226785 12/03/2013 �,�,F CITY OF CARMEL, INDIANA VENDOR: 353696 Page 1 of 1
�0 ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: $307.80
,�o CARMEL, INDIANA 46032 PO BOX 51030
"y.�M�o KNOXVILLE TN 37950-1030 CHECK NUMBER: 226785
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 1473325 307 . 80 GENERAL PROGRAM SUPPL
R SY.S.- TEA/6
INV®ICE
X21-L, T,_�fl `ree
'C 7 ' ' `' P hr r' 1473325 277792 11/5/2013 1 of 1
865 769 82-I'I Fa:
FIN ,#`: 50-15010=19
Bill To: CARMEL CLAY PARKS and RECREATION Ship To: RECEIVING
ACCOUNTS PAYABLE CARMEL CLAY PARKS and RECREATI
1411 E 116TH ST _ MARY EVANS
CARMEL, IN 46032-7611 FBY' � 1235 CENTRAL PARK DR E
USA CARMEL, IN 46032-4421
1 2 2013 USA
Shannon Messer 11/4/2013 Net 30 Days 12/5/2013 MC004760 2956334
61705 61700-05 Deluxe Vinyl Coated Dumbbell 5 lb. 20 6.95 6.26 125.20
61707 61700-07 Deluxe Vinyl Coated Dumbbell 7 lb. 10 8.95 8.06 80.60
. _ $205.80,3
- $102.00;..
$0 00
• $307.80]
• $0.00:
B - $307.801
A 1.5% Finance Charge or a$5.00 minimum charge will be applied to all balances over 30 days.
Sales tax is charged based on the ship-to address.
�imbbe.�\S
1 b G(o-a')L -
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.
353696 Power Systems Terms
P.O. Box 51030
Knoxville, TN 37950
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
11/5/13 1473325 Dumbbells $ 307.80
Total $ 307.80
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
Voud'ier No. Warrant No.
353696 Power Systems Allowed 20
P.O. Box 51030
Knoxville, TN 37950
In Sum of$
$ 307.80
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1011.6-22 1473325 4239039 $ 307.80 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
$ 307.80 Accounts Payable Coordinator
Cost distribution ledger classification if Title
i
claim paid motor vehicle highway fund