244081 04/08/15 CITY OF CARMEL, INDIANA VENDOR: 367460
ONE CIVIC SQUARE VINE& BRANCH LLC CHECK AMOUNT: $***'***275.00*
i° CARMEL, INDIANA 46032 14803 OLD TAYLORSVILLE ROAD CHECK NUMBER: 244081
PO BOX 188 CHECK DATE: 04/08/15
FISHERSVILLE KY 40023
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 1159 275.00 BUILDING REPAIRS & MA
L r-In INVOICE
U•
Invoice Number:1159
MAR 2015
14803 Old Taylorsville Rd. Invoice Date: 3/16/2015
P.O. Box 188
Fisherville, KY 40023 --
Phone: 502-241-6010
Fax: 502-241-2288
B.iII-To: Ohip To-
Carmel-Clay Parks and Rec Carmel Clay Parks
1411 East 116th Street
Carmel IN 46032
Customer Order/PO Number Payment Terms TE:J,ob Number Due Date
38099 15057 4/15/2015
Quantity Description Unit Price Extended Price
1.00 Installed (1) Elec Height Adjuster k75.00 275.00
�OTAL
ales Tax 10.00
Thank You For Your Business! AMOUNT DUE 76.06
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.
367460 Vine &Branch, LLC Terms:
P.O. Box 188
Fisherville, KY 40023
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/16/15 1.159 H"eight adjuster install 38099 $ 275.00
Total $._ 275.00
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20_
Clerk-Treasurer
Voucher No. Warrant No.
367460 Vine & Branch, LLC Allowed 20
P.O. Box 188
Fisherville, KY 40023
+" In Sum of$
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$ 275.00
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ON ACCOUNT OF APPROPRIATION FOR
i
109 -Monon Center i
1
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 1159 4350100 $ 275,.00. i I 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
April 3, 2015
fh"& �
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Signature
$ 275.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
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claim paid motor vehicle highway fund
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