186458 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 363975 Page 1 of 1
ONE CIVIC SQUARE CHARLES PACKARD
a CARMEL, INDIANA 46032 9801 CHAMBRAY DR CHECK AMOUNT: $145.82
INDIANAPOLIS IN 46280
CHECK NUMBER: 186458
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 145.82 BUILDING REPAIRS MA
Charles Packard I nvo i ce
L9801 ray Dr Date Invoice
Indianapplis, 46289=
C5%23/2010- X12 V
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
1411 E. 1 16th Street 1411 E. I 16th Street
Carmel, IN 46032 Carmel, IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
5/23/2010
Quantity Item Code Description Price Each Amount
2 coupon Mild Steel Coupons 7.00 14.00
2 coupon Copper Coupons 10.00 20.00
4 testing Coupon Analyses 25.00 100.00
I shipping Shipping 11.82 11.82
V�
-7
F P.
MAY 2 7 2010
Total L-$ 145:82 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.
363975 Packard, Charles Terms
9801 Chambray Dr
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/23/10 12 Bldg repairs and maintenance 145.82
Total 145.82
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
Voucher No. Warrant No.
363975 Packard, Charles Allowed 20
9801 Chambray Dr
Indianapolis, IN 46280
In Sum of
145.82
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1093 12 4350100 145.82 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
3 -Jun 2010
Signature
145.82 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund