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224306 09/23/2013 CITY OF CARMEL, INDIANA VENDOR: 367577 Page 1 of 1 ONE CIVIC SQUARE SOUTHSTAR FINANCIAL LLC CHECK AMOUNT: $2,197.84 CARMEL, INDIANA 46032 PO BOX 2323 N MT PLEASANT SC 29465 CHECK NUMBER: 224306 CHECK DATE: 9/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 5093 2, 197 . 84 GENERAL PROGRAM SUPPL REMI' PAYMENT TO. SouthStar Financial, LLC Invoice PO Box 2323 7BY E Mt. Pleasant SC 29465 EP 10 3 2013 ; ; g : - '� 8/13/2013 5093 Carmel Clay Parks&Recreation Matt Leber 1411 Dawn E. 116th r Street c/o Carmel Clay Parks& Rec Carmel1,, 1 16th IN 46032 1235 Central Park Drive Est. Carmel,IN 46032 jg W "& WIN VZA ,.r/, SD36067 SDon IZX8795YO390092511 Due on receipt 8/29/2013 qq 9405CSAP Combo Super Multigoal Activity Pack: 1 1,955.00 1,955.o0T 2 MultiGoals w/Carry Bags,2 Multigoal Jr.w/Carry Bags, 30 GenMove Balls,2 18"Omnikin Ball,2 Stacker Sets,2 Noodle Packs,50 Disc Cones,30 Youth Pinnies, I Universal Games&Activities Book, I Fundamentals Games Book 3901SIM Simplexity Book I 39.95 39.951- 3901 YAP Young Athletes Program Book I 39.95 39.95T 3201EA1 Book: Early Childhood Movement I 39.95 39.95T 3501 K51 Book: K-5 PE Games&Activity I 39.95 39.95T 3401AS1 Book:Afterschool Activity STEM I 39.95 39.95T Shipping I 150.83 150.83 5%HAMPA Meeting Discount -107.74 -107.74 l�eerea�,'o� P'r°9�r°`s''^,Mwg �wu►P �- 3�Or�-7 coq (f -423�ro Sales Tax (0.0%) $0.00 ;f Payments/Credits $0.00 Balance Due $2,197.84 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. SouthStar Financial, LLC Terms P.O. Box 2323 Mt. Pleasant, SC 29465 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 8/13/13 5093 Recreation programming equipment 36067 $ 2,197.84 Total $ 2,197.84 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 5-11-10-1.6 120— Clerk-Treasurer Voucher No. Warrant No. SouthStar Financial, LLC Allowed 20 P.O. Box 2323 Mt. Pleasant, SC 29465 In Sum of$ $ 2,197.84 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or Board Members INVOICE NO. ACCT#/TITL AMOUNT Dept# 1096-99 5093 4239039 $ 2,197.84 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 19-Sep 2013 Signature $ 2,197.84 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund