180973 12/30/2009 P,r ,e. c CITY OF CARMEL, INDIANA VENDOR: 294500 Page 1 of 1
AI ONE CIVIC SQUARE STEVEN R JENKINS CO INC CHECK AMOUNT: $391.86
6680 E. 21ST. STREET
c a i CARMEL, INDIAN 46032 INDIANAPOLIS IN 46219 CHECK NUMBER: 180973
r
CHECK DATE: 12/30/2009
1
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 158187 391.86 REPAIR PARTS
Steven R 3enkins Co Inc. Invoice
6680 E 21st Street Date Invoice
Indianapolis IN 46219 SHOP
1- 317 352 -0184 12/1 1/2009 158187
srjco.com
Bill To Ship To
CARMEL FIRE DEPT GARY CARTER.
2 CIVIC SQUARE
ATTN: DENISE BRISTOL
CARMEL, IN 46032
P.O. Number TERMS Rep VIA
Net 30 .1GL Hand Deliver
Quantity Description Price Each Amount
14 BENCHMADE ERT -1 YELLOW 27.99 391.86
Sales Tax 0.00% 0.00
www sr 3 co Corn Total $391.36
VOUCHER 'N,O. WARRANT NO.
ALLOWED 20
Steven R' Jenkins
IN SUM OF$
6680 East 21st Street
Indianapolis, IN 46219
$391.86
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 158187 42- 370.00 $391.86 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
DFC 21Z009
f Y
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
158187 $391.86
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