183024 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 357105 Page 1 of 1
ONE CIVIC SQUARE TOWNSEND GLASS CO
CHECK AMOUNT: $19.50
CARMEL, INDIANA 46032 302 NORTH UNION
PO BOX 335 CHECK NUMBER: 183024
WESTFIELDIN 46074
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 20536 19.50 REPAIR PARTS
Invoice
C.7 4V/VSE/VO GLASS L7. Invoice Number:
20536
202 NORTH UNION Invoice Date:
P.O. BOX 335 Feb 23, 2010
WESTFIELD, IN 46074 Page:
PHONE: 317 --896 -1259 1
FAX: 317 867 -4527
Sold To: Ship to:
CARMEL FIRE DEPARTMENT JASON FORCE
2 CIVIC SQUARE
CARMEL, IN 46032
317- 571 -2667
Customer ID Custom P Payment Terms
CARMELFIRE Net 10 Days
Sales Rep ID Shipping Method Ship Date Due Date
K.TOWN CUST. PICKUP 3/5/10
n Qty Ite Desc ripti o n Unit Price Extensio
1.0 FG —DSTX 112 -3/8" x 2 -3/4" x 1/8" TEMPAX GLASS 19.50 19.50
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CREDIT CARD !_!_I-- I- I— I— I— I�I —I —I I— I —I —L —I Subtotal 19.50
EXP DATE: Zip: Sales Tax
Total Invoice Amount 19.50
Payment Received
PAID WITH:
TOTAL 19.50
1 HEREBY ACKNOWLEDGE THE ABOVE WORK COMPLETED AND AGREE TO Payment Terms are as stated above and on back of this
THE TERMS AND CONDITIONS ON THE FRONT AND BACK OF THIS INVOICE. document. Any sums not paid when due shall be subject to a
Bilking Service Charge and bear interest at a rate of 1.5% per
month or the maximum legal rate- Lien proceedings may begin
X at 45 days after work completion.
Prescribed by State Board of Accounts City Fcrm 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))
20536 $19.50
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
VOUCH NGr WARRAN NO.
ALLOWED 20
Townsend Glass Co.
IN SUM OF
P.O. Box 335
Westfield, IN 46074
$19.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 20536 42- 370.00 $19.50 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
FEB 2 6 2010
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund