249754 09/23/15 ✓.A.Lair&Co LLC
11715 Fox Rd Suite 400-106 bwoke
Indianapolis,ln 46236
317 627 3192 Fax 863 1012 Number` 1 2012
barjalco@netzero.net
Date 9/2/2015
Bill T6'+ (Ship To
Carmel Street Dept Carmel Street Dept
3400 W 131 st Street 3400 W 131 st Street
Westfield,In,46074 Westfield,In,46074
PO Number Terms.; Customer# Ship ViaProject
Dave/Email/8-25 net/30 origin 7631
Item#' ^ Description Quantity Price Each Amount Tax1
124355 skate stoppers 20.00 $17.50 $350.00
Amount Paid $0.00
�Amou–! ,nt Due"'-� $372.00 Shipping Cost - $22.00
Sub Total _---^l $372.00
Sales Tax 7.00%on$0.00 $0.00
Total $372.00
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))
09/02/15 2012 $372.00
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
J. A. Larr & Co.
IN SUM OF $
11715 Fox Rd., Suite 400-106
Indianapolis, IN 46236
$372.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 2012 I 42-390.11 I $372.00 I 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
/ Thur �j,�St mber 7, 015
Straaimissloner
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund