190215 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 045075 Page 1 of 1
ONE CIVIC SQUARE CARMEL GLASS MIRROR, INC
1 CARMEL, INDIANA 46032 P0- e0x3Ti CHECK AMOUNT: $460.78
CHECK NUMBER: 190215
�Qv e i Dto CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB R AMOUNT DESCRIPTION
1081 4239039 71015 460.78 GENERAL PROGRAM SUPPL
C an n el Gl ass, I nvoice Invoice
Mirror St atement 0710 -15
540 E. 106th Street
Indianapolis, IN 46280 www.carmelglass.coni
(317) 846 -4864 Fax (317) 846 -5742
Bill To:
Ship'I'o:
Carmel Clay Parks Recreation West Clay Elementary
1235 Central Park Drive E
Carmel, IN 46032 Room C -22
Invoice Date Customer P.O. Number Rep Ship Date Terms Via
7/9/2010 KS 7/6/2010 COD Deliver Set
Quantity Item Code Description Price Each Amount
1 ms00200 Insulated Tempered Glass Unit: 34x46x1" OA, 460.78 460.78
Bronze Glass over Clear, Installed in window
Purchase
Description
P.O.# PorF
Budget
Line Descr \C`
Purchaser ate
Approval Date
SLi` 7Qjn
BY......
Subtotal $460.78
Sales Tax (7.0 $0.00
Total $460.78
Payments /Credits $0.00
All past due accounts subject to service charge of 18% plus collection fees. Balance Due $460.78
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.
Carmel Glass Mirror Terms
500 E. 106th Street
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
719110 71015 Window repair WC 460.78
Total 460.78
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
Carmel Glass Mirror Allowed 20
500 E. 106th Street
Indianapolis, IN 46280
In Sum of
460.78
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1081 -99 71015 4239039 460.78 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
23 -Sep 2010
`Q K
Signature
460.78 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund