321323 01/30/18 CITY OF CARMEL, INDIANA VENDOR: 372222
ONE CIVIC SQUARE AEPLAND CHECK AMOUNT: $ .....100.00•
?a CARMEL, INDIANA 46032 3961 ADDISON AVE CHECK NUMBER: 321323
RICEVILLE IA 50466 CHECK DATE: 01/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 1072 100.00 SAFETY SUPPLIES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# ��� Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
AEDland Payee
3961 Addison Ave
Riceville, IA 50466 In Sum of$ Purchase Order#
AEDland Terms
$ 100.00 3961 Addison Ave Date Due
Riceville, IA 50466
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or Invoice Description
Dept# INVOICE NO. ACCT#TlTl-E AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1094 1072 4239012 $ 100.00 Board Members 1/9/18 1072 Safety Equipment Replacment xx6324 $ 100.00
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
$ 100.00 Total $ 100.00
January 23,2018
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
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature 120_
Accounts Payable Coordinator Clerk-Treasurer
Title
Page:1 of:1 .
RECEIVED
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nvoice
Riceville,l.1 5D466 US BY:
onymyers 1278@hotmaiLcom.
BILL TO -
•
Carmel Clay Park and Red
1.411 E.-116th Street. .
CaiTn6'IN 46032
O'C # DAT TOTAL DUE DUE DATE TERMS ENCLOSED
1072 01/09/2018
.$100.00 02/08/2018 : Net 30
ACTIVITY. . QTY_ RATE` - -AMOUNT,.
M5071 A. 2.. -50.00: 100.00.:
HeartStart:HS1 Pads
BRIAN1-115.w1m
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1/10/2018