250381 10/07/15i
�.seq,f CITY OF CARMEL, INDIANA VENDOR: 00350781
d zl ONE CIVIC SQUARE PICKETT'S PLACE CHECK AMOUNT: $'"`*""250.00`
?� CARMEL, INDIANA 46032 547 E 161ST ST CHECK NUMBER: 250381
�''%reH WESTFIELD IN 46074 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 2067 250.00 REPAIR PARTS
Pickett's Place 0 M YO U C E
5225 East 161st Street Invoice Number:
Noblesville, /N 46062 2067
Voice: (317)218-3678 Invoice Date:
Sold TO: Fax: (317)669-0774 Sep 24,2015
Page
1
Cannel Street Department
3400 Nest 131st Sleet
Westfield, IN 46074
USA
Customer ID Customer PO Shipping Method Payment Terms Due Date
VERBAL MIKE IN Cust. Pickup Net 30 Days 10/24/15
Quantity Item Description Unit Price Amount
1.00 SOLID STEEL 2"POST DRIVER 125.00 125.00
1.00 SOLID STEEL2-1/4" POST DRIVER 125.00 125.00
Subtotal 250.00
Sales Tax
Total Invoice Amount 250.00
Check/Credit Memo No: Payment/Credit Applied
TOTAL 260.00
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))
09/24/15 2067 $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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pickett's Place
IN SUM OF $
5225 E. 161 st Street
Noblesville, IN 46062
$250.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 2067 I 42-370.001 $250.00 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 D
Fri ay, t be 0 =15
cOttepnmis,firarr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund