224801 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 367654 Page 1 of 1
ONE CIVIC SQUARE BLUETARP FINANCIAL CHECK AMOUNT: $1,078.65
CARMEL, INDIANA 46032 PO BOX 105525
ATLANTA GA 30348-5525 CHECK NUMBER: 224801
CHECK DATE: 1018/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 29054307 1, 078 . 65 BUILDING REPAIRS & MA
Page 1 of 2
Printed on 09/10/2013
SEP 10 2013
BlueTarp Financial
rs PO BOX 105525 i ,� .(�po I��- � NORTHERN
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WIA Atlanta, GA 30348-5525 - -
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(b, WalcrF&rA /Y/Q/hE. Customer Account#: 156803
Dawn Koepper 3b159 F '-*7; C� Invoice#: 29054307
Carmel Clay Parks
1411 E 116th St /093-4350100 Nvqhcrn
Carmel, IN 460327611 7CO/
Invoice Details Purchase Location
Date 09/09/2013 Name Northern Tool - Mail Order
Job Code 36158 Address 2800 Southcross Dr W
PO# 36158 Burnsville, MN 55306
Reference Phone (952)894-9510
Invoice Type Sale
Authorization # 17857300 Ship To
Terms Standard Name CARMEL CLAY PARKS
Due Date 10/09/2013 Address 1235 CENTRAL PARK DR E
Amount Due $1,078.65 1Z2129750313424139
CARMEL, IN 460324421
SKU Description $/Unit Units Total
30354 30354 SURFACE CLEANER $699.99 1.00 $699.99
32092 32092 *3/8"X50'4000 PSI PW $79.99 4.00 $319.96
Delivery $58.70 1.00 $58.70
Sub Total: $1,078.65
Sales Tax: $0.00
Questions?Call Customer Service at(888)321-6698,Monday-Friday,7 a.m.to 8 p.m.and Saturday,8 a.m.to 5 p.m.(ET)
Or visit http://www.bluetarp.com
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.
(Northern Tool & Equipment) Terms
BlueTarp Financial
P.O. Box 105525
Atlanta, GA 30348-5525
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO # Amount
9/9/13 29054307 Pressure washer for Waterpark maintenance 36158 $ 1,078.65
Total $ 1,078.65
l 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.
(Northern Tool & Equipment) Allowed 20
BlueTarp Financial
P.O. Box 105525
Atlanta, GA 30348-5525 In Sum of$
$ 1,078.65
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 29054307 4350100 $ 1,078.65 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
3-Oct 2013
SignatLire
$ 1,078.65 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund