216852 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 354912 Page 1 of 1
'F ONE CIVIC SQUARE R J E BUSINESS INTERIORS CHECK AMOUNT: $584.12
+o CARMEL,INDIANA 46032 621 E OHIO ST
roe INDIANAPOLIS IN 46202 CHECK NUMBER: 216852
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 363362 584 . 12 EQUIPMENT REPAIRS & M
I N V O I C E
621 East Ohio Street `
Indianapolis, IN 46202
ph 317.293.4051 SAN I 0 2013 INVOICE #: 363362
fx 317.297.8513 PAYMENT TERMS: NET 30 DAYS
PROPOSAL: 42484
R1
DATE PRINTED: 12/31/12
business interiors A Knoll Dealer -- -
SOLD TO: 004697 INSTALL AT:
CARMEL CLAY DEPARTMENT OF PARKS & RECREATION CARMEL CLAY CENTRAL PARK
ADMINISTRATIVE OFFICES 1010 E. 111TH STREET
1411 E. 116TH STREET
CARMEL, IN 46032 CARMEL IN 46032
DAWN KEOPPER 317-573-4026
CUST. P/O #:
29147
ITM QTY PRODUCT # DESCRIPTION UNIT PRICE TOTAL AMOUNT
1 1 Labor Labor to Refabric Sofa Arm and Chair Arm 380.00 380.00
2 2 403901 062 Milestone Aurora 44.36 88.72
Tag(s) : CARMEL CLAY PARKS
3 2 403901 022 Milestone Pewter 44.36 88.72
Tag(s) : CARMEL CLAY PARKS
Freight
Purchase
Description
=h4m,lot
P.O.# 0749111 P F
G.L.#
Budget
Line'De
Purchase Date
Approval Date
PRODUCT 177.44
FREIGHT 26.68
INSTALL 380.00
TOTAL 584.12
AMOUNT DUE 584.12
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.
RJE Business Interiors Terms
621 East Ohio Street
Indianapolis, IN 46202
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
12/31/12 363362 Oasis furniture repair 29147 $ 584.12
Total $ 584.12
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.
RJE Business Interiors Allowed 20
621 East Ohio Street
Indianapolis, IN 46202
4 1 In Sum of$
$ 584.12
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 363362 4350000 $ 584.12 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
24-Jan 2013
��G109Z��yZ�
Signature
$ 584.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund