252331 12/08/1 5 (9,
CITY OF CARMEL, INDIANA VENDOR: 370123
ONE CIVIC SQUARE INTEGRITY AUTOMATION CHECK AMOUNT: S"***"1,740.00*
CARMEL, INDIANA 46032 PO BOX 3812 CHECK NUMBER: 252331
CARMEL IN 46082 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 10515 1,640.00 BUILDING REPAIRS & MA
1093 4350100 10516 100.00 BUILDING REPAIRS & MA
' 4
INTEGRITYJrr,carf Invoice
U ° o:
PO Box 3812 Carmel, IN 46082 "'`Date `', Invoice
317-501-5518 317-489-4378 Fax
11/20/2015 10516
integrityautomat@cs.com
Bill To CEIVtJ ,
' `•'Carmel Clay Parks and Recreation
1411 E. 116th Street DEC - 3 2015
Carmel, IN 46032
PO:No: Terms Project =.
Net 30 Service
Quantity Description
Y. ., U/M Rate -Amount
I RIB Relay 19.00 19.00
0.6 Labor 135.00 81.00
Total $100.00
INTEGRITY Srrr,lt. Invoice
PWAT �' 'o d.
JOILfi:J:'15.
PO Box 3812 Carmel, IN 46082t
;'invoice.#:
317-501-5518 317-489-4378 Fax
11/20/2015 10515
integrityautomat@cs.com
I EY
Bill To RECEI 7ZfD
Carmel Clay Parks and Recreation ,
DEC
1411 E. 116th Street
Carmel, IN 46032
BY:
P.O. No. , .Terms- Project
Net 30 Service
Quantic ~• Description U%M' Rate•.: Amount
SY3-24 Valve Actuator 1,100.00 1,100.00
4 Labor 135.00 540.00
J
Total $1,640.00
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
.Integrity Automation Terms
P.O. Box 3812
Carmel, IN...46082
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/20/15 10516 Combustion fan relay xx3071 $ 100.00
11/20/15 10515 Service call on Mixing Valve Actuator 39294 $ 1,640.00
Total $ 1,740.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
Integrity Automation Allowed 20
P.O. Box 3812
Carmel, IN 46082
In Sum of$
$ 1,740.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 10516 4350100 $ 100.00 i hereby certify that the attached invoice(s), or
1093 10515 4350100 $ 1,640.00 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
December 4, 2015
Signature
$ 1,740.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i