241141 01/13/15 (9)
CITY OF CARMEL, INDIANA VENDOR: 364027
ONE CIVIC SQUARE SMITHS BELL AND CLOCK CHECK AMOUNT: $**..."500.00'CARMEL, INDIANA 46032 5941 E NORTH CO LINE ROAD CHECK NUMBER: 241141
CAMBY IN 46113 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351501 32530 5689 500.00 CLOCK MAINTENANCE
Smith's Bell and Clock
5941 E. North Co. Line Rd. Jmlo iP
Camby, IN 46113 Number: 5689
888-469-4442
fax:317-483-3251 Date: December 30, 2014
Bill To: Ship To:
Carmel St. Dept.
3400 w 131 st street
Carmel, IN 46032
PO Number Terms Project
INCA001# On Receipt Clock
Date Description Hours Rate Amount
12/30/2014 PMA 0.00 500.00
THYANK YOU FOR YOUR BUISNESS.WE ARE GLAD YOU ARE A PART OF OUR FAMILY.
Total $500.00
0- 30 days 31 -60 days 61 -90 days > 90 days Total
$500.00 $0.00 $0.00 $0.00 $500.00
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))
12/30/14 5689 $500.00
1 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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Smith's Bell and Clock
Yr - Mr�-� (tom IN SUM OF $
, IN 464 50
$500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
32530 5689 43-515.01 $500.00 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
UaU4y anuary 9, 2015
U
S+roc+Cnmmissionar
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund