184812 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00351004 Page 1 of 1
ONE CIVIC SQUARE JOHN KIRK BOATS,INC
CARMEL, INDIANA 46032 12345 N MERIDIAN ST, STE 100 CHECK AMOUNT: $152.71
CARMEL IN 46032
CHECK NUMBER: 184812
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4235000 5881 152.71 BUILDING MATERIAL
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INVOICE
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Voice: 317 844-5475 APR Duplicate
Fax: 317 844-5704 /4-17
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141 E. 1 16th St
carmel, IN 46032
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carmelclayparks Net 30 Days
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COLOR RESTORER
20% DISCOUNT -38.171
Purchase
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Purchaser Date
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Subtotal 152:72)
Sales Tax 10.691
Total invoice Amount I 163.41 i
Check/Credit Memo No: Payment/Credit Applied
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We will add a late charge on any invoice more than 30 days overdue.
-JOHN MRE4� Box
12345 Old Meddlan
CARMEL, IN. 46032 14 0- 060 0 0 5 8 8 1
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NAME DA ET
ORDER
ADDRESS NO.
CASH SALE PAID OUT CHARGE SALE REC'D ON ACCT. RET'D MDSE. SALESPERSON TERMS
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QUAN. PART NO. DESCRIPTION PRICE AMOUNT
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APR a Y 2010
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FORM RL -503 (4/97) Rcyuold. Reynold. TO ORDER: w .reysource.com; 1- 800 344 -0996; fax 1 -800- 531 -9055 TAX 9
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NO REFUND
REC
WITHOUTTHIS INVOICE 'D BY TOTAL
i
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.
00351004 John Kirk Boats, Inc. Terms
12345 Old Meridian Ste 100
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3130110 5881 Building materials 152.71
Total 152.71
t 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.
00351004 John Kirk Boats, Inc. Allowed 20
12345 Old MeridinSte 100
Carmel, IN 46032
In Sum of
152.71
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 5881 4235000 152.71 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
22 -Apr 2010
Signature
152.71 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund