191114 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 364797 Page 1 of 1
ONE CIVIC SQUARE BAILEY TOOLS SUPPLY CHECK AMOUNT: $130.00
CARMEL, INDIANA 46032 PO Box 17526
LOUISVILLE KY 40217 CHECK NUMBER: 191114
CHECK DATE: 10127/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1120351 130.00 OTHER EXPENSES
INVOICE
Bailey Tools Supply, Ine. INVOICE
Branch: 04 Bailey "fools Indianapolis 1120351
P.O. Box 17526 Invoice Date Page
Louisville, KY 40217 10/6/2010 16:29:03 1 of I
USA ORDER NUMBER
1131193
502- 635 -6348
Bill To: Ship To:
City of Carmel City of Carmel
3450 W 131 st Street 5484 E 126th St
Carmel, IN 46074 Carmel, In 46033
Ordered By: Mr. Jimbo
Customer ID: 8001
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
Verbal .limbo Net 30 1110511.0 11/05/10 0.00
Order Date Pick Ticket No Primmy Salesrep Name Taker
10/4/2010 09:30:47 1120815 Steve Flinsliaw C GRIDER
Quantities Prie111
x
!teat ID UOM Unit E_clended
Ordered Shipped Remaining UOM o Hem Description Price Price
P! Unit Size O Unit Size
Carrier: Tracking
100 100 0 EA DW8062 EA 1.300 130.00
1.0 WHEEL4- 1 /2ENX.045 CUTTING I
Total Lines: I SUB- TOTAL: 130.00
TAX. 0.00
AMOUNT DUE: 130.00
ORIGINAL
VOUCHER 103098 WARRANT ALLOWED
364797 IN SUM OF
BAILEY TOOLS SUPPLY SEq
PO BOX 17526
LOUISVILLE, KY 40217+
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1120351 01- 6200 -04 $130.00
Voucher Total $130.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
ti
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
364797
BAILEY TOOLS SUPPLY Purchase Order No.
PO BOX 17526 Terms
LOUISVILLE, KY 40217 Due Date 10/19/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/19/201( 1120351 $130.00
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
C A I /Av w.-
Date Officer