226070 11/18/2013 CITY OF CARMEL, INDIANA VENDOR: 367654 Page 1 of 1
ONE CIVIC SQUARE BLUETARP FINANCIAL
CARMEL, INDIANA 46032 PO BOX 105525 CHECK AMOUNT: $501.00
ATLANTA GA 30348-5525 CHECK NUMBER: 226070
CHECK DATE: 11118/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4238000 29295225 501 . 00 SMALL TOOLS & MINOR E
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C +IV Printed on 10/22/2013
S 2 2- 2013
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BlueTarp Financial �, NORTHERN'
PO BOX 105525
. Atlanta, GA 30348-5525 �► TOOL+EQUIPMENT
Customer Account#: 156803
Dawn Koepper Invoice#: 29295225
Carmel Clay Parks
1411 E 116th St
Carmel, IN 460327611
Invoice Details Purchase Location
Date 10/21/2013 Name Northern Tool - Mail Order
Job Code 36292 Address 2800 Southcross Dr W
PO# 36292 Burnsville, MN 55306
Reference Phone (952)894-9510
Invoice Type Sale
Authorization # 18301241 Ship To
Terms Standard Name CARMEL CLAY PARKS
Due Date 11/20/2013 Address 1235 CENTRAL PARK DR E
Amount Due $501.00 1Z2129750315557788
CARMEL, IN 460324421
SKU Description $/Unit Units Total
23570 23570 72"X80" NW LIGHT BLUE $32.99 10.00 $329.90
Delivery $171,10 1.00 $171.10
movtnq hlom kef Sub Total: $501.00
W p stcrc-T f-LLm;},sre Sales Tax: $0.00
Invoice Total: $501.00
10 q - 4a3g000
uestions?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
367654 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
10/21/13 29295225 Moving blankets for WP furniture storage 36292 501.00
Total $ 501.00
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
Voucher No. Warrant No.
(Northern Tool & Equipment) Allowed 20
367654 BlueTarp Financial
P.O. Box 105525
Atlanta, GA 30348-5525 In Sum of$
$ 501.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 29295225 4238000 $ 501.00 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
14-Nov 2013
, ljjn
Signature
$ 501.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund