183909 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 00350781 Page 1 of 1
ONE CIVIC SQUARE PICKETT'S PLACE
y� CARMEL, INDIANA 46032 547 E 161ST ST CHECK AMOUNT: $60.00
WFSTFiELD IN 45074 CHECK NUMBER: 183909
CHECK DATE: 3/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1047 60.00 REPAIR PARTS
sE
1•
547 E 161ST Invoice Number:
WESTFIELO, IN 46074 1047
Voice: 317 896 -3271
Invoice Date:
Sold To: Fax: 317 $96-2036 Mar 22, 2010
Page
1
Camel Street Department
3400 West'39st street
WESMELD, IN 46074
Customer ID Customer PO Shipping Wthod Payment Terms Due Date
VERBAL MIKE Cust. Pickup Net 30th of Next 4 /30/10
RAnnth
Quantity Item Description Unit Price Amount
2.00 STEEL FITTINGS 30.00 60.00
Subtotal 60.00
Sales Tax
Total Invoice Amount 60.00
Check /Credit Memo No: Payment/Credit App Bed
TOTAL 60.00
VOUCHER NCT WARRANT NO.
ALLOWED 20
Pickett's Place
IN SUM OF
547 E. 161st St.
Westfield, IN 46074
$60.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Member
2201 1047 42- 370.00 $60.00 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
Thursday„ March 25, 2010
�'Stre Commis
e
�trEatT��mrr�issierier
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 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 1047 $60.00
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