244655 4 /29/2015 ��p''& CITY OF CARMEL, INDIANA VENDOR: 359344
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.�; ® el•: ONE CIVIC SQUARE AYERS BACKFLOW CHECK SERVICE CHECK AMOUNT: S 430,00
q CARMEL, INDIANA 46032 20 BENNETT ROAD CHECK NUMBER: 244655
+,,,..._., CARMEL IN 46032 CHECK DATE: 04/29/15
�iON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 376777 430.00 BUILDING REPAIRS & MA
APR 16 2015 76777
SOLD TO SHIPPED TO
Ayers 3��ckefir>lcheck Ser.
ADDRESS ADDRESS `�' wne .
C�irmol, IN A6032CITY,STATE,ZIP CITY,STATE,ZIP
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Ct1STOMER ORDER NO. SOLD BY TERMS I (l.B. DATE
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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.
359344 Ayers Backflow Check Ser Terms
20 Bennett Rd
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# . Amount
4/16/15 376777 Backflow check&service 38279 . $ 430.00
Total $ 430.00
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
, 20_
Clerk-Treasurer
Voucher No. Warrant No.
359344 . Ayers Backflow Check Ser Allowed 20
20 Bennett Rd
Carmel, IN 46032
. In Sum of$.
I _ -
$ 430.00 .
ON ACCOUNT OF APPROPRIATION.FOR
109 Monon Center
,i
DO#oor Board Members
INVOICE NO. CCT'#/TITL AMOUNT
Dept
1093 376777- 4350100 $, 430.00 I 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
i
April 23, 2015
Signature
$ 430.00 Accounts Payable Coordinator
Cost distribution ledger classification if - _ Title
claim paid motor vehicle highway fund
I;