233273 06/04/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 00351189
ONE CIVIC SQUARE J &M SUPPLY CHECK AMOUNT: $*******348.50*
CARMEL, INDIANA 46032 PO sox 1184 CHECK NUMBER: 233273
CARMEL IN 46082-1184 CHECK DATE: 06/04/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 19925 348.50 OTHER MISCELLANOUS
J &M Supply Corp INVOICE
PO Box 1184
Carmel, IN 46082-1184 DATE ORDER NO.
( 31 7) 844-3009 5/29/2014 19925
BILL TO SHIP TO
Carmel Fire Department Carmel Fire Department
2 Carmel Civic Square 2 Carmel Civic Square
Carmel IN 46032 Carmel IN 46032
Att'n. Training Center
P.O. NO. TERMS SHIP DATE SHIP VIA FOB VENDOR NO.
VERBAL Net 20 5/29/2014 Our Truck Delivered
ITEM DESCRIPTION QTY UNIT PRICE B/O AMOUNT
7755-5 Squeegee fixed head w/ locking blade 28" white 10 34.85 0 348.50
Order Complete
Total $348.50
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
J & M Supply
IN SUM OF$
P.O. Box 1184
Carmel, IN 46032 2-
$348.50$348.50
I
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 19925 42-390.99 $348.50 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
� � ® z 20%
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
19925 $348.50
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