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226068 11/18/2013 CITY OF CARMEL, INDIANA VENDOR: 367739 Page 1 of 1 ONE CIVIC SQUARE BICYCLE INDIANA CHECK AMOUNT: $114.95 CARMEL, INDIANA 46032 PEDAL&PARK 242 E MARKET ST,STE 102 CHECK NUMBER: 226068 INDIANAPOLIS IN 46204 CHECK DATE: 11/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 853 5023990 M111 114 . 95 OTHER EXPENSES Pedal & Park - Bicycle Indiana 242 E. Market Steet Ste. 102 Invoice Number: m111 Indianapolis, IN 46204 RECEIVED Invoice Date: Oct 10,2013 Page: 1 Voice: 317-466-9701 OCT 2 5 2013 Fax: To: 71�- F-bijl- Ship to: Carmel Clay Parks&Recreation Carmel Clay Parks&Recreation 1411 E. 116th Street 1411 E. 116th Street Carmel, IN 46032 Carmel, IN 46032 Customer T6r T.avmeW ms -ID- CCPR Net 30 Days _'; Sales Rep ID 'Shipping Method ., _sfiib Date` Due Date Airborne 11/9/13 Quantity Item, Description: Unit Pnce Amount 1.00 Pedal& Park Rack Rental Fee- Carmel 100.00 100.0C Fest 1.00 Combination Lock 14.95 14.9,r Subtotal 114.9.° Bicycle Indiana is the fiscal agent for Pedal Sales Tax &Park. Total Invoice Amount 114.9E Please make your check payable to Bicycle Indiana and mail to:Pedal &Park Payment/Credit Applied c/o Bicycle Indiana 242 E. Market Street, TOTA�,-,` —,114.9, Ste 102, Indianapolis,IN 46204 Thank you for supporting -5-0 D Pedal& Park! VV 7 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. Bicycle Indiana Terms Pedal & Park Date Due 242 E. Market Street, Ste 102 Indianapolis, IN 46204 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 10/10/13 M111 Rack rental fee $ 114.95 Total $ 114.95 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 i Voucher No. Warrant No. Bicycle Indiana Allowed 20 Pedal & Park 242 E. Market Street, Ste 102 Indianapolis, IN 46204 In Sum of$ $ 114.95 ON ACCOUNT OF APPROPRIATION FOR 853 Gift Fund PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 853 M111 5023990 $ 114.95 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 14-Nov 2013 V.&&Lkw-mm / Signature $ 114.95 Business Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund