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222554 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 360409 Page 1 of 1 ONE CIVIC SQUARE RACO INDUSTRIES 0 CHECK AMOUNT: $843.00 ,ro CARMEL, INDIANA 46032 PO BOX 932312 *y roM�o CLEVELAND OH 44193 CHECK NUMBER: 222554 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4239099 IN394640 843 . 00 OTHER MISCELLANOUS * * * H I S T O R I C A L 5480 Cr Road Invoice#: IN394640 C Cin nati, OH 45242 - Phone: 513-984-2101 Date:- 6/27/2013 Fax: 513-792-4272 Page: 1 REMIT TO- PO Box 932312 Cleveland, OH 44193 1;��j BILL TO: SHIP TO: Carmel Clay Parks & Recreati Carmel Clay Parks & Recreatio 1411 East 116th St . 1235 Central Park Drive East The Monon Center/ Dawn Koeppe Carmel IN 46032 Carmel IN 46032 Purchase Order No. Customer ID.. -: Salesperson ID .. Shipping Method Payment Terms Ship Date Order No. 29912 CAIN5701 SM UPS-GNDCOM Net 30 6/26/2013 ORD339189 pp - t: Descri tion Unit Price ExtPrice ---Shi eV":-- -U"of Ni_- °ICern?Nu`mtier .• '�'" p 2,500.000 EA RCC40KEY Monon Ctr-Green- Bus Style Key Tag w/Barcode $0.330 $825.00 RE T JUL — 2 2013 4y_ Green View 'Fc)& Pates J 991 a F 1091— 423G0Ct 1 Thank You For Your Business ! TRACKING NUMBERS: 1Z1115860359209079 PLEASE PAY FROM THIS INVOICE A FINANCE CHARGE OF 2%PER MONTH(24%ANNUAL PERCENTAGE RATE) Freight $18.00 WILL BE CHARGED ON THE UNPAID BALANCE OF YOUR ACCOUNT NOT PAID Tax $0 . 00 WITHIN THE TERMS LISTED ABOVE. RETURNS ARE SUBJECT TO A 15%-25% Total $843 . 00 RE-STOCKING CHARGE. ALL RETURNS REQUIRE A RETURN AUTHORIZATION NUMBER OR SHIPMENT WILL BE REFUSED. MOST PRODUCTS ARE RETURNABLE ONLY WITHIN 14 DAYS FROM THE DATE OF SHIPMENT. 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. 360409 RACO Industries LLC Terms P.O. Box 932312 Cleveland, OH 44193 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 6/27/13 IN394640 Green key FOB passes 29912 F $ 843.00 Total $ 843.00 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. 360409 RACO Industries LLC Allowed 20 P.O. Box 932312 Cleveland, OH 44193 In Sum of$ $ 843.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 IN394640 4239099 $ 843.00 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 25-Jul 2013 �&A'atfwx Signature $ 843.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund