226753 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 353472 Page 1 of 1
ONE CIVIC SQUARE MIRACLE RECREATION EQUIP CO
CARMEL, INDIANA 46032 8445 SOLUTION CENTER CHECK AMOUNT: $45.00
CHICAGO IL 60677-8004
CHECK NUMBER: 226753
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 743571 45 . 00 REPAIR PARTS
INVOICE Page 1
SOLD CARMEL CLAY NOV 12 2013 e.
TO PARKS & REC. DEPT. ru t..;
1411 E. 116TH ST. BY.
CARMEL, IN 46032
8445 SOLUTION CENTER-CHICAGO IL 60677-8004
• 9001
SHIP CARMEL CLAY PK & REC DEPT Fed. !.D.#43-1595099
TO 1427 E. 116TH ST.
CARMEL, IN 46032 Phone(417)235-6917
REFER TO THESE NUMBERS ON ALL
PAYMENTS AND CORRESPONDENCE
WORK ORDER cust6ME'R6RD'-t SOLD' B-Y CUSTOMER INVOICE DATE INVOICE •
663975 084 PHIL BENNETT 4603B06 10/31/13 743571
QUANTITY MODEL • DESCRIPTION UNIT PRICE EXTENDED
1 986153DG HEADER SUPPORT CASTING Dar 37 . 00 37 . 00
SALES AMOUNT 37 . 00
SALES TAX 0 .00
MISC CHARGES 0 . 00
COMMERCIAL FREIGHT 8 . 00
TOTAL 45 . 00
TERMS OF SALE: NET 30 DAYS FROM INVOICE DATE
1.25%CHARGE PER MONTH FOR PAST DUE INVOICES -PLEASE ENCLOSE DUPLICATE COPY OF THIS INVOICE WITH PAYMENT
REMIT TO: MIRACLE RECREATION EQUIPMENT CO
8445 SOLUTION CENTER - CHICAGO IL 60677-8004 CUSTOMER
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.
353472 Miracle Recreation Equipment Co. Terms
8445 Solution Center
Chicago, IL 60677-8004
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
10/31/13 743571 Repair at Meadowlark Playground $ 45.00
Total $ 45.00
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.
353472 Miracle Recreation Equipment Co. Allowed 20
8445 Solution Center
Chicago, IL 60677-8004
In Sum of$
$ 45.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1125 743571 4237000 $ 45.00 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
27-Nov 2013
Signature
$ 45.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund