250608 10/21/15 CITY OF CARMEL, INDIANA VENDOR: 364472
® `I
ONE CIVIC SQUARE CARL BREHOB & SON CHECK AMOUNT: $""'*'103.93'
,_� CARMEL, INDIANA 46032 3821 BREHOB ROAD CHECK NUMBER: 250608
M,roH, INDIANAPOLIS IN 46212-3300 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239034 061215 103.93 LANDSCAPING SUPPLIES
CARL BREHOB & SON
3821 BREHOB ROAD
INDIANAPOLIS, INDIANA 46217-3300
Phone(317)784-1442
ra
(!��j f d 8 ?- Fax(317)787-2054
Customer's �../DSL� X11
Order No. V Dat vl 20
M /
Address
SOLD BY CASH C.O.D. Aq ON ACCT, MDSE.RETD PAID OUT
QUANTITY DESCRIPTION PRICE AMOUNT
Jpys
s
All claims and returned goods be acpanledis'
Received by
TERMS:NET 10 DAYS A 1 Ys%PER MONTH SERVICE CHARG WILL BE
CHARGED ON ALL PAST DUE ACCOUNTS.
THIS IS AN 18%ANNUALRATE OF;INTEREST.
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))
06/12/15 $103.93
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carl Brehob & Son
IN SUM OF $
3821 Brehob Road
Indianapolis, IN 46217-3300
$103.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 42-390.341 $103.93 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
/ edn s ay, ber 14, 2015
Street CommissioK er
Rtrppt Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund