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HomeMy WebLinkAbout225778 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 367732 Page 1 of 1 ONE CIVIC SQUARE CHALLENGE COINS PLUS CHECK AMOUNT: $510.00 O / 5840 RED BUG LAKE ROAD,SUITE 35 s. „a CARMEL, INDIANA 46032 WINTER SPRINGS FL 32708 CHECK NUMBER: 225778 CHECK DATE: 11/5/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4341980 26421 101101813CCP 510 . 00 WELLNESS PROGRAM a Challenge Coins Plus NNY©UCE 5840 Red Bug Lake Road, Suite 35 Winter Springs, FL 32708 1-800-252-0904 INVOICE #101101813-CCP DATE: OCTOBER 18, 2013 TO: SHIP TO: City of Carmel City of Carmel One Civic Square Attn: Jim Spelbring Carmel, IN 46032 One Civic Square 317-571-2465 Carmel, IN 46032 317-571-2465 COMMENTS OR SPECIAL INSTRUCTIONS: SALESPERSON P.O. NUMBER REQUISITIONER SHIPPED VIA F.O.B. POINT TERMS Eric Perez tbd Jim Spelbring UPS PO QUANTITY DESCRIPTION UNIT PRICE TOTAL 100 1.75"Custom Challenge Coins (proof-10) 3.85 385.00 1 Mold fee 62.50 125.00 1 UPS Overnight Shipping 0.00 0.00 D Q •� NOV 4 2013 By SUBTOTAL $ 510.00 SALES TAX 0 An email confirmation will be sent upon payment being received in our office. SHIPPING&HANDLING 0 Thank you for your business! TOTAL DUE $ 510.00 VOUCHER NO. WARRANT NO. Challenge Coins Plus ALLOWED 20 IN SUM OF $ 5840 Red Bug Lake Road, Suite 35 Winter Springs, FL 32708 $510.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26421 1 101101813-CCPI 43-419.80 I $510.00 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 Monday, November 04, 2013 I Director, HR 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)) 10/18/13 101101813-CCP $510.00 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 , 20 Clerk-Treasurer