252121 1 2/02/1 5 �' "p';f - CITY OF CARMEL, INDIANA VENDOR: 366310
`''r ONE CIVIC SQUARE SCHAFER POWDER COATING INC CHECK AMOUNT: $*****1,166.60*
f•, CARMEL, INDIANA 46032 4518 W 99TH STREET CHECK NUMBER: 252121
9''',�ro,;�` CARMEL IN 46032 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 85202 1,166.60 OTHER CONT SERVICES
Schafer Powder Coating, Inc. INVOICE
4518 West 99th Street,
Carmel, IN 46032
INVOICE#: 85202
CUST.#: City of Carmel
Eric
PH: (317)733-2001
BILL TO: SHIP TO:
City of Carmel City of Carmel
One Civic Square One Civic Square
Carmel, IN 46032 Carmel IN 46032
INVOICE DATE'j- PO#' . W/O# SALESPERSON :.TERMS:.: ` ::_ SHIP VIA,-:.
11/19/2015 See Below See Below I Net 30 Days Customer Truck
ORDER`QTY:.,: SHIPPED QTY::g,:PART NUMBER';`';-: .=`' ',:;PART=DESCRIPTION:": c'' ,`:<: ` 'UNMPRICE:=='`. - EXT:.PRICE'
54 54 Sign Frame 10.400 /ea. $561.60
Shipped:11/19/2015
Po:11-17-15 P/L:88327 w/o: 126861
55 55 Sign Frame Large 11.000 /ea. $605.00
Shipped:11/19/2015
PO:11-17-15 P/L:88327 w/o: 126861
SUI3TOTALi $1,166.60
Surcharge: 0.00
Cert: 0.00
Tax 1: 0.00
Tax 2: 0.00
Charges: 0.00
_ Freight: 0.00
Page 1 of 1 INVOICE iso [___TOTAL: __$1,166.60 ,
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))
11/19/15 85202 $1,166.60
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
Schafer Powder Coating, Inc.
IN SUM OF $
4518 W. 99th Street
Carmel, IN 46032
$1,166.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 85202 I 43-509.00 $1,166.60 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 n /7 /7
Frr day, Ivember,20t2015
StStrAift(C-omirtissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund