183270 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 00352060 Page 1 of 1
ONE CIVIC SQUARE EAST SIDE GAS INC
CARMEL, INDIANA 46032 P.O. Box 26061 CHECK AMOUNT: $36.73
LAWRENCE IN 46226
CHECK NUMBER: 183270
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4147 36.73 TRANSPORTATION EXPENS
EAST SIDE HOOSIER
5010 N POST RD
-"PO BOX 26061
LAWRENCE, IN 46226
Ph: 800 -834 -6169
.INVOICE
Truck: FORKLIFT #S01
Dr BRENT COOK
-ice: 4147 03/02/10 10:25
St To:
CARMEL WASTE WAT
9609 HAZEL DELL PKWY
•iDIANAPOLIS, IN 46280
Acct '51561
Tank 930/331
Produ(-
Qty Rtr, Pri ce Amount
1 .32
I bid 1 3 �D
1.0 Ll 41 41
IG691 A GIG
I nvo i c minary
Sub tal: 3 .73
.13
Due On Or Before: 04/01/10
C' ►2 D
Customer
0[ 75o a06
VOUCHER 105041 WARRANT ALLOWED
352060 IN SUM OF
EAST SIDE OAS CO. INC.
5010 N. Post Road
P.O. Box 26061
Lawrence, IN 46226
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
4147 01- 7542 -06 $36.73
Voucher Total $36.73
Cost distribution ledger classification if
claim paid under vehicle highway fund
r
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
352060
EAST SIDE GAS CO. INC. Purchase Order No.
5010 N. Post Road Terms
P.Q. Box 26061 Due Date 3/8/2010
Lawrence, IN 46226
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/8/2010 4147 $36.73
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
Date Officer