249583 09/23/15 `..�, "% CITY OF CARMEL, INDIANA VENDOR: 354958
4�
6 ONE CIVIC SQUARE ACCURATE LASER SYSTEMS, INC CHECK AMOUNT: S"'"'"`"60.00"
?� CARMEL, INDIANA 46032 10660 ANDRADE DRIVE CHECK NUMBER: 249583
'.Mr.o��� ZIONSVILLE IN 46077 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4353099 115428 60.00 OTHER RENTAL & LEASES
ACCURATE LASER SYSTEMS, INC.
10660 Andrade Drive
Zionsville, Indiana 46077
Phone : (317) 873-5611 Fax (317) 873-5770
INVOICE
Date 09/15/15 No. : 115428
Due Date: 10/15/15 Page: 1
Ship To/Remarks
CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET
WESTFIELD IN 46074
(317) 773-2001
Via FOB Terms PO# JOB# Rep.
Net 30 Days STEVE ZELL AB
Item Number Description Ordered Unit Price Extended
***** PURCHASES *****
***x* RENTAL *****
.MISC-RENTAL TOPCON RLHISA SN#UZ1163 1.0 60.0000 60.00
LS80B SENSOR SN#Q35929
****RENTAL DATES****
09/10/15
****ONE DAY RENTAL****
Sub-Total : 60.00
Tax 0.00
Total 60.00
Net To Pay: 60.00
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))
09/15/15 115428 $60.00
1 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
Accurate Laser Systems, Inc
IN SUM OF $
10660 Andrade Drive
Zionsville, IN 46077
$60.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members
2201 I 115428 I 43-530.991 $60.00 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
n
° J Friday S / ber 8, 2015
A
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St% �t4 r i i,pger
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund