188068 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 00351248 Page 1 of 1
ONE CIVIC SQUARE JEFF STEWART
CARMEL, INDIANA 46032 CIO STREET DEPT CHECK AMOUNT: $276.94
CIO STREET DEPT CHECK NUMBER: 188068
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 276.94 REPAIR PARTS
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TractorSuppl;yr.com
,181`60 U.S. 31 NORTH
WFSTFIELD, IN 46074
317- 867 -3505
T icket: 22 298
Date: 7/8/'0 Time 2:41 PM
Store: 931 Regi:;fer: 2
Cashiere •Ot13V740
Cust omer: ,JEFF STEWART
Phone 9: 3'741 5053
It e_m Q t r Price Amount
PUMP 12V 3 8GPM QUAD
2102222 1 99.99 99.99 E
PUMP 12V 3 8GPM QUAD
2102222 1 99.99 99.99 E
LACQUER THINNER GA
3441069 1 13.99 13.99 E
CLP PAINT ENAMEL HARDNER FIP1'
3449669 1 14 ;19 14.99 E
CLP PAINT. F: AHEL HARDNER HI'l
3449669 1 14 ,'.19 14.99 E
GAL ry SAVABLE PRIMER
3466213 1 32.99 32.99 E
Subtotal 276.94
Tax 0.00
Total 276.99
Ruth 11:09087C
Change 0,00
I agree to Parr the above amoonl according to
my card is:;uer agreement,
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V N.O. WARR NO.
ALLOWED 20
Jeff Stewart
IN SUM OF
c/o Carmel Street Department
$276.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Member:
2201 42- 370.00 $276.94 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
Thursday ly 15, 201(
S treet Commission
tr .P. nrrrn1_- SIr)j305r
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))
07/08/10 $276.94
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