225521 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 353696 Page 1 of 1
0 ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: $270.20
CARMEL, INDIANA 46032 PO BOX 51030
KNOXVILLE TN 37950-1030
CHECK NUMBER: 225521
CHECK DATE: 10123/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 1466078 270 . 20 GENERAL PROGRAM SUPPL
x , INVOICE
TtLE- S
5 l L!—0 r 1 H i N, (`1 _-,�'-;'i! off=" • s I D_ e-'-
.CIC1 1-6.Q 7 c. €uIi r= _
865 7 6,?,,'8 �1 1 �a r � J�- —� 1466078 277792 10/8/2013 1 of 1
FIN #: 58- �501001:
p„;rter1yaterns ,rorrl QCT 112013 j
BY ___j
Bill To: CARMEL CLAY PARKS and RECREATION Ship To: RECEIVING
ACCOUNTS PAYABLE CARMEL CLAY PARKS and RECREATI
1411 E 116TH ST MARY EVANS
CARMEL, IN 46032-7611 1235 CENTRAL PARK DR E
USA CARMEL, IN 46032-4421
USA
Shannon Messer 1 Oi7/2013 Net 30 Days 11/7/2013 36247 2947868
83333 83201-6M-Pl Premium Yoga Sticky Mat 68" L x 24"W x 1/4"tl 10 27.95 25.16 251.60
. . $251.601'
• $18.60
$270.20F,
..
$0.06-1,
D -
$270.201-
A 1.5% Finance Charge or a $5.00 minimum charge will be applied to all balances over 30 days.
Sales tax is charged based on the ship-to address.
- ►�N.ES� �C�vIPiM�n i
�o
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.
353696 Power Systems Terms
P.O. Box 51030
Knoxville, TN 37950
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/8/13 1466078 Fitness equipment 36247 $ 270.20
Total $ 270.20
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.
353696 Power Systems Allowed 20
P.O. Box 51030
Knoxville, TN 37950
In Sum of$
$ 270.20
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-22 1466078 4239039 $ 270.20 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
17-Oct 2013
Signature
$ 270.20 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund