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226590 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: T361513 Page 1 of 1 ONE CIVIC SQUARE AMERICAN HOTEL REGISTER COMPANY CARMEL, INDIANA 46032 PO BOX 71299 CHECK AMOUNT: $151.92 ". CHICAGO IL 60694-1299 CHECK NUMBER: 226590 CHECK DATE: 12/3/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4238900 50856529 151 . 92 OTHER MAINT SUPPLIES FI'American HOTEL REGISTER COMPANY 7NOV 5 2 013 Government Division 100 S. Milwaukee Avenue FED. ID.#36-0726190 Vernon Hills, IL 60061-4305 1-800-766-6676-domestic, 1-847-743-6016 -overseas 5086529 11/07/13 1 of 1 For 24 hour service please visit our website at www.americanhotel.com SOLD TO: SHIP TO: 4833 1 AB 0.384 E0006X 1008 0817217976 P1688977 0001:0001 nlill��lllnl�lllllinlnl���llln�l���llll�l�l��lllll�l�l��ll�� CARMEL CLAY PARKS THE MONON CENTER AND RECREATION 1235 CENTRAL PARK DRIVE EAST 1411 E 116TH ST CARMEL IN 46032 CARMEL IN 46032-7611 CUSTOMER NO. CUSTOMER P.O.NUMBER SALES ORDER NUMBER TERMS DUE DATE 245447 MC004741 4316767 Net 30 12/07/13 e • • AMERRD-10-W Shower Curtain PEVA 10 gauge W 24 6.33 151.92 White,pebble embossed design,10 gauge PEVA shower curtain,72in w x 72in L,aluminum grommets, Reinforced 3 ply header.PEVA is the responsible sv owo curt A s Mlc ou 4"14t 1093— WLW100 Dun and Bradstreet Number - 00-508-4835 ADJUSTMENTS: RETURNS/EXCHANGES:Please see our website at www.americanhotel.com for terms and conditions or view the yellow pages of our current buying guide. FREIGHT: We now offer e-mail invoice capability instead of paper invoices Please contact your sales representative to be set up. A LATE CHARGE:of 1.5 %per month will be imposed on past balances,being an annual rate of 18.0 %. CREDITS: Please email taxdpt @americanhotel.com to obtain a copy of our W9 form. TAX: 0.00 INVOICE TOTAL: $151.92 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. T361513 American Hotel Register Co. Terms P.O. Box 71299 Date Due Chicago, IL 60694-1299 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 1117/13 5086529 Shower curtains $ 151.92 Total $ 151.92 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and 1 have audited same in accordance with 1C 5-11-10-1,6 20_ Clerk-Treasurer i Voucher No. Warrant No. T361513 American Hotel Register Co. Allowed 20 P.O. Box 71299 Chicago, IL 60694-1299 In Sum of$ $ 151.92 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1093 5086529 4238900 $ 151.92 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 27-Nov 2013 Signature $ 151.92 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund