183413 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 363975 Page 1 of 1
ONE CIVIC SQUARE CHARLES PACKARD
CARMEL, INDIANA 46032 9801 CHAMBRAY DR CHECK AMOUNT: $100.00
6N co INDIANAPOLIS IN 46280 CHECK NUMBER: 183413
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
1093 4350100 9 100.00 BUILDING REPAIRS MA
Charles Packard- In
9801 Chambray. Dr
Ci idianapolis, IN 46280 Date Invoice
i
C2/13/2010 9 J
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Terry Myers 1411 116th Street
1411 1-. 116th Street Carmel, IN 46032
Carmel, IN 46032
F.O. Number Terms Rep Snip via F.O.B. Project
2/13/2010
Quantity Item Code Description Price Each Amount
4 testing Coupon Testing 25.00 100.00
ptathow o j Birk if (0 `tVt
P.O. P or F
B��
puri;hgs Dat
Approval
Date Z�
Total S-l�0 -0
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An inGoice of 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.
Packard, Charles Terms
9801 Chambray Dr
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2113110 9 Water testomg 100.00
Total 100.00
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
Voucher No. Warrant No.
Packard, Charles Allowed 20
9801 Chambray Dr
Indianapolis, IN 46280
In Sum of
100.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 9 4350100 100.00 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
11 -Mar 2010
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund