222507 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 00350730 Page 1 of 1
ONE CIVIC SQUARE NASCO
0 i CARMEL, INDIANA 46032 PO BOX 901 CHECK AMOUNT: $34.41
�+ FORT ATKINSON WI 53538-0901
CHECK NUMBER: 222507
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 415028 34 .41 GENERAL PROGRAM SUPPL
Fort Atkinson
Date Amount Due Page
6/27/13 x $34.41 O�u l� 1 of 1
901 JANESVILLE AVENUE FORT ATKINSON,VJI 57536-0901 I ^ ^
1920,563-2446 FAX(920)563-8296
TOLL FREE(800)558-9595 www.eNASGO—m WWW LLL L J Order No. Contract P.O.Number
82-0763-0 29881
-_ Account Invoice No. Sis Code WS Id
538-026-00 415028 21 AUTO
Special Information Cash with Order
B/0 OK 317/5734029
DETERS,TIFFANY 1766 Shipping Instructions Requested Date
CARMEL CLAY PARK&REC UPS
1 4 1 1 E 116TH ST
CARMEL IN 46032-3455 POSTAGE: 40.07 QUOTED
1111111111111ee11111t11111�111111t111111111111tt11111111111t11 Remit to:
Nasco
II I I I III II I P.O. Box 901
Fort IiI IIIiI��III�II�II�IIIIIIIIIIIIIIIII�IIBIII�I�III�I!lIIIIIlII�IIII!III Itl I Atkinson 111�1111 III 1351111091 Ie,ILlleee111Leeee11111e1e1
For proper credit to your account,please return this portion with your remittance and write your customer numberriinvoicefi on your check.
Account: 538.026-00 P.O.Number: 29881 Order No.: 82-0763-0 Invoice No.: 415028 Date: 6/27/13
Ordered Shipped Backorder U/M Catalog# Descrlptlon Ar c e Extended
....
21 AUTO B/0 OK 317/5734029
CONTACT NAME KOEPPER, DONNA
1 1 ST 9730187 REXLACE DUO SPOOL ST7 14.35 14.35
1 1 PK 9730675 TIE DYE REXLACE PK/4 7.25 .00
4 4 PD 9731786 PAPER SKTCH 200 SER 8.5X11 3.60 14.40
ITEMS IN BACKORDER COLUMN WILL BE SHIPPED AND INVOICED AFTER 07/05/2013
Ad v. .A S
O S2—q— y 23c9U3q
Sold To: DETERS,TIFFANY Ship To: HADDOCK,MONICA NET TOTAL 28.75
CARMEL CLAY PARK&REC CARMEL CLAY PARK&REC SHIPPING/HANDLING 5.66
1411 E 116TH ST 1235 CENTRAL PARK DR E
CARMEL IN 46032-3455 CARMEL IN 46032.4421 SUB TOTAL: 34.41
ORIGINAL INVOICE TOTAL DUE: 34.41
TERMS: NET 30 DAYS
,A1ajc0 Fort Atkinson
901 JANESVILLE AVENUE FORTATKINSON,WI 53538-0901 THANK YOU
(9207563-2446 FAX(920)563-8296 FED.I.D.NO. 0 6-11 65854
\ TOLLFREE(800)556-9595 www.eNASCO— For Your Order MAMMONISM
\ For proper credit to your account,please return top portion of this document with your remiltance and write your account number/invoice#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
6/27/13 415028 Supplies Adv. In Art 29881 $ 34.41
Total $ 34.41
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.
00350730 Nasco Allowed 20
P.O. Box 901
Fort Atkinson, WI 53538-0901
In Sum of$
$ 34.41
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
INVOICE NO. ACCT#/TITL AMOUNT
Dept#
1082-4 415028 4239039 $ 34.41 I hereby certify that the attached invoice(s), or
UI(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
25-Jul 2013
V&&&qY
$ 34.41 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund