304670 10/31/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 358649
ONE CIVIC SQUARE LIBERTY ART WORKS, INC i CHECK AMOUNT: $*****1,360.00*
CARMEL, INDIANA 46032 PO 60x 36 CHECK NUMBER: 304670
DUTZOW MO 63342 CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
.102 4467099 24873 31117 1,360.00 CLASSIC MALTESE AXE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
LIBERTY ARTWORKS, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 38 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
DLITZOW, MO 63342 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,360.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
24873 31117 44-670.99 $1,360.00 1 hereby certify that the attached invoice(s),or 10/12/16 31117 $1,360.00
1120 102 1120 102
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
Thursday, October 13,2016
David Haboush
Fire Chief
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
120-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Invoice
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I!gPjIP TO:
CARMEL FIRE DEPT. CARMEL FIRE DEPT.
dam°0 DEMISE SUMER ATTEN: DENISE SN` DER
DIME CIVIC QUARE 2 CIVIC SQUARE
CARMEL IN 4601W2 ARRIIIEL4 IN 46032
P.0- Number sitg Tew1
Ship T-ta Required By Date Slipped
2487 a Net 30 UPS
DESCRIPTION
Shipping up to 200- $399 4 20.001,
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Total
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$ ii
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