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189966 09/14/2010
CITY OF CARMEL, INDIANA VENDOR: 00353396 Page 1 of 1 ONE CIVIC SQUARE R V HALLAM PLUMBING CO INC CHECK AMOUNT: $531.09 CARMEL, INDIANA 46032 180 S CHERRY STREET WESTFIELD IN 46074 CHECK NUMBER: 189966 CHECK DATE: 9/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4350100 20917 531.09 BUILDING REPAIRS MA R.V. Hallam Plumbing Co., Inc. Date Invoice 180 South Cherry Street 08/19/10 020917 Westfield, IN 46074 Phone: 317-846.8936 Fax:317 -896 -1031 Page 1 License #CO89200210 Billed To: Carmel Clay Parks Department Job: WEST PARK 1411 t;. 116th Street Mechanic: MARK D Cuat Ph: 317 -571 -4144 Carmel, IN 46032 Fax: 671.4143 Coll: 710 -6671 Description of Work: Day Work Replace copper supply line with poly supply. Pull and reset (3) SS wail mount toliets. Total $331.09 Purchase k,6f pe w L P.O. 3 p o F ©cf AUG 2 6 2010 B d `�aO 1057- �f 35o� Line De W IAt t-o BY. Purchaser Date Approval Date —/Q Customer Copy T�T'd ZtTtTZS:01 TZOT 968.ZT2: ENIewmci WH fl d:WOdA T@ :Za @T02- t72 Jf1tj 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. 00353396 R V Hallam Plumbing Co., Inc. Terms 180 S. Cherry Street Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 8119110 20917 Restroom repair at West Park 23863 531.09 Total 531.09 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 Voucher No. Warrant No. 00353396 R V Hallam Plumbing Co., Inc. Allowed 20 180 S. Cherry Street Westfield, IN 46074 In Sum of 531.09 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO #or INVOICE NO. CCT#/TITLE AMOUNT Board Members Dept 1125 20917 4350100 531.09 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 9 -Sep 2010 Signature 531.09 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund