220607 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 365844 Page 1 of 1
ONE CIVIC SQUARE FUN EXPRESS
CARMEL, INDIANA 46032 PO BOX 790403 CHECK AMOUNT: $36.35
ST LOUIS MO 63179-0403 CHECK NUMBER: 220607
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 6573447801 36 .35 GENERAL PROGRAM SUPPL
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MAY 2 1 2013 Invoice t 6 7344478-4_)]
Date: 513/2013
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we're all business.,,
SOLD TO: SHIP TO:
CARA-IEL CLAY M.KS&REC" Mi>NON CON1N1UNITY CENTER
DA\AN IL(_-)EPPER 1233 CENTRAL RA RK DR E
1 111 E 116TI-I ST C ARMS , N 4«)3?-4421
CARItIa, IN46032-7611
Purchase Cr I-Niu-n r Date(_ C eyed Date Sl11ppecl Back i)rders Germs
MCO(410C 5/10/2013 5/13/2()13 NO NET 30 DAYS
Se-rvice Represelltative Nmiber of tartans : wetght S11tpped Via
:.1 B LBS
Item Numher l"lyder Qty Ship.-Qty- Description IIntt Price Gst. Ammunt
ID-34/63 I ST 1 INFLATE BEACH FLAMINGO RING TOSS 6.40 6.40
1D-I 7/69 1 GR 1 11"METALLIC COLOR BALLOON ASST 12.00 1 2.00
1D-49/33 1 DZ I INFLATE BEACH BALLS (141 ) 5.00 8.00
AO-99/ENVL I PC: 1 ATTACH PACKING LIST ENVELOPE
Purchase
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Purchaser Date
Approval Date
Call to speak to a customer service representative: 1-800-228-0122
Ahemhaitdise Shipping& Handling Sales Tax Total Amount . Certificate/Other Payments Balancebue
26.ad 9.95 36.35 36.35
vv PLEASE DETACH AND RETURN WITH REMITTANCE vv
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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.
365844 Fun Express Terms
P.O. Box 790403
St. Louis, MO 63179-0403
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO # Amount
5/13/13 6573447801 Summer event supplies 36 35
Total $ 36.35
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.
365844 Fun Express Allowed 20
P.O. Box 790403
St. Louis, MO 63179-0403
In Sum of$
$ 36.35
ON ACCOUNT OF APPROPRIATION FOR
109 MCC
PO#or
Dept# INVOICENO. CCT#/TITL AMOUNT Board Members
1096-60 6573447801 4239039 $ 36.35 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
30-May 2013
Signature
$ 36.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund