186557 06/09/2010 a CITY OF CARMEL, INDIANA VENDOR: 364118 Page 1 of 1
ONE CIVIC SQUARE UPDEGRAFF FURNITURE CHECK AMOUNT: $584.00
CARMEL, INDIANA 46032 7861 IN 28
ELWOOD IN 46036 CHECK NUMBER: 186557
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4463000 052510 584.00 FURNITURE FIXTURES
U PDEG F F F NITU E
UPDEGRAFF FURNITURE ee
7881 STATE ROAD 28 �,S 3aIL 1�� ®fC�
ELWOOD, IN 46036 DATE
DJFURNITUREOSBCGLOBAL.NET O5/25/2010
BILL TO
Carmel Fire Department
2 Civic Square
Carmel, M 46032
SHIP DATE SHIP VIA
05/25/2010 OT
Quantity PRODUCT DE SCRIPTIO N R ate Amount
2 Twin. matress ant Englander 3/3 Aireloom p/top double sided 2 pe set 302.00 604.00
2 TRADE M Trade in 3/3 set Twin mattress 40.00 20.00
I
I /Uc U.arje
I
SUBTOTAL $584.00
TAX (7 $0.00
TOTAL $584.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Updegraff Furniture
IN SUM OF
7881 IN 28
L
Elwood, IN 46036
$584.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 102 630.00 $584.00 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
JUN -1 2QIQ
F /9
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))
$584.00
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