246176 06/17/15 J/ �� CITY OF CARMEL, INDIANA VENDOR: 354958
ONE CIVIC SQUARE ACCURATE LASER SYSTEMS, INC CHECK AMOUNT: $********30.00*
;� �; CARMEL, INDIANA 46032 10660 ANDRADE DRIVE CHECK NUMBER: 246176
+,,;,_ ZIONSVILLE IN 46077 CHECK DATE: 06/17/15
t ETON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239011 113745 30.00 SLOPE LASER
ACCURATE LASER SYSTEMS, INC.
10660 Andrade Drive
Zionsville, Indiana 46077
Phone : (317) 873-5611 Fax (317) 873-5770
INVOICE
Date 06/04/15 No. : 113745
Due Date: 07/04/15 Page: 1
Ship To/Remarks
CITY OF CARMEL
DAVE HUFFMAN
3400 WEST 131ST STREET
WESTFIELD IN 46074
(317) 773-2001
a FOB Terms PO# JOB# Rep.
Net 30 Days AB
2�-em Number Description Ordered Unit Price Extended
***** RENTAL *****
1ISC-RENTAL GL412 SLOPE LASER SN#07278174 1.0 30.0000 30.00
LIGHTNING II SN#16998
****ONE DAY RENTAL****
6/2/15
Sub-Total : 30.00
Tax 0.00
Total 30.00
Net To Pay: 30.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Accurate Laser Systems, Inc
IN SUM OF$
10660 Andrade Drive
Zionsville, IN 46077
$30.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 I 113745 I 42-390.11 I $30.00 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
_ s
rs'r L� 'I// /VI y u e1 2015 '
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
1 I
'I
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))
06/04/15 113745 $30.00
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