226093 11/18/2013 CITY OF CARMEL, INDIANA VENDOR: T359473 Page 1 of 1
t` ONE CIVIC SQUARE FITNESS FINDERS
1007 HURST ROAD CHECK AMOUNT: $93.39
CARMEL, INDIANA 46032
JACKSON MI 49201 CHECK NUMBER: 226093
CHECK DATE: 11/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 174335 93 . 39 GENERAL PROGRAM SUPPL
II I I I I IIIII III II I IIIII I III 4
1 nvoice 174 092
CUSTOMER NO: CARM009 Fitness Finders.
INVOICE NO: 174335 Shaping America's Future.
'tRECEIVED 1007 Hurst Road Jackson MI 49201
(800)789-9255
OCT 2 4 2813
Bill To: Carmel/Clay Parks & Rec Ship To: Smoky Row Elementary
1411E 116th St �__ . ----- ---- Amy Baldauf
Carmel, IN 46032 900 W 136th St
Carmel, IN 46032
Date Ship Via F.O.B. Terms
10/21/13 Ground Origin Purchase Order
Purchase Order Number Order Date Sales Person_ Our Order Number
E0003815 10/18/13 Dawn 174092
- Quantity
Req Shipped B.O. U/M Item Number Description Unit Price Amount
6 6 126-2032 Mileage Marker Cards 2 (75) 1.8900 11.34
Foot-Shaped
1 1 117-200 Toe Tokens (1000) 59.9500 59.95
30 30 116-200 24" Silver Chains 0.3700 11.10
1 1 006 SAMPLES 4,21,24 0.0000 0.00
CORE Phys Ed
Invoice subtotal 82.39
Shipping & Handling 11.00
Invoice total 93.39
THIS IS YOUR INVOICE
�f�CaD3gis�
Vogl- F 42314039
ILI Thank You
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.
T359473 Fitness Finders Terms
1007 Hurst Road
Jackson, MI 49201
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/21/13 174335 Supplies $ 93.39
Total $ 93.39
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.
T359473 Fitness Finders Allowed 20
1007 Hurst Road
Jackson, MI 49201 j
In Sum of$
$ 93.39
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-8 174335 4239039 $ 93.39 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
Signature
$ 93.39 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund