218840 04/09/2013 a CITY OF CARMEL, INDIANA VENDOR: T359473 Page 1 of 1
ONE CIVIC SQUARE FITNESS FINDERS
CHECK AMOUNT: $90.90
%o CARMEL, INDIANA 46032 1007 HURST ROAD
JACKSON MI 49201 CHECK NUMBER: 218840
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 162190 90 . 90 GENERAL PROGRAM SUPPL
Fitness Finders IIIIIIIIIIIIIII II IIIIIIIIIIIIII �II
1007 Hurst Road 161948 Invoice
Jackson, MI 49201
1 _ T_e I
(800) 789-9255 ��' � 'C s -
MAR � � 203 � Customer No.: CARM009
Invoice No.: 162190
i
Bill To: Carmel/Clay Parks & Rec Ship To: Orchard Park Elementary
1411 E 116th St Jennifer Holder
Carmel, IN 46032 10404 Orchard Park Dr S
Indianapolis, IN 46280
Date Ship Via F.O.B. Terms
03/14/13 Ground Origin Purchase Order
Purchase Order Number Order Date Sales Person Our Order'Number
E0003207 03/14/13 Dawn 161948
Quantity
Required Shipped B.0. Item Number Description Unit Price Amount
5 5 126-2032 Mileage Marker Cards 2 (75) 1.8900 9.45
Foot-Shaped
75 75 116-200 24"Silver Chains 0.3700 27.75
75 75 116-100 6"Silver Chains 0.1300 9.75
5 5 117-100 Toe Tokens(75) 6.5900 32.95
1 1 031 FREE SAMPLE#17 0.00 0.00
New Physical Activity Awards
Invoice subtotal 79.90
Shipping & Handling 11.00
Invoice total 90.90
US FUNDS
THIS 1S YOUR INVOICE
Purchase c,,��, 1 _ OR
Description
P.O.#
G.L.# \0$ 1 t1- p3°1 'cos
Budget
Line Des
Purchaser Date
Approval Date
LThank You
i
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.
T359473 Fitness Finders Terms
1007 Hurst Road
Jackson, MI 49201
Invoice . Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/14/13 162190 Supplies $ 90.90
Total $ 90.90
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.
T359473 Fitness Finders Allowed 20
1007 Hurst Road
Jackson, MI 49201
In Sum of$
$ 90.90
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT
1081-6 162190 4239039 $ 90.90 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
4-Apr 2013
Signature
$ 90.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund