220130 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 353538 Page 1 of 1
ONE CIVIC SQUARE DISCOUNT SCHOOL SUPPLIES
` CARMEL, INDIANA 46032 PO BOX 6013 CHECK AMOUNT: $132.77
CAROL STREAL IL 60197-6013 CHECK NUMBER: 220130
CHECK DATE: 5/2112013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 W17327230101 132 . 77 GENERAL PROGRAM SUPPL
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o�oo,pp � OOd c�S�PpL��I PLEASE REMIT TO:
www.DiscountSchoolSupply.com APR 3 p 2413 SAF DISCOUNT SCHOOL SUPPLY
Accounting Dept. Ph: 800-482-5846 Fax: 800-631-5397 DTD P.O. BOX 6013 EOC Carol Stream, IL 60197-6013
email:actrec@discountschoolsupply.com BM
Customer Service:800-627-2829 Fax:800-879-3753
email:customerservice @discountschoolsupply.com SHIP TO(IF OTHER THAN"SOLD TO")
k YOUR ACCOUNT NO.
C3� n DOWELL
0007470867 12415 SHELBORNE RD
CARMEL, IN 46032
TOLD
CARMEL CLAY PARKS & RECREATION
Accounts Payable
1411 E 116th St
Carmel IN 46032-3455
5.267 E0003285
YOUR PURCHASE ORDER NUMBER AND DATE
OUR INV.DATE SHIPPED VIA DATE SHIPPED
INV.NOJORDER NO. Paylllent. Due by: 05/24/13
` W17327230101 04/24/13 UPS GROUND , 04/23-%13:,
ORDERED SHIPPED' ITEM NO. DESCRIPTION UNIT PRICE EXTENDED AMOUNT
DOWELL
2 2 FANNYPK FANNY PACK FIRST AID KIT- 113 PIECES 39.95 79.90
1: 1 CARRYALL CARRY ALL FIRST AID KIT 49.99 49.99
1 1 FUEL - ORDER FUEL SURCHARGE 2.88 2.88
Purchase iot rD8^CriQ
P.O.# "0
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Budget
Line DBSCr
Purchaser— �� Date
Approval Date
ORIGINAL SALES TAX FOB SHIPPING&HANDLING [0�3,
Bjo�clm KS $ 132.77
66 Thank you for choosing Discount School SUP
Remember!You can also pay your invoice by VISA, MasterCard, Discover or American Express. Please see reverse of payment stub.
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
353538 Discount School Supply Terms
P.O. Box 6013 Date Due
Carol Stream, IL 60197-6013
;4/;24/13 ce Invoice Description
e Number (or note attached invoice(s) or bill(s)) PO # Amount
W17327230101 Supplies $ 132.77
Total $ 132.77
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
i
Voucher No. Warrant No.
Discount School Supply Allowed 20
353538 P.O. Box 6013
Carol Stream, IL 60197-6013
In Sum of$
$ 132.77
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE Fund
Board Members
Po#or
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1081-3 VV17327230101 4239039 $ 132.77 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
16-May 2013
(�/ G&'
Signature
$ 132.77 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund