218467 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 00351374 Page 1 of 1
`•; ONE CIVIC SQUARE GODBY HOME FURNISHINGS
0 t'
CARMEL, INDIANA 46032 17828 US 31 NORTH CHECK AMOUNT: $3,475.39
WESTFIELD IN 46074 CHECK NUMBER: 218467
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4463000 6051480 1, 375 . 84 FURNITURE & FIXTURES
102 4463000 6088400 2, 099 . 55 FURNITURE & FIXTURES
�0� "Quality Furniture, Affordable Prices" -
CUSTOMER ID I SALES NO- I SALE DATE --j-PAGE
HOME FURNISHINGS
Family Owned$inee197d 174179 6088400 01/02/2013 1
13610 N.Meridian St.
Carmel,IN 46032 / , N
317-566-8720
Store Original F* DUPLICATE ** 1NVO1c J1r
SOLD TO: DELIVER TO:
CARMEL FIRE DEPT. STATION 41 CARMEL FIRE DEPT. STATION 41
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
317-571-2600
SLSPRSN DEUVERY PAYMENT TERMS
PRA CUST. PICK UP 01/02/2013 MUST BE PAID BY CASH OR CHECK
ON SOLD ITEM ID ITEM DESCRIPTION UNIT PRICE EXTENDED PRICE
STATUS
2 EA LRR53578 LAZBOY 10-535 B980278 449. 95 719 . 92
ROCKER RECLINER (PROMO 5/4) 179. 98 DISCOUNT
Godby Group: Recliners
5 EA SSC FABRIC PLUS CLOTH CHAIR/RECLINER 59. 95 299 . 75
10 YR FABRIC PROTECTION
MUST CALL GUARDSMAN WITHIN 5 DAYS
800-253-3957
3 EA LRR53578 LAZBOY 10-535 B980278 449. 95 1, 079. 88
ROCKER RECLINER (PROMO 5/4) 269 . 97 DISCOUNT
Godby Group: Recliners
--- SALE REMARKS _----
20% DISCOUNT OK PER DONNA, WILL
MAIL CHECK FOR FULL PYMT AFTER
THEIR PO SUBMITTED TO CITY. PMT
WILL BE MADE AFTER 1/1/13 . WANTS
CHAIRS TO MATCH WITH 6088390 .
SALE TOTAL
2, 099. 55
TAXABLE MISC.CHARGES
•No refund ar exchanges beyond five(5)days of recelpt or delivery of running line merchandise. 0 . 00
-Speelal orders and Lay-o-ways require a 25%ran-retundable deposit. SALES TAX
•Serer 18 not responsible ter damage$caused by customer's transportation,assembly,or 0. Q 2
melotenance of any type of merchandise- iVQ�-TAX MISC.CHARGES
0. 00
GRAND TOTAL 2, 099. 55
Customer Signature PAYMENT RECEIVED 0. 00
BALANCE DUE 2, 099. 55
2/2:a6ed t�z217099,LT2:wOJA 80:TT 2T32-6T-LIdW
-- - "Quality Furniture, Affordable Prices"
Go dby
HOME FURNISHINGS CUSTOMER ID SALES NO. ` SALE DATE i PAGE
Family Owned Since 19 174 3175712600 6051480 02/08/2013 1
13610 N.Meridian St. ll )
Cdr IN 46032
3y7-5 7-566-87zo
Store Original ** DUPLICATE **
SOLD TO: DELIVER TO:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPT. STATION 44
%DENISE SNYDER, BUDGET MGR 5032 E MAIN ST
2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
(317 ) 459-563.5 CELL 317-571-2632 STATION
SLSPRSN DELIVERY PAYMENT TERMS
�t%goLD CUST. PICK UP 02/08/2013 PAID BEFORE DELIVERY
ITEM ID ITEM DESCRIPTION UNIT PRICE EMENDED PRICE
STATUS
4 EA LRR5146 LAZBOY 10-515 D865146 343. 96 1, 375. 84
RKR RECLINER (PROMO 5/4)
PKG 08800
Godby Group: Recliners
----- SALE REMARKS --- -
THIS IS AN ADDITIONAL 4 CHAIRS FOR
STATION 44 . THEY HAD APPROVAL FOR 2
CHAIRS AT $ 687. 92 . FUNDS WILL BE
AVAILABLE FOR 4 MORE CHAIRS IN A
COUPLE MONTHS BUT NEED TO HAVE ALL
6 CHAIRS MATCH. WANTING TO RESERVE
THE OTHER 4 BEFORE THE CURRENT
PROMOTION ENDS ON THE
10-515. ( (price adj 2/6/13, per what
chris promised them. dll) )
SALE TOTAL
TAXABLE MISC.CHARGES 1, 375 . 84
•No refund or exchanges beyond the(5)nays of reaoipt or deQ"of running tine merchandise. 0 O
Special Orders and Lay-a-ways"ufro n ss�non..efundabfe deposit. SALES TAX
•Selier is not responsible for damage$c8used by tuatOmer'S transportstlon,assembly,or 0• 0 0�0 MlSC.CHARGES 0 . 00
matMananee of any type of merchandise. 0 . 00
customer signature GRAND TOTAL 1, 375. 84
PAYMENT RECEIVED 0 . 00
BALANCE DUE 1, 375..84
2/2:a6ed bZ2b099,LT2:wOJA 80:TT ZT02-6T-�JUW
Drescribed by State Board of Accounts City Form No.201(Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
rohom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6051480 44 $1,375.84
6088400 41 $2,099.55
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
Godby Home Furnishings
IN SUM OF $
17828 US 31 North
Westfield, IN 46074
$3,475.39
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 6051480 102-630.00 $1,375.84 1 hereby certify that the attached invoice(s), or
1120 6088400 102-630.00 $2,099.55 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
MAR 2 2 2013
f
Fire CAief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund