK AMOUNT: $250.35
CARMEL, INDIANA 46032 Po Box 9219
FT WAYNE IN 46899-9219 CHECK NUMBER: 216225
CHECK DATE: 119/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 3970850 250 .35 GENERAL PROGRAM SUPPL
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nite&
Invoice 3970850
_ Art and Education Date 12/04/12
Time 14 :52:50
RECE r ' .
r9 P:;1(800)322-3247 F:1(800)858-3247 billing @ UnitedNow.com
DEC ® d 2012 ! Federal Tax ID#35-1493979
Please Remit To: P.O.Box 9219, Fort Wayne, IN 46899-9219
Bil To.• —I Ship To:
CARMEL CLAY PARKS & RECREATION CHERRY TREE ELEMENTARY SCHOOL
ACCOUNTS PAYABLE TIFFANY BUCKINGHAM
1411 E 116TH ST 13989 HAZEL DELL PRKWY
CARMEL IN 46032 CARMEL IN 46033
Co/Cust No 1/0000091169 Customer PO E0002997-
Ship Via FEDEX GROUND SERVICE Payment Terms NET 30 order No DC857/00
Pay Type OPEN ACCOUNT 1 CARTONS-)
FOB Description:
CLP-40610 PKG 6.000 6.000 1.7.95000PKG
WIPE OFF POCKETS,-ASSORTED 9X12" -- - 107.70
S-83087 EA 1.000 1.000 17.95000 EA
EXPO 12 COLOR CHISEL 17.95
S-16001: EA`` 86.000::; 86.000= 1.19000 EA
::EXPO VIS-A-VIS FP `BLACK'WET-ERA 102:34
S-1751666 EA 4.000 4.000 5.59000 EA
j EXPO CLICK FINE 3 ASST COLORS 22.36
YOUR ORDER QUALIFIES FOR FREE SHIPPING!
THANK YOU! !
INVOICE DUE: 01/03%13
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Approval Date
�.. SUBTOT'A 25 5
LTOTAL: 250.35
Signature: Phone: ( )
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.
355851 United Art & Education Date Due
P.O. Box 9219
Fort Wayne, IN 46899-9219
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
-- 1214112 3970850 Supplies $ 250.35
Total $ 250.35
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.
Allowed 20
355851 United Art& Education
P.O. Box 9219
Fort Wayne, IN 46899-9219 In Sum of$
$ 250.35
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-2 3970850 4239039 $ 250.35 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
$ 250.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund