249917 09/23/1 5 o
CITY OF CARMEL, INDIANA VENDOR: 369541
ONE CIVIC SQUARE T C TRAILERS CHECK AMOUNT: $*****3,647.00*
CARMEL, INDIANA 46032 477 S.STATE ROAD 29 CHECK NUMBER: 249917
MICHIGANTOWN IN 46057 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4467099 850227 3,647.00 OTHER EQUIPMENT
Fes: -� ,;�•r:: "'„"z,J;P�r''�^r
4M00le Trail6KSl'es
:437 South4Statl-1,,R 2
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TO /ERR'S ORDER NO. DEPARTMEIfT DAT -/L
NAME
ADDRESS '
CITY,STATE,ZIP
SOLD BYG CASH .O.D. CHARGE ON.ACCT. MDSE.RETD. PAID OUT
QUANTITY DESCRIPTION PRICE AMOUNT
10 4
5
6
8
9
11 -
12
13
14
15 '
16
17
18
RECEIVED BY x
A-5005 01-11
T-46320/46550 EP THIS SLIP FOR REFERENCE
f
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
Pjrchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/12/15 850227 $3,647.00
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
TC Trailers
IN SUM OF $
477 S. State Road 29
Michigantown, IN 46057
$3,647.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE I AMOUNT
Board Members
32560 I 850227 12201-670.991 $3,647.00 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
//
I
uavcdl Thursda , / ®rc ��015
Cv; ;."Sluj jar
,_
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund