217217 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 356913 Page 1 of 1
` ONE CIVIC SQUARE J.A.SEXAUER
fs CHECK AMOUNT: $456.00
CARMEL, INDIANA 46032 Po Box 404284
ATLANTA GA 303844284 CHECK NUMBER: 217217
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 280423807 456 . 00 BUILDING REPAIRS & MA
INVOICE
804 East Gate Drive,Suite 100
Mt.Laurel, NJ 08054 ^` = 9/ PAGE 1 of 1
JAN I s �A13 •
�. 01/11/13
SHIPPED TO:
CARMEL-CLAY PARKS MONON CTR � '�_ _—__ • 280423807
1235 CENTRAL PARK DRIVE EAST �_-
CARMEL IN 46032 •
- 516300
SOLD TO: .-.
4756957
I�'Il'�IIII���'Illl�l�'Illll�ll'1111"I��I�II'I"II�"I'll��lll�l
CARMEL-CLAY PARKS MONON CTR VISIT THE NEW WWW.JASMRO.COM TODAY.PURCHASING MAINTENANCE
1411 E 116TH ST AND REPAIR PRODUCTS HAS NEVER BEEN EASIER.
CARMEL IN 46032-3455
FOR INQUIRIES CALL:
(800)431-1872 FAX:(888)499-0441
FED ID: 22-2232386 www.sexauer.net
:_ e e • • • R• •r • . SALESPERSON
12/21/12 4756957 29045 IND-SS1 1%10 DAYS, NE N/A-PAUL RUTH SX129
LINE ITEM NO. DESCRIPTION ORDERED SHIPPED B/O UOM PRICE EXT.AMT TAX
1 237222 ACORN CANOPY HANDLE 12 12 0 EA 38.00 456.00
Purchase
I j s,ription l�'Id�11FA1 x100 to MCC-
P.O.
# a9o�t5 Pop
G.L.# to93-4 ssarn_____
Bud t
Line escr
Purchaser Date
Approval Date
TOTAL .TAL FREIGHT INVOICE TOTAL
456.00 0.00 0.00 456.00
TERMS AND CONDITIONS FROM CURRENT CATALOG APPLY.CLAIMS FOR SHORTAGES OR DAMAGED GOODS MUST BE MADE IMMEDIATELY UPON RECEIPT OF SHIPMENT IN ACCORDANCE
WITH CURRENT RETURN GOODS POLICY.NO RETURNS ACCEPTED WITHOUT PRIOR AUTHORIZATION.
«•ems:- ' + .. 4 -�F•.
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.
Terms
356913 J.A. Sexauer
P.O. Box 404284
Atlanta, GA 30384-4284
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) PO# Amount
1111/13 280423807 Shower parts MCC
29045 $ 456.00
Total $ 456.00
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.
356913 J.A. Sexauer Allowed 20
P.O. Box 404284
Atlanta, GA 30384-4284
In Sum of$
$ 456.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 280423807 4350100 $ 456.00 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
7-Feb 2013
• Signature
Payable Coordinator
456.00 Accounts Pa
$ Y
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund