247286 07/15/15 CITY OF CARMEL, INDIANA VENDOR: 367125
® ONE CIVIC SQUARE GRANZOW INC CHECK AMOUNT: $**......12.50*
?� CARMEL, INDIANA 46032 2300 CROWNPOINT EXECUTIVE DR CHECK NUMBER: 247286
CHARLOTTE NC 28222-6202 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239099 245324 12.50 OTHER MISCELLANOUS
er�c.
INVOICE 245324
July 6, 2015
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S CARMEL STREET DEPARTMENT S CARMEL STREET DEPARTMENT
° 3400 W 131 ST ST H 3400 W 131 ST ST
D WESTFIELD, IN 46074-8267 P (NOT MAIL ST.)
WESTFIELD, IN 46074-8267
T T
O O
Your Order No./Order Date Shipped Via Terms Master No.
241 CITY CENTER 7/6/2015 UPS NET 30 120184DB
TEM e•� a •-�
• • -
1 1 0 MISCELLANEOUS $0.00 $0.00
UPS ADDRESS CORRECTION
Subtotal: $0.00
Shipping/Handling: $12.50
Invoice Total: $12.50
REMIT TO: �f
2300 CROWNPOINT EXECUTIVE DR. BALANCE DUE: $12.50
CHARLOTTE,NC 28227-6702
Phone(704)845-2300•Fax(704)845-2301
www.granzow.com•sales@granzow.com
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))
07/06/15 245324 $12.50
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.
ALLOWED 20
Granzow
IN SUM OF $
-2300 Crownpoint Executive Dr.
Charlotte, NC 28227-6702
$12.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 l 245324 I 42-390.991 $12.50 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
T da J ly 09, 2015
Street Commissio eff
trAAt(`nrmmjAsj0n.0.
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund