188776 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 363937 Page 1 of 1
ONE CIVIC SQUARE DAVIS INDUSTRIES. INC
CARMEL, INDIANA 46032 4090 W WESTOVER DRIVE CHECK AMOUNT: $115.00
INDIANAPOLIS IN 46268 CHECK NUMBER: 188776
CHECK DATE: 8118/2010
DEPARTME ACCOUNT PO NUMBE INV NUMBE A MOUNT DE SCRIPTION
1205 4237000 073100 -05 115.00 REPAIR PARTS
i�
s Invoke
Davis Industries, Inc. Invoice Number:
4090 W. Westover Drive
Indianapolis, IN 46268 073110 -05
USA
Invoice Date:
I Jul 31, 2010
Voice: (317) 871 -0103
Page:
Fax: (317) 871 -0104
1
Sold To: Sh� to:
Carmel City Hall armel City Hall
One Civic Square One Civic Square
Carmel, IN 46032 Carmel, IN 46032
Customer I13 Customer PO Payment Tenns
3175712400 Net 10 Days
Sales Rep I:D Shipping Method Ship Date d Due Date
Airborne 8/10/10
Quantity Item Descr Uni Price Extension
1.00 AB- SERVICE 7/13/2010- Carmel City Hall- install front end 115.00 115.00
software on new PC
Subtotal 115.00
Sales Tax
Total Invoice Amount 115.00
Check No: Payment Received
TOTAL 115.00
Overdue invoices are subject to late charges.
Industries, Inc.
4090 W. Westover Drive Indianapolis, IN 46268 Office: (317) 871 -0103 Fax: (317) 871 -0104
Client Site C 4A MC 14 ,4 Work Order ID
Address 1/ I C_ Job Number
City e� Customer PO
Date 3 Authorized By I,n
WorkRequeste S G tom/ 2 Jr— da
Equipment Serviced; e Technician Labor
Mfg. Model Serial I Technician Bate ST 1.5 2 TV1
xn
Work Performed: zlz:d�
97X 04- ake C G S
Af d
Work Complete: Wyes No
Recommendations:
'fMaterial Used
PO No Descriptioni Quantity Amount Source*
TS Truck Stock V Vendor CS Customer Stock
THE WORK AND /OR INSPECTIONS DESCRIBED ABOVE WERE PERFORMED A TAT D.
Customer Signature Date chnician Signature to
VOUCHER NO. WARRANT NO.
ALLOWED 20
Davis Industries, Inc.
IN SUM OF
4090 W. Westover Drive
Indianpolis, IN 46268
$115.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1205 073110 -05 42- 370.00 I $115.00 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
Monday, August 16, 2010
Director, Administratio
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))
07/31/10 073110 -05 I I $115.00
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