250974 11/04/15 ,c�Hfi
CITY OF CARMEL, INDIANA VENDOR: 354958
® 3. ONE CIVIC SQUARE ACCURATE LASER SYSTEMS, INC CHECK AMOUNT: $**.....203.98'
CARMEL, INDIANA 46032 10660 ANDRADE DRIVE CHECK NUMBER: 250974
ZIONSVILLE IN 46077 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239011 116004 23.98 SPECIAL DEPT SUPPLIES
2201 4353099 116101 180.00 OTHER RENTAL & LEASES
i
ACCURATE LASER SYSTEMS, INC.
10660 Andrade Drive
Zionsville, Indiana 46077
Phone : (317) 873-5611 Fax : (317) 873-5770
INVOICE
Date 10/.16/15 No. : 116004
Due Date: 11/15/15 Page: i
Ship To/Remarks
CITY OF CARMEL
DAVE HUFFMAN
3400 WEST 131ST STREET
WESTFIELD IN 46074
(3.17) 773-2001
Jia FOEi BOG;. Rep.
Net 30 Days AB
:tem Number Description Ordered Unit Price Extended
***** PURCHASES *****
78-004. SS ST FLG- 21" YELLOW STAKE 1.0 9.8900 9.89
:)TK21GO SS ST FLG 21" ORANGE. STAKE 1.0 9.8900 9.89
3110-02 SS FLG BLUE FLAG 1.0 1.4000 1.40
3110-00 SS FLG RED FLAG 1.0 1.4000 1.40
3110-05 SS FLG YELLOW FLAG 1.0 1.4000 1.40
Sub-Total : 23.98
Tax 0.00
Total 23.98
Net To Pay: 23.93
ACCURATE LASER SYSTEMS, INC.
10660 Andrade Drive
Zionsville, Indiana 46077
Phone : (317) 873-5611 Fax (317) 873-5770 .
INVOICE
Date 10/21/15 No. : 116101
Due Date: 11/20/15 Page: 1
Ship To/Remarks
CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET
WESTFIELD IN 46074
(317) 773-2001
Jia FOB Terms PO# JOB# Rep.
Net 30 Days PEDCORE AB
Item Number Description Ordered Unit Price Extended
***** RENTAL *****
MISC-RENTAL GL612 SPECTRA LASER 1.0 180.0000 180.00
SN#14379442
HL750 SENSOR SN#76005464
RC602 REMOTE & GRADE ROD
****RENTAL DATES****
10/13/15 TO 10/20/15
Sub-Total : 180.00
Tax 0.00
Total 180.00
Net To Pay: 180.00
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))
10/16/15 116004 $23.98
10/21/15 116101 $180.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Accurate Laser Systems, Inc
IN SUM OF $
10660 Andrade Drive
Zionsville, IN 46077
$203.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 116004 42-390.11 j $23.98 1 hereby certify that the attached invoice(s), or
2201 116101 43-530.99 $180.00 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
Thu ay,Jbilber 29, 2015
S&je6Commis i er
OmmlSSlnnar
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund