187680 07/21/2010 a CITY OF CARMEL, INDIANA VENDOR: 364397 Page 1 of 1
ONE CIVIC SQUARE AKZO NOBEL PAINTS
l CHECK AMOUNT: $846.60
CARMEL, INDIANA 46032 z1o33tveTwoaKPLACE
CHICAGO IL 60673 CHECK NUMBER: 187680
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W09308 199960 597.60 PAINT
601 5023990 200387 230.50 OTHER EXPENSES
601 5023990 248161 479.50 MATERIALS SUPPLIES
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FORM 3540 PRINTED IN U.SA 02N0 TOTAL x
CUSTOMER SIGNATURE
VOUCHER 102119 q WARRANT ALLOWED
364397 IN SUM OF
AKZO NOBEL PAINTS LLC- GLIDDEN
21033 NETWORK PLACE
CHICAGO, IL 60673 -1210
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
000248161 01- 6200 -06
Crel 6vr, ;2 to-5g7 o23D
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Voucher Totalgj,� W
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
364397
AKZO NOBEL PAINTS LLC- GLIDDEN Purchase Order No.
21033 NETWORK PLACE Terms
CHICAGO, IL 60673 -1210 Due Date 7/1212010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/12/2010 000248161 $249.00
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
Z4,
Date Officer