224491 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 00353338 Page 1 of 1
ONE CIVIC SQUARE GEMPLER'S INC
CARMEL, INDIANA 46032 CHECK AMOUNT: $282.65
PO BOX 5176
JANESVILLEVvl 53547-5176 CHECK NUMBER: 224491
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239034 1019724786 282 . 65 LANDSCAPING SUPPLIES
Order By Phone: 1-800-382-8473 Gempler's
�� ������� Order Online: www.Gemplers.com FEI#39-ing Way
Order By Fax: 1-800-551-1128 1125 Deming Way
Madison,WI U.S.A.53717
PO Box 44993
Madison,WI USA 53744-4993
000219 PAGE 1 OF 1
B CITY OF CARMEL S CITY OF CARMEL
L ATTN: PARRS PIFER H ATTN: PARRS PIFER
L 3400 W 131ST ST P 3400 W 131ST ST
T WESTFIELD IN 46074-8267 T WESTFIELD IN 46074-8267
0 0
Order No. P.O. No. Sold To No. Invoice No. Invoice Date Due Date
SC10435908 ANY2011 5208827 - 1 1019724786 08/30/2013 09/29/2013
Buyer Carrier Freight Terms Ship Date Payment Terms
PIFER,PARKS UPSGND LOCKED 08/30/2013 Net 30
QTY. QTY.
LINE PRODUCT NO. DESCRIPTION B.0. SHIP UOUNT AMOUNT
1 145541 GOOSE STOPPR CONCENTRATE QUA 0 4 EA 31.50 126.00
2 R97100 BIRD RPLLNT FLASH TPE .TANGLE 0 6 RL 21.95 131.70
SUBTOTAL: 257.70
Thank you for your order. FREIGHT: 24.95
TAXES: 0.00
PN9232126079 ML
PAYMENT TERMS: Net 30 TOTAL AMOUNT DUE BY 09/29/2013 282.65 USD
These items are sold for domestic consumption in the United States. If exported, purchaser -
assumes full responsibility for compliance with US export controls. ORIGINAL
------------------------------------ ---------
After 0 days from invoice date, GHC Specialty Brands, LLC will not be responsible to shove proof of delivery.
TITLE TO ALL MERCHANDISE SHIPPED PASSES TO THE PURCHASER UPON DELIVERY TO THE COMMON CARRIER.
"NC {;L_AIMS. DEDUCTIONS OR RETURNS ACCEPTED WITHOUT OUR WRITTEN CONSENT. ALL CLAIMS MUST BE MADE
W!i I IN 15 DAYS AFTER� RECEIPT OF GOODS. ALL PRICES SUBJECT TO CHANGE WITHOUT NOTICE: PRICES
°HE.'VAILiNG ON TIME OF DELIVERY. THE MOODS COVERED BY THIS INVOICE WERE PRODUCED IN COMPLIANCE
WITH THE REQUIREMENTS OF_;_ICE FAIR LABOR STANDARDS ACT OF 1938 AS AMENDED),
C`I:`?`�Oh;S; . ^C_NSF-D FOR THE ULTIMATE DESTINATION SHOWN, DIVERSION CONTRARY TO THE
1!X� FS I-AV%: "•I7 Ut -US FONJ REES� RC � AQ
'� � ' i�i ITLED TO ENFORCE THE TERMS OF THIS SHIPPING ORDER UNDER THE LAMS
_ �;;]=CF ,._�_., L E MOOS FORUM.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gempler's
IN SUM OF $
P.O. Box 44993
Madison, WI 53744-4993
$282.65
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 1019724786 I 42-390.341 $282.65 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
Fri S 2013
%/%'IV V -IV S1MItjq@ r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/30/13 1019724786 $282.65
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