248292 08/12/15 CITY OF CARMEL, INDIANA VENDOR: 368518
ONE CIVIC SQUARE CULLIGAN WATER OF BOONE COUNTYCHECK AMOUNT: $."••"'269.95"
CARMEL, INDIANA 46032 PO BOX 797 CHECK NUMBER: 248292
ATTN: ACCTS RECEIVABLE CHECK DATE: 08/12/15
LEBANON IN 46052
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 121725 269.95 BUILDING REPAIRS & MA
�
C000ahy Address ',� D��epCulligan of BobnQcounty
��ons
|
PO Box 797'
l Work Order
Lebanon, IN 46052 121725
70-02-217o 317-S73-8772
Serviced Bv
Schd: 08:00008:00ASirvice Address ---
CARMEL FIRE DEPT STATION 441
.
JIM SPELBRING Tax A CARMEL FIRE DEPT STATION #41 �
2 CIRCLE QUARE ` S3PELBRI1N116 `
CARMEL IN 46032 2 CIRCLE SQUAREf/
CARMEL IN 46032
� Key - #Fam/Loc -
Account CE L CELL R V, r d e r7f;i I Q- 1
�
.113738 i17-557-3241 NO 07/
salt Set Cont Info lmtallm MB
Test Date Warn Date Prev Owner IRO CHANCE 3 FILTERS
WEDNESDAY
`
| AC5 �
�
�
|
�
'
! '
�
i
i
�
�
|
_
|
VOUCHER NO. WARRANT NO.
ALLOWED 20
Culligan
IN SUM OF$
PO Box 797
Lebanon, IN 46052
$269.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-501.00 $269.95 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
AU6 10 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
Sta.41 $269.95
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