244528 04/21/15 o"'
CITY OF CARMEL, INDIANA VENDOR: 356915
ONE CIVIC SQUARE L T RICH PRODUCTS INC CHECK AMOUNT: S•""•"26.84•
CARMEL, INDIANA 46032 9 ANON RICKS DR CHECK NUMBER: 244528
IN CHECK DATE: 04/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 95452 7.85 REPAIR PARTS
2201 4237000 95493 18.99 REPAIR PARTS
LT Rich Products, Inc.
Z INVOICE
920 Hendricks Drive
Lebanon, IN 46052
Date Invoice#
4/13/2015 95493
Bill To Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 WEST 131 ST ST. 3400 WEST 131 ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
USA USA
P.O. No. Terms Due Date Ship Date Via
DUE ON DELIVERY 4/13/2015 4/13/2015 U.S. FedEx Grou
60040-SPOT SPRAY GUN 1 18.99 18.99T
EXEMPT Sales Tax 0.00% 0.00
Total $18.99
Payments/Credits $0.00
Balance Due $18.99
Phone# Fax# E-mail
765-482-2040 765-482-2050 lauriekiefer@hotmail.com
LT Rich Products, Inc.
PW 920 Hendricks Drive INVOICE
Lebanon, IN 46052 Date Invoice#
4/13/2015 95452
Bill To Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 WEST 131ST ST. 3400 WEST 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
USA USA
Terms Due Date Ship Date Via
SHOP DUE ON DELIVERY 4/13/2015 4/13/2015 U.S. FedEx Grou
60114-QJ39685 TEEJET NOZZLE BODY\nLEFT 1 6.65 6.65T
HAND
CP88-18X134-.1/8 X 1-3/4 SS COTTER PIN 4 0.30 1.20T
EXEMPT Sales Tax 0.00% 0.00
Total $7.85
Payments/Credits $0.00
Balance Due $7.85
Phone# Fax# E-mail
765-482-2040 765-482-2050 lauriekiefer@hotmail.com
VOUCHER NO. WARRANT NO.
LT Rich Products Inc ALLOWED 20
IN SUM OF$
920 Hendricks Drive
Lebanon, IN 46052
$26.84
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 95493 42-370.00 $18.99 1 hereby certify that the attached invoice(s), or
2201 95452 42-370.00 $7.85 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
Y1 17
/F/i da it 17 15
VVAIVY
I
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
Prescribed by State Board of Accounts J 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))
04/13/15 95493 $18.99
04/13/15 95452 $7.85
I herebycertify that the attached invoice(s), or bills is are true and correct and I have audited same in accordance
fY bill(s), (are)
with IC 5-11-10-1.6
' 20
Clerk-Treasurer