249205 09/09/15 R, CITY OF CARMEL, INDIANA VENDOR: 00352813
(� 1 ONE CIVIC SQUARE CENTRAL INDIANA HARDWARE CHECK AMOUNT: $**......36.59*
CARMEL, INDIANA 46032 P.O.B OX 83030 CHECK NUMBER: 249205
CHICAGO IL 60691-3010 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1206 4350900 7131351 36.59 OTHER CONT SERVICES
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Invoice
Central Indiana Hardware Invoice # : 7131351
Y. 9190 Corporation Drive
since 1851 Indianapolis,Indiana 46256 Order# 5093112
Tel:317-558-5700 Fax: 317-558-5712 Date Aug 24, 2015
Customer: Ship To:
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131 ST ST. 3400 W. 131 ST ST.
Carmel, Indiana 46074 Carmel, Indiana 46074
Tel: 317-733-2001 Fax: 317-733-2005
Account Code 90921 Quote#
Terms Net 30 Purchase Order# BATHROOM
Customer Job# Shipped Via Customer Pick-up/Will Call
Salesperson Key Center Account Contact Key Center Account
Order Name SEE NOTES BELOW NOT ON SYSTEM. KEY CUT ARE LOCATED BELOW
2 CORES, 4 OPERATING KEYS AND 1 CONTROL KEY FOR BATHROOM REKEY
Unit Extended
Ordered Shipoed Product Description Price Price
2 2 STANDARD REKEY STANDARD CYLINDER (LABOR) 12.92 25.84
5 5 STANDARD KEY CUTTING (LABOR) 2.15 10.75
Shipment Number Shipment Date Note
158850 Aug 24, 2015 2 CORES, 4 OPERATING KEYS AND 1 CONTROL KEY FOR BATHROOM REKEY
Pre-Tax Total 36.59
INDIANA 0.00
Amount Due 36.59
CIH FSC Certificate# SCS-COC-002586
(Only the products that are identified as such on this document are FSC Certified)
Printed Aug 26,2015 12:36 PM
** Remit to: Central Indiana Hardware, PO Box 83030, Chicago, IL 60691-3010 Page 1 of 1
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
08/24/15 7131351 $36.59
1206 101
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
CENTRAL INDIANA HARDWARE
P.O. B OX 83030 IN SUM OF $
CHICAGO IL 60691-3010
$36.59
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT
Board Members
7131351 I 43-509.00 I $36.59 1 hereby certify that the attached invoice(s), or
1206 101
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
Th'Gr y, Sep embe �11
VUjVW 4W
Street Corr�nrec for er
Cost distribution ledger classification if
claim paid motor vehicle highway fund