188940 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 363975 Page 1 of 1
ONE CIVIC SQUARE CHARLES PACKARD CHECK AMOUNT: $286.87
ti� o CARMEL, INDIANA 46032 9801 CHAMBRAY DR
INDIANAPOLIS IN 46280 CHECK NUMBER: 188940
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 13 286.87 BUILDING REPAIRS MA
Charles Packard Invoice
9801 Chambray Dr Date Invoice
Indianapolis, IN 46280
7/1/2010 l3
Bill To Ship To
Cannel Clay Parks Recreation Carmel Clay Parks Recreation
1411 E. 1 16th Strcet 1411 F. 116th Street
Carmel, IN 46032 Carmel, IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
7/1/2010
Quantity Item Code Description Price Each Amount
1 Quarterly Service Water analysis from ,July I, 2010 thru September 30, 2010 286.87 286.87
2
AUG C! 3 014
BY:
Purchase
Description
P.O.# or F
G.L.
Sudgat
Una Descr
Purchaser Date
Approva Date /0
Total $286 -87
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
363975 Packard, Charles Terms
9801 Chambray Dr
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
711110 13 Water analysis 23826 286.87
Total 286.87
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
Voucher No. Warrant No.
363975 Packard, Charles Allowed 20
9801 Chambray Dr
Indianapolis, IN 46280
In Sum of
286.87
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. kCCT #/TITLE AMOUNT Board Members
Dept
1093 13 4350100 286.87 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
12 -Aug 2010
Signature
286.87 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund