221948 07/17/2013 *f CITY OF CARMEL, INDIANA VENDOR: 353538 Page 1 of 1
ONE CIVIC SQUARE DISCOUNT SCHOOL SUPPLIES CHECK AMOUNT: $86.84
1 CARMEL, INDIANA 46032 PO BOX 6013
CAROL STREAL IL 60197-6013 CHECK NUMBER: 221948
CHECK DATE: 7/1712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 W17705970101 86 . 84 GENERAL PROGRAM SUPPL
aoo
.voOOd�MPPdS? PLEASE REMIT TO:
www.DiscouritSchoolSupply.com - SAF DISCOUNT SCHOOL SUPPLY
EM 11 DTD P.O. BOX 6013
Accounting Dept.Ph: 800-482-5846 Fax: 800-631-5397 EOC Carol Stream, IL 60197-6013
email:actrec@discountschoolsupply.com I JUN 21 2013
BM
Customer Service:800-627-2829 Fax:800-879-3753
email:customerservice @discountschoolsupply.coml SHIP TO(IF OTHER THAN"SOLD TO")
YOUR ACCOUNT NO.
P J 1 3 ro o If° o o off° 00� o
FM ONICA HADDOCK
MOM mom 0007470867 MONON COMMUNITY CENTER
1235 CENTRAL PARK DR E
SOLD CARMEL, IN 46032
TO: I�I��LIIr�II�n��Iln�III��IL�L�I�IIL�I�InnIIr��ILII��I
CARMEL CLAY PARKS & RECREATION
Accounts Payable
1411 E 116th St
Carmel IN 46032-3455
6381 E0003507
YOUR PURCHASE ORDER NUMBER AND DATE
OUR
INV.NO./ORDER NO. INV.DATE SHIPPED VIA DATE SHIPPED
Payment Due by: 07/18/13
W17705970101 06/18/13 UPS GROUND 06/17/13
ORDERED SHIPPED ITEM NO. DESCRIPTION UNIT PRICE EXTENDED AMOUNT
MONICA HADDOCK
3 3 TAKENOTE BLANK JOURNAL NOTEBOOKS - SET OF 12 18.99 56.97
1 1 LROL LARGE CLEAR CONTACT COVER (18"W X 75'L) 26.99 26.99
1 1 FUEL _ ORDER FUEL SURCHARGE 2.88 2.88
00 5sa-7
ORIGINAL SALES TAX FOB SHIPPING&HANDLINGCm
[WOP21:01— PA $ 86 .84
F.— you for choosong Mscount Schod Sup W' 1 of 1
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
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) PO# Amount
� 86.84
6/18/13 W17705970101 Supplies
I
Total $ 86.84
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
i
Voucher No. Warrant No.
Discount School Supply Allowed 20
353538 P.O. Box 6013
Carol Stream, IL 60197-6013
In Sum of$
$ 86.84
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-4 VV17705970101 4239039 $ 86.84 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
10-Jul 2013
$ 86.84 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund