181290 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 184000 Page 1 of 1
t` ,ra ONE CIVIC SQUARE LEE SUPPLY CORP CARMEL I' 4 j;; CHECK AMOUNT: $45.63
is CARMEL INDIANA 46032 PO BOX 681430
\�^0 INDIANAPOLIS IN 46268- CHECK NUMBER: 181290
CHECK DATE: 1113!2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4854871 45.63 MATERIALS SUPPLIES
LEE SUPPLY CORP. tNh X1( Cii tribu� ors
6610 GUION ROAD 5 INVOICE
P BOX 681430 PL11: /BiNG HE,Hr svF L surrL L..'
INDIANAPOLIS, IN 46268 13 Y _H r'It jLFC% T
FID #:35- 1310996 MAINI ENAN,,, PA! AND SUPPLIES INVOICE ma 485487 1i
INVOICED 1 12/15/09
1 Carmel 485
M LEE SUPPLY CORP. Q I Lee Supply pP Y Co rp. CUSTOME au 1 20585Q
4. P.O. BOX 681430 1 415 W. Carmel Drive \WAREHOUSE A 00
4 INDIANAPOLIS, IN p d Carmel, IN 46032
\O 4_626_8=74102 ■C T e l_E<phQn e 1 2=84
___112=84-443___}
c "N /.,c
p, CARMEL UTILITIES Customer Pickup
760 3rd AVE. SW STE 110 b
CARMEL, IN D.,.
P
4 46032
Q
L �1 J
CUSTOMER ma v !aq 'Ni" J OB aa �,�f C V get o' lQ N� gi �1 3METHOD
JEFF COOPER HSE 1/10/10 12/15/09 Pickup
PRODUCT NO.IDESCRIPTION QUANTITY O &I .V o o EXTENDED AMOUNT'
FSELB9004 FSELB9004 4 VENT 90 ELBOW EA 45.6300 45.63
Payment of Due On If Paid By .Yo Owe
4854871 45.63 1/10/10 1/10 45.E3
2 4 HOUR COMMERCIAL WATER HEATER NO PRIOR RETURNS ACCEPTED R N
ATIO 45.63
AMOUNT
HOTLINE!! ALL CLAIMS FOR DAMAGE MUST BE TAX AMT 1
1. 0 0 8 7 3 .1101
FILED WITH C -0 0
r FREIGHT FR E IG
J A service charge equivalent to 2% Other' j 09
per month (24% per annum) will TOTAL
be added to past due invoices. DUE C 45.63
VOUCHER 097046 WARRANT ALLOWED
184000
IN SUM OF
LEE SUPPLY CORP CARMEL
PO BOX 66397
INDIANAPOLIS, IN 46266
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
4854871 01- 7202 -06 $45.63
Voucher Total $45.63
Cost distribution ledger classification if
claim paid under vehicle highway fund
/JO (91
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
184000
LEE SUPPLY CORP CARMEL Purchase Order No.
PO BOX 66397 Terms
INDIANAPOLIS, IN 46266 Due Date 12/30/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/200! 4854871 $45.63
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
1/4 Date Officer Officer