183834 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 360022 Page 1 of 1
ONE CIVIC SQUARE THE HOOSIER CO INC CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 P0 BOX 681064
a� INDIANAPOLIS IN 46268 CHECK NUMBER: 183834
CHECK DATE: 3/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 69380 75.00 OTHER MAINT SUPPLIES
The Hoosier Co., Inc.
i P.O. BOX 681064
INDIANAPOLIS, IN 46268
(317) 872 -8125 FAX(317) 872 -7183
Invoice 69360
Bill to: Job: 200585
CITY OF CARMEL CITY OF CARMEL
3400 W. 131 ST ST.
WESTFIELD, IN 46074
Invoice 69380 Date: 03/22/10 Customer P.O. DAVID HUFFMAN
Payment Terms: UPON RECEIPT Salesperson: TODD D. THURSTON
Customer Code: 915
Remarks: ATTN: DAVID HUFFMAN
1.00 GRAFFITI REMOVER EA 75.00 75.00
Subtotal: 75.00
Tota I: 75.00
Less Retention:
Current Due: 75.00
CREDIT REGULATIONS: 1 1/2% Interest Per Month On Past. Due Accounts
VOUCHER NO. WAR NO.
ALLOWED 20
The Hoosier Co., Inc.
IN SUM OF
P. O. Box 681064
Indianapolis, IN 46268
$75.00
1
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member.
2201 69380 42- 389.00 $75.00 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
Thur Say, Jr h� 25, 201 C
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts fAy 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))
03/22/10 69380 $75.00
1 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