250329 10/07/15 `�'�`"8*F. - CITY OF CARMEL, INDIANA VENDOR: 359067
d i' ONE CIVIC SQUARE LINE X OF INDY CHECK AMOUNT: $**— "'200.00'
4._ CARMEL, INDIANA 46032 8448 MOLLER ROAD CHECK NUMBER: 250329
9.y�,roN Eo; INDIANAPOLIS IN 46268 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 4594 200.00 REPAIR PARTS
Lino'XoCIndy U ^
8448 Moller Rd ^^ ^ ^ ~''~~'
�smIndianapolis,IN 46268
(317)228-0123 09/25/2015 4594
-51
Due on receipt 09/25/2015
-00
Carmel Street Dept.
3400 W. 13 1 st Street
Westfield,IN 46074
United States
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09/25/2015 LineX Coating Std. Street Sweeper Tube 1 100.00 100.00
09/25/2015 sand blast tube 1 75.00 75.00
09/25/2015 Primer 1 25.00 25.00
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Thank you for your business!
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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))
09/25/15 4594 $200.00
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
Line-X of Indy
IN SUM OF $
8448 Moller Rd.
Indianapolis, IN 46268
$200.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 4594 I 42-370.001 $200.00 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
hursday Oc r 01, 2015
V
s
StF.�et�QZt1C1"?!�si ,der
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund