184494 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364087 Page 1 of 1
ONE CIVIC SQUARE T K DESIGN
CARMEL, INDIANA 46032 6975 WOODCREST DRIVE CHECK AMOUNT: $730.00
GREENFIELDIN 46140
CHECK NUMBER: 184494
CHECK DATE: 4114/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 130.00 REPAIR PARTS
i
INVOICE
a
7 A) No.
INVOICE DATE
CUSTOMER'S
i ORDER NO.
1 9 611 �o
SOLD TO: SH I P TO:
SALES PERSON SHIPPED VIA' TERMS F.O.B.
v CD a
812
INVOICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
TK Design
IN SUM OF
6975 Woodcrest Drive
Greenfield, IN 46140
$130.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 42 370.00 $130.00 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 APR
Fire Chief
Title
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))
$130.00
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