252808 12/15/15 CITY OF CARMEL, INDIANA VENDOR: 355216
® 'il ONE CIVIC SQUARE THOMAS L GRANTHAM COMPANY INCCHECK AMOUNT: 5""""`165.00'
�., CARMEL, INDIANA 46032 14016 BRITTON PARK ROAD CHECK NUMBER: 252808
vM`TON. FISHERS IN 46038 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 6759 165.00 BUILDING REPAIRS & MA
(as atham
THOMAS L. GRANTHAM COMPANY, INC.
14016 Britton Park Road
Fishers, Indiana 46038
317-845-8888 _ _
Fax:317-770-6160 Date Invoice#
E.�..__.__._
1 11;20!201_5 6759
L
r Bill To Job Name ;
j Carmel Street Department
3400 W. 131 st Street
Carmel, IN 46074 i ( 1
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P.O, No. Terms Project#
Net Due 30 Days 42837
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Item �Quan...iW Description Rate _ Amount
{Service t.5;Sales- Service - Doug- 1116!15 110.00;1 165.00
Sales Tax 7.00`/ i 0.00
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Phone# Fax#
[Federal ID#35-1673094
___� 317-845-8888 317-770-6160 Total $165.00 F
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))
11/20/15 6759 $165.00
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
Thomas L. Grantham Company
IN SUM OF $
14016 Britton Park Road
Fishers, IN 46038
$165.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE! AMOUNT
Board Members
2201 I 6759 I 43-501.001 $165.00 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
&"�rjohursday;� • e �f �i'4�,2015
i1. I f
S ree Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund