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224293 09/23/2013 CITY OF CARMEL, INDIANA VENDOR: 360409 Page 1 of 1 ONE CIVIC SQUARE RACO INDUSTRIES CARMEL, INDIANA 46032 PO BOX 932312 CHECK AMOUNT: $1,096.00 .�� CLEVELAND OH 44193 CHECK NUMBER: 224293 CHECK DATE: 9/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4239099 IN399248 1, 096 . 00 OTHER MISCELLANOUS * * * H I S T O R I C A L 5480 CI-94 Road ?;=Invoice!#: IN399248 Cinci nati, OH 45242 INDUSTRIES Pone: 513-984-2101 Date: 9/4/2013 Fax: 513- 2 — Page: 1 REMIT TO: PO Box 932312 SEP 12 2013 i Cleveland, OH 44193 Y: __ BILL TO: SHIP`TG-: Carmel Clay Parks & Recreati Carmel Clay Parks & Recreatio 1411 East 116th St. 1235 Central Park Drive East Attn: Dawn Koepper Carmel IN 46032 Carmel IN 46032 Purchase Order No..". Customer,Ip Salesperson ID Shipping Method Payment Terms Ship Date Order No. 36076 CAIN5701 SM UPS-GNDCOM Net 30 9/3/2013 ORD345106 Descr t orr _ I Unit Price Ext.-Price Shipped " U of U°, "iiem lvurnoer p 2,500.000 EA RCC40KEY 30 Mil Teslin Bus Style Key Tags 2/1 in Green wi $0.330 $825.00 500.000 EA RCC40KEY 30 Mil Teslin Bus Style Key Tags 2/1 in Orange w $0.390 $195.00 2.000 EA RCCARTWORK Artwork Set Up $29.000 $58.00 Fob p0.15SC11011, F Oul- 4LZ3c' 39 Thank You For Your Business ! TRACKING NUMBERS: JZ1115860358162399 PLEASE PAY FROM THIS INVOICE Freight $18.00 A FINANCE CHARGE OF 2%PER MONTH(24%ANNUAL PERCENTAGE RATE) 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 $1 , 096 . 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 9/4/13 IN399248 Key FOB passes 36076 $ 1,096.00 Total $ 1,096.00 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. 360409 RACO Industries LLC Allowed 20 P.O. Box 932312 Cleveland, OH 44193 In Sum of$ $ 1,096.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 IN399248 4239099 $ 1,096.00 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 $ 1,096.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund