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221391 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: T361513 Page 1 of 1 ONE CIVIC SQUARE AMERICAN HOTEL REGISTER COMPANY i 4 � CHECK AMOUNT: $188.15 CARMEL, INDIANA 46032 Po aox 71299 CHICAGO IL 60694-1299 CHECK NUMBER: 221391 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4238900 46106769 188 . 15 OTHER MAINT SUPPLIES FI'American HOTEL REGISTER COMPANY ,FR_R__C Government Division LBY N 14 2013 100 S. Milwaukee Avenue FED. ID.#36-0726190 Vernon Hills, IL 60061-4305 1-800-766-6676-domestic, 1-847-743-6016 -overseas INVOICE 4610679 06/06/13 1 of 1 For 24 hour service please visit our website at www.americanhotel.com SOLD TO: SHIP TO: 4359 1 AB 0.384 E0007X 10010 D709588882 P1479464 0001:0001 III III 1111111111111,I'1111111-1111111111111111""11111"1111111 CARMEL CLAY PARKS THE MONON CENTER AND RECREATION 1235 CENTRAL PARK DRIVE EAST 1411 E 116TH ST CARMEL IN 46032 CARMEL IN 46032-7611 CUSTOMER NO. CUSTOMER P.O.NUMBER SALES ORDER NUMBER TERMS DUE DATE 145447 M0004227_ 3958068 Net 30 07/06113 EXTENDED DESCR PTION, CITY UNIT PRICE PRICE N5CRD-10-W SHOWER CURTAIN 6X6 24 6.32 151.80 '9P0VvF_? c t 12m 1 ns MC 00 4-3,a1 1 093- 4'2.3 q 00 Dun and Bradstreet Number - 00-508-4835 ADJUSTMENTS: RETURNS/EXCHANGES:Please see our website at www.americanhotel.com for terms and conditions or view the yellow pages of our current buying guide. FREIGHT: 36.35 We now offer e-mail invoice capability instead of paper invoices Please contact your sales representative to be set up. A LATE CHARGE:of 1.5 %per month will be imposed on past balances,being an annual rate of 18.0 %. CREDITS: Please email taxdpt @americanhotel.com to obtain a copy of our W9 form. TAX: 0.00 INVOICE TOTAL: $188.15 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 T361513 American Hotel Register Co. Terms P.O. Box 71299 Date Due Chicago, IL 60694-1299 Ioice nvoice Description ate umber (or note attached invoice(s) or bill(s)) PO # Amount 10679 Shower curtains $ 188 15 Total $ 188.15 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. T361513 American Hotel Register Co. Allowed 20 P.O. Box 71299 Chicago, IL 60694-1299 In Sum of$ $ 188.15 — ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1093 4610679 4238900 $ 188.15 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 20-Jun 2013 Signature $ 188.15 _ Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund