187061 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364222 Page 1 of 1
ONE CIVIC SQUARE TOWNSEND CHEMICAL
CARMEL, INDIANA 46032 9211 EAST JACKSON ST CHECK AMOUNT: $282.51
SELMAIN 47383 CHECK NUMBER: 187061
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 49298 282.51 OTHER MAINT SUPPLIES
Townsend Chemical, LLC.
Invoice
9211 E Jackson St
Selma, IN 47383 Date Invoice
800 -616 -4221 6/11/2010 49298
765- 289 -4451 Fax
Bill To Ship To
CITY OF CARMEL
STREET DEPARTMENT
3400 W 131ST ST
WESTFIELD, IN 46074
P.O. Number Terms Rep Account Ship Via Shipped From
Net 30 GPR 6/11/2010 UPS 201
Quantity Item Code Description Price Each Amount
2 TRANSLINE 1 4x.5 GAL PRICE PER CONTAINER 135.00 270.00
1 SHIPPING SHIPPING 12.51 12.51
Send Remittance To: Subtotal
Townscnd Chemical,LLC $282.51
PO Box 128
Parker City IN 47368 Sales Tax (7.0
$0.00
Total $282.51
VOUCHER NO. WARR N O.
ALLOWED 20
Townsend Chemical, LLC
IN SUM OF
9211 E. Jackson St.
Selma, IN 47383
$282.51
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TiTLE I AMOUNT Board Member;
2201 49298 42- 389.00 $282.51 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
Thdrsday 4 11 e 17, 2010
Street CommissidW
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))
06/11/10 49298 $282.51
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