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218649 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 367044 Page 1 of 1 ONE CIVIC SQUARE TUBE PRO INC CHECK AMOUNT: $5,138.75 CARMEL, INDIANA 46032 WATERLOO ONTARIO CANADA N2V 2L CHECK NUMBER: 218649 CHECK DATE: 3/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1094 4239039 15230 5, 138 . 75 GENERAL PROGRAM SUPPL Tube Pro Inc. Phone: 519-885-955. 515 Beaver Creek Rd. Fax: 519-885-2361 Waterloo, ON info @tubeproinc.con N2V 21-3 RECEIVED Invoice GST Registration#.85741 2530 MAR 14 2813 Invoice#: 00015230 PST Registration#:90869397 Blanket Bill To: Ship To: Carmel Clay Parks & Recreation Carmel Clay Parks & Recreation 1411 E 116th Street 1235 Central Park Drive East Carmel IN 46032 Carmel Clay IN 46032 SALESPERSON YOUR NO. SHIP VIA CO P SHIP DATE TERMS DATE PC Dean Clarke 29521 Best Way 3/13/2013 Net 30 3!?32013 1 QTY ITEM NO. DESCRIPTION PRICE UNIT DISC% EXTENDED TAX 125 TP32-CLEARH(36" 32"Inflated Tube With Handles US$10.50 each US$1,312.50 Z1 225 TP44-CLEARH(48" 44"Inflated Tube With Handles US$15.25 each US$3,431.25 Z1 1 FREIGHT Shipping Shipping&Brokerage-1 Large Skid JS$395.00 each US$395.00 Z1 To IN L'?ci ase i��:>cripion F.0.# Z9521 Pu F.t;,;'-b p � •S I. rig Desc t� 1U "Date Y F urchaser P pproval Da; SALE AMOUNT US$5,138.75 CODE RATE TAX SALE AMOUNT FREIGHT US$.00 Z1 GST US$.00 Z1 0% US$.00 US$5,138.75 PST US$.00 TOTAL AMOUNT US$5,138.75 PAID TODAY US$.00 Memo: We appreciate your business., 1.5%Charge Per Month On Overdue BALANCE DUE US$5,138.75 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. Tube Pro Inc. Terms 515 Beaver Creek Rd Waterloo, ON N2V 21_3 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 3/13/13 15230 Waterpark tubes 29521 $ 5,138.75 Total $ 5,138.75 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. Tube Pro Inc. Allowed 20 515 Beaver Creek Rd Waterloo, ON N2V 21-3 In Sum of$ $ 5,138.75 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#MTLE AMOUNT Board Members Dept# 1094 15230 4239039 $ 5,138.75 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 21-Mar 2013 Signature $ 5,138.75 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund