184490 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 363781 Page 1 of 1
ONE CIVIC SQUARE SURFACE TEK CHECK AMOUNT: $7,136.50
i ro CARMEL, INDIANA 46032 115 S BROADWAY
TECUMSEH OK 74873 CHECK NUMBER: 184490
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4465000 22498 4996 7,136.50 SODA BLASTING EQUIP
Invoice
Date Invoice
3/29/2010 4996
1 15 S.-Broadway
T c umseh, OKK 74 873
Phone: 405 -598 -0850
Fax: 405- 598 -0903 CA Contractors License
www.surfacetekinc.com #904184
Bill To Ship To
CARMEL CLAY PARRS AND RECREATION CARMEL CLAY PARKS AND RECREATION
ATTN: SERRA GARSKIE ATTN: SIERRA GARSKE
1411 E. 116TH ST. 1427 E. 116TH ST.
CARMEL, IN 46032 CARMEII IN 46032
P. O. Number Terms
Due on receipt
Quantity Description Price Each Amount
1 1.65 CU FT. ASME -CODE BLASTING POT 5,205.01 5,205.017
1 250CFMFM AFrERCOOLER 855.10 855.10T
1 400CFM WATER SEPARATOR 336.00 336.00T
1 DEADMAN SWITCH 129.42 129.42T
1 BLAST HOSE 50' 233.26 233.26T
1 AIR HOSE 50' 170.00 170.00T
1 AIR HOSE 5' 32.03 32.03T
50 POWER CORD 0.96 48.00T
1 #5 NOZZLE 181.00 181.00T
1 FUNNEL 84.40 84.40T
DISCOUNT 789.22 789.22
ON LINE DISCOUNT 500.00 500.00
49 SODA EE 23.50 1,151.50T
Purchase �CLb f�n. i�
Description 01 1 i Yl�,PL``
o.L 0 I R- 4�4 W Q AP d 6 10 0
urair d'LLLIL D
Purchaser Date
Approval Date
Made Payable inUSD Sales Tax (0.0
T o tal $7,136.50
Payments /Credits $0.00
Balance Due 7'1'36.50
1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice 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.
Surface Tek Terms
115 S Broadway
Tecumseh, OK 74873
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amoun
3126110 4996 Soda blasting equipment 22498 7,136,50
Total 7,136.50
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
Voucher No. Warrant No.
Surface Tek Allowed 20
115 S Broadway
Tecumseh, OK 74873
In Sum of
7,136.50
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
2249810, 4996 4465000 7,136.50 1 hereby certify that the attached invoice(s), or
U 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
8 -Apr 2010
r
Signature
7,136.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund