HomeMy WebLinkAbout224271 09/23/2013 *F CITY OF CARMEL, INDIANA VENDOR: 366665 Page 1 of 1
ONE CIVIC SQUARE INDY CUSTOM CORNHOLE
CARMEL, INDIANA 46032 PO BOX 68873 CHECK AMOUNT: $105.00
�•,�'��• INDIANAPOLIS IN 46268
CHECK NUMBER: 224271
CHECK DATE: 9/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 90613 105 . 00 GENERAL PROGRAM SUPPL
SEP 0 9 2013
E US>7PiOR4
Indy Custom Cornhole INVOICE: 090613
Indiana's Premiere Cornhole Supplier DATE: SEPTEMBER 5, 2013
Phone 317.339.0780
Scott@I ndyCustomCornhole.com
SOLD TO/ Carmel Clay Parks PAYMENT HISTORY:
DATE NEEDED: POC: Dawn Koepper
PAYMENT METHOD CHECK NO SPECIAL INSTRUCTIONS
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Check PO #MC004527
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QTY 1 ITEM# DESCRIPTION UNIT PRICE DISCOUNT LINE TOTAL
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2 Custom 2 sets of 8 resin bags - red/blue 36.00 72.00
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1 }} Trip Delivery of bags to facility 33.00
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� 6-_ -423903
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SUBTOTAL 105.00
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SALES TAX Exempt
j TOTAL 105.00
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Send payment to Indy Custom11Cornhole, LLC
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PO Box 68873,Indy IN 46268�N��
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THANK YOU FOR YOUR BUSINESS!
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.
366665 Indy Custom Cornhole, LLC Terms
P.O. Box 68873
Indianapolis, IN 46268
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO # Amount
9/5/13 90613 Cornhole bags $ 105.00
Total $ 105.00
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.
366665 Indy Custom Cornhole, LLC Allowed 20
P.O. Box 68873
Ihdianapolis, IN 46268 k
***NEW ADDRESS In Sum of$
$ 105.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 90613 4239039 $ 105.00 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
$ 105.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund