187447 07/07/2010 VOIDED CITY OF CARMEL, INDIANA VENDOR: 296275 Page 1 of 1
0 ONE CIVIC SQUARE SUNDOWN GARDENS INC
CARMEL, INDIANA 46032 13400 OLD MERIDIAN STREET CHECK AMOUNT: $50.00
s *!ro CARMEL IN 46032
CHECK NUMBER: 187447
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 12419 50.00 MATERIALS SUPPLIES
13400 OLD MERIDIAN STREET 12 419
U d own CA INDIANA 46032
(317) 846 -0620 -0620 •FAX (317) 846-4950
r ens www.sundowngardens.com
Date
TD-
Home Cell Work
Name c°--1 4 0 OALL Q bgS+E P
Address
City State Zip
Sold by Subdivision
QUAN DESCRIPTION AMO
C�o r a v oo
I t
8 loo
0
Subtotal. GO
Clerk Initials Tax
PAID BY: CASH CHECK Labor
CREDIT CARD Total
H OUSECHARGE Down Pmt Rec'd
House Acct CASH CHECK CRE CA
Customer Signature Bal. Due S \J O v
WHITE CUSTOMER YELLOW OFFICE PINK LABOR
rt
VOUCHER 1057 .21 WARRANT ALLOWED
296275 IN SUM OF
SUNDOWN GARDENS INC
13400 OLD MERIDIAN STREET
CARMEL, IN 46032.
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
12419 01- 7202 -05 $50.00
Voucher Total $50.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts Q1, 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
296275
SUNDOWN GARDENS INC Purchase Order No.
13400 OLD MERIDIAN STREET Terms
CARMEL, IN 46032 Due Date 6122/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/22/2010 12419 $50.00
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
Date Officer