224243 09/23/2013 CITY OF CARMEL, INDIANA VENDOR: 367573 Page 1 of 1
10� ONE CIVIC SQUARE DIAPER DECK CHECK AMOUNT: $697.00
-4' CARMEL, INDIANA 46032 705 EAST CRYSTAL LAKE ROAD
y.off Eo BURNSVILLE MN 55306 CHECK NUMBER: 224243
CHECK DATE: 9/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 5955 697 . 00 BUILDING REPAIRS & MA
Diaper Deck �tJL��'�j Invoice
705 East Crystal Lake Rd. Date Invoice#
Burnsville, MN 55306 P-- CFT'NJFD
SEP 12 2013 7/18/2013 5955
Bill To Ship To
Carmel Clay Parks&Recreation 1235 Central Park Drive East
1411 E. 116th Street Attn:Jim Ransford
Carmel,IN 46032 Carmel,IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
29929 Net 30 7/17/2013
Quantity Item Code Description U/M Price Each Amount
2 Diaper Deck(Bei... Diaper Deck(Beige) ea 175.00 350.00
12 Safety Strap Diap... ea 10.00 120.00
7 Safety Strap High.:. Back Ordered--Delivery August 15 ea 25.00 175.00
2 UPS Ground DD UPS Ground Shipping 20.00 40.00
1 USPS Parts Ship... USPS Parts Shipping 12.00 12.00
Total $697.00
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.
Diaper Deck Terms
705 East Crystal Lake Rd
Burnsville, MN 55306
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/18/13 5955 Infant changing tables & straps 29929 $ 697.00
Total $ 697.00
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.
Diaper Deck Allowed 20
705 East Crystal Lake Rd
Burnsville, MN 55306
In Sum of$
$ 697.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1093 5955 4350100 $ 697.00_ 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
19-Sep 2013
Signature
$ 697.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund