249790 09/23/15 u'��p" CITY OF CARMEL, INDIANA VENDOR: 366392
ONE CIVIC SQUARE MAC'S SEPTIC LLC CHECK AMOUNT: $*******250.00*
�� _�; CARMEL, INDIANA 46032 5829 W 10TH ST CHECK NUMBER: 249790
.'MUTON�� INDIANAPOLIS IN 46224 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350100 19607 250.00 BUILDING REPAIRS & MA
INVOICE-
DAT
NVOICE DAT
S LD TO ( SHIPPED
OUR ORDER'NO. YOUR ORDER NO.'': SALESMAN TERMS SHIPPED VIA PPD,-.OR COLL.
• DESCRIPTION •
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
366392 Macs Septic LLC Terms
5829 W. 10th Street
Indianapolis, IN 46224
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
9/8/15 19607 Underground clean out latrines Central Park East F xx2699 $ 250.00
Total $ 250.00
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
�1
Voucher No. Warrant No.
366392 Mac's Septic LLC i Allowed 20
5829 W. 10th Street
Indianapolis, IN 46224,
In Sum of$
$ 250.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund i
PO#or INVOICE NO. ACCT#/TITL AMOUNT . Board Members
Dept#
1125 19607 4350100 $ 250.00 l 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
i
September 17,2015
M
i
Signature
$ 250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i