188082 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 355216 Page 1 of 1
ONE CIVIC SQUARE THOMAS L GRANTHAM COMPANY INC CHECK AMOUNT: $270.00
CARMEL, INDIANA 46032 14016 BRITTON PARK ROAD
FISHERS IN 46038 CHECK NUMBER: 188082
CHECK DATE: 7/2112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 4562 270.00 BUILDING REPAIRS MA
ra th am Invoice
THOMAS L. GRANTHAM COMPANY, INC.
14016 Britton Park Road
Fishers, Indiana 46038
317 845 -8888
Fax: 317-770-6160 Date Invoice
6/30/2010 4582
Bill To Job Name
Carmel Street Department
3400 W. 131 st Street
Westfield IN 46074
P.O. No. Terms Project
Net 15 days 38945
Quantity Description Rate Amount
3 Sales Service- Doug 6/22/10 90.00 270.00
Sales Tax 7.00% 0.00
Thank You! Total $270.00
r 038945
THOMAS L.
T�
GRANTHAM CO., INC PAGE OF 1
1401 BRITTON PARK RD. W.O. NUMBER
FISHERS, INDIANA 46008
317-845-8308 PROJECT NUMBER P.O. NUMBER
BILL TO NAME ADDRESS JOB NAME'& ADDRESS
DATE WORK PERFORMED
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A STRAIGHT TIME STRAIGHT TIME
B OVER TIME OVER TIME
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R TRAVELTIME TRAVEL TIME
MILEAGE MILEAGE
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TOTAL MATERIAL
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BILL DO NOT BILL
CUSTOMER SIGNATURE DATE TEC ICIAN
VOUCHER NO. WARRANT NO.
Thomas L. Grantham Company ALLOWED 20
IN SUM OF
14016 Britton Park Road
Fishers, IN 46038
$270.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 4582 43- 501.00 $270.00 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
Thursday, my 15, 2010
Street COmm r
Street CoTitlerci�nonp.r
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))
06/30/10 4582 $270.00
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