221156 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 00350730 Page 1 of 1
ONE CIVIC SQUARE NASCO CHECK AMOUNT: $136.48
CARMEL, INDIANA 46032 PO BOX 901
FORT ATKINSON WI 53538-0901 CHECK NUMBER: 221156
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 371096 80 . 58 GENERAL PROGRAM SUPPL
1082 4239039 379139 55 . 90 GENERAL PROGRAM SUPPL
rorpropercredittoyouraccount,please returnthisponion with your remmance ana write your customer numDeriinvoice;on your cneCK. I I
Account: 538-026-00 P.O.Number: E0003405 Order No.: 81-8033-G Invoice No.: 371096 Date: 5/21/13
.-Sh'ooedlzi!-„-,Backorder- . M-: Pe SCri
iption rice]: x end6d....'
21 AUTO 317/5734026
CONTACT NAME KOEPPER, DAWN
1 1 BIG 9703840 BUTTONS ASST 1LB 4.50 4.50
1 1 BG 9715264 BUTTON FANCY ASST 1 /2LB 4.40 4.40
4 4 EA 9721281 NECKLACE MEMORY WIRE 5.66 22.64
1 1 EA 9723973 P' LEATHER CORD NAT 150 YDS 11 .55 11 .55
1 1 EA 9725758 PAINT PEARL EX .750Z SET/6 26.25 26.25
NOTE! REMAINDER OF YOUR ORDER WILL BE INVOICED SEPARATELY.
Purchase
Description
P.O. if L 3�Q 5 —P or F
G.L.4 1092- 4Z-:bqD59
Budoe,
Line-Descr Cl-nney�2`A
Purchaser(M.PI�36(10�) Date
Approval Date
Sold To: DETERS,TIFFANY Ship To: HADDOCK,MONICA NET TOTAL 69.34
CARMEL CLAY PARK&REC CARMEL CLAY PARK&REC SHIPPINGIHANDLING 11.24
1411 E 116TH ST 1235 CENTRAL PARK DR E
CARMEL IN 46032-3455 CARMEL IN 46032 SUB TOTAL: 80.58
ORIGINAL INVOICE TOTAL DUE:
TERMS: NET 30 DAYS
".Ira Fort Atkinson
901 JANESVILLE AVENUE FORTATKINSON,VA 53538-M THANK YOU
92 0 563-2"6 FAX(920)563-SZ563-8296 FIED.I.D.N0. 0 6-11 65854
ri�5
TOLLFREE180 5M595 —NASCO.— For Your Order
For proper credit to your account,please return top portion of this document with your remittance and write your account number/invoicelt on your check All claims for damages and/or shortages MUST be reported
WITHIN 10 DAYS after receipt of merchandise,MERCHANDISE MAY NOT BE RETURNED WITHOUT AUTHORIZATION.
For proper credit to your account,please return this portion with your remittance and write your customer number/invoice#on your check.
Account: 538-026-00 P.O.Number: E0003405 Order No.: 81-8033-0 Invoice No.: 379139 Date: 5/29/13
'itiiwl # nded
vMR!, 0 ice
Ordered ,Shiwed "ftckoMei
.. .... ....
21 AUTO 317/5734026
CONTACT NAME KOEPPER, DAWN
2 2 ST 9732125 CROSS STITCH COMP SET 27.95 55.90
*YOUR ORDER IS COMPLETE*
***WITH THIS INVOICE****
Purchase
Description
P.O.#... '!?�ea5 P or F
G.L.# /D
,f2- Z/
Budget
Line
Purchaser�2 � W. �
Approval Date
Sold To: DETERS,TIFFANY Ship To: HADDOCK,MONICA NET TOTAL 55.90
CARMEL CLAY PARK&REC CARMEL CLAY PARK&REC
1411 E 116TH ST 1235 CENTRAL PARK DR E
CARMEL IN 46032-3455 CARMEL IN 46032 SUB TOTAL: 55.90
ORIGINAL INVOICE TOTAL DUE: 55.90::
TERMS: NET 30 DAYS
,Ira-dCO Fort Atkinson
901 JANESVILLE AVENUE FORTATKINSON,N 53538-0901 THANK YOU
0;113-2446 FAX(920)563-8296 FED.I.D.NO. 0 6-11 658 54
TMLIREE�".00'58-9595 —."sco— For Your Order
For proper credit to your account,please return top portion of this document with your remittance and write your account number/invoicerf on your check.All claims for damages and/or shortages MUST be reported
WITHIN 10 DAYS after receipt of merchandise.MERCHANDISE MAY NOT BE RETURNED WITHOUT AUTHORIZATION,
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.
00350730 Nasco Terms
P.O. Box 901
Fort Atkinson, WI 53538-0901
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
$ 80.58
5/21/13 371096 Supplies 55.90
5/29/13 379139 Supplies
Total $ 136.48
I 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.
00350730 Nasco Allowed 20
P.O. Box 901
Fort Atkinson, WI 53538-0901
In Sum of$
$ 136.48
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-4 371096 4239039 $ 80.58 1 hereby certify that the attached invoice(s), or
1082-4 379139 4239039 $ 55.90 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
13-Jun 2013
Signature
$ 136.48 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund