250272 10/07/15 d Coq*
>^%" CITY OF CARMEL, INDIANA VENDOR: 358402
® it ONE CIVIC SQUARE I D S CHECK AMOUNT: $**.....275.00*
�. CARMEL, INDIANA 46032 2717 TOBEY DRIVE CHECK NUMBER: 250272
9M��TON Com` INDIANAPOLIS IN 46219 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 164221 275.00 OTHER EXPENSES
F
800-800-0665 Invoice
317-545-0670 Fax
2717 Tobey Dr Customer ID: CITCAR
Indianapolis, IN 46219 Invoice No: 164221
Bill To: City of Carmel Water Wastewater Utilitie Ship To: City of Carmel Water Wastewater Utilitie
9609 Hazel Dell Parkway 760 Third Ave., SW
Indianapolis, IN 46280 Carmel, IN 46032
09/17/15 j Net 30 i
o
Will call ` Dan Ruark Origin j
,Descrip Unit Price Amount
Quantity-, Item Nun i�ei,
8 - Steps & Brackets
1 Blast 100.00 100.00
1 Zinc& Powdercoat 175.00 175.00
Satin Black Ultra
Matte 2
Invoice subtotal 275.00
Invoice total 275.00
SEE WARNING ON REVERSE SIDE OF THIS DOCUMENT. THANK YOU FOR YOUR BUSINESS.
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TH E SA'N- ,DBLASTIN"'-G�SIT'E--YOU'\�-'HAVE"'�--BEEN"�"-WIS.H' -'I-'NG FOR
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AWARNINGA
These products and equipment are not under any circumstances to be used with sand or silica products of any type and use of such materials
will void any warranty.Also,as with the use of any product or equipment you must be sure to use the proper safetyequipment and toproperly
train your employees in the use of any equipment or products.The manufacturer,wholesaler and distributor assume no responsibility arising
from the failure to use proper safety equipment or the failure to properly train employees in the use of products and equipment.
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
358402
IDS Purchase Order No.
2717 TOBEY DRIVE Terms
INDIANAPOLIS, IN 46219 Due Date 9/24/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/24/2015 164221 $275.00
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
Date Officer
1
VOUCHER # 156346 WARRANT # ALLOWED
358402
IN SUM OF $
IDS
2717 TOBEY DRIVE
INDIANAPOLIS, IN 46219
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
164221 01-7502-06 $275.00
Voucher Total $275.00
Cost distribution ledger classification if
claim paid under vehicle highway fund