240696 01/07/15 1�,L4H,NR!
CITY OF CARMEL, INDIANA VENDOR: 117775
d ONE CIVIC SQUARE H.J. SPIER CO, INC CHECK AMOUNT: $**.....*75.00*
f. ? CARMEL, INDIANA 46032 8250 WOODFIELD CROSSING SUITE 330 CHECK NUMBER: 240696
'MiroH�o, INDIANAPOLIS IN 46240 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4347500 93045 75.00 GENERAL INSURANCE
From:Karen K.Banter,CIC FaxID:317-815-2857 Page 2 of 2 Date:1/5/2015 10:09 AM Page:2 of 2
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I N V O I C E # 93045
H.J. SPIER CO., INC. .
8250 Woodfield Crossing Blvd.,Ste.330 :nccou `''"',,. , r'oe.,:;i i:nnrE'
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Indianapolis, IN 46240CARME01 KB 12/01/14 7
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Now Phone Number:317-815-2800 `.;;.o•,<,. " }:
��=Piiblic.0•fficial-Boii -.�Indiv-: ';' '>'a:'.�,: I;c`-::•� ,' `
SINCE 1930 www.hjspier,corn Pol',icv'a
0529208
.COMPANY, ..r::.,., ,.hi',...'iz~r4... .. ',ti:"•.�...... ,.
Clllcin 11 lnsul'allce COm fill
ra•.'
..PR `CERT.': .. ;(,'..e''F2.. %:z`•.�.. r, _ ..,}„' r., .. _..: r ;a.{.,r.:v`'t"'•;
ichael J. Glaser
Carmel Ci>46032
C ".. , - '...:..
�E'fsMEGI'fYE: _ EXPIRATION 'S OA LANCEDUE ONS•
I Civic S01/01/15 01/01/16 01/01/15
Carmel, ANIOIJ}T*PA10 `` AMOUNT .`
$ 75.00
Itm`7oun# . n Description,
INVOICE a2 4N 15-16 POB Poindexter $ 75 . 00
Invoice Balance: $ 75 . 00
PLEASE MAKE CHECKS PAYABLE TO H . J SPIER CO. , INC .
THANK YOU !
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER CityForm No.201(Rev.1995)
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.
)a:,erV1eL S;46 , Terms
5Te .33-o
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
ALLOWED 20
IN SUM OF $
S�
Wn 0 d �l e L
$ 75 -CFD
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
Ll7S0b -7 5,p-6 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
20
u
Cost distribution ledger classification if itle
claim paid motor vehicle highway fund