189032 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 364514 Page 1 of 1
0 ONE CIVIC SQUARE TIGER GREEN CHECK AMOUNT: $320.00
CARMEL, INDIANA 46032 10022 LANTERN ROAD
FISHERS IN 46037 CHECK NUMBER: 189032
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 10098 320.00 REPAIR PARTS
Invoice
JJ Date Invoice
T IGE REEN 8i3i2010 10098
Bill To Ship To
Carmel Fire Dept. Station 41 Carmel Fire Dept. Station 41
2 Carmel Civic Square 2 Carmel Civic Square
Carmel, IN 46032 Carmel, IN 46032
Gary Carter Gary Carter
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 30 TM 8/3/2010
Quantity Item Code Description Price Each Amount
2 ELNL- A903T10W -240B2 T8, 624pcs, 240cm, 3200L, 4000K, with High 160.00 320.00T
Output Ends
Out -of -state sale, exempt from sales tax 0.00% 0.00
Thank you for your business.
Total $320.00
10022 Lantern Road, Ste. 200 Fishers, IN 46037
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tiger Green
i. IN SUM OF
10022 Lantern Road
Fishers, IN 46037
$320.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 10098 42 -370.00 $320.00 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 S 2016
v v
Fire Chief
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))
10098 $320.00
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