252146 12/02/15 +ur_G4NM
t• . CITY OF CARMEL, INDIANA VENDOR: 369510
d it ONE CIVIC SQUARE THE GRADLES II CHECK AMOUNT: $*****1,300.00*
CARMEL, INDIANA 46032 211 EAST PALM DRIVE CHECK NUMBER: 252146
9MTON�` SYRACUSE IN 46567 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4352500 JAN 2016 1,300.00 RENT PAYMENTS
GRADLES II INVOICE
211 East Palm Drive
Syracuse, IN 46567
To: CITY OF CARMEL FIRE DEPARTMENT
RENTAL OF 248 GRADLE DRIVE, CARMEL, IN 46032
$1,300.00 PER MONTH DUE JANUARY 1, 2016
PLEASE MAKE CHECKS PAYABLE TO GRADLES II
THANK YOU!
'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))
$1,300.00
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
The Gradles II
IN SUM OF $
211 E. Palm Drive
Syracuse, IN 46567
$1,300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 102-525.00 $1,300.00 I 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
NOV 3 0 2015
P7 I
ar Ar
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund