191536 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 362886 Page 1 of 1
ONE CIVIC SQUARE ALLIED CENTRAL DIST, INC
CARMEL, INDIANA 46032 11600 COMMONWEALTH DRIVE CHECK AMOUNT: $809.10
LOUISVILLE KY 40299 CHECK NUMBER: 191536
CHECK DATE: 11110/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 9666500 809.10 OTHER MAINT SUPPLIES
*xx REMIT AND MAKE CHECK PAYABLE TO
CUSTOMER NUMBER ALLIED CENTRAL DIST. INC. INVOICE NUMBER
500940 11600 COMMONWEALTH DRIVE 096665 -00
LOUISVILLE KY 40299
SOLD TO: CARMEL CLAY PARKS REC SHIP TO: MONON CENTER
1411 E 116TH STREET 1235 CENTRAL PARK DRIVE
CARMEL, IN 46032 PH #317/573 -4026
CARMEL, IN 46032
317/573 -4023 SERRA GARSKE
SALESMAN DATE CUSTOMER
NUMBER NAME INVOICED ORDER NUMBER TERMS SHIP VIA F.O.B.
50 BROADSTREET 10/20/10 SERRA NET 30 DAYS OUR TRUCK CUSTOMER
SPECIAL BILLING INSTRUCTIONS: FAX
QUANTITY QUANTITY QUANTITY ITEM NUMBER/ QUANTITY UNIT EXTENDED T
ORDERED SHIPPED BACKORDERED UM DESCRIPTION BILLED UM PRICE PRICE X
6 6 0 EA PG- OPTIDE25 6 EA 134.85 809.10 N 1
24201 2X TIDE DETER 2.5 GALLON
III N N V V 000 III CCCC EEEEE SUB -TOTAL 8D9.10
I NN N V V 0 O I C E
I N N N V V O O I C EEE
I N NN V V O 0 I C E
III N N V 000 III CCCC EEEEE
Purchase TOTAL 809.10
Description
P.O.# �fO Po()F
G.L.# �d9 q23$90D
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Purchaser 7th_ ma im
Approval
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END OF INVOICE
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.
362886 Allied- Central Dist. Inc. Terms
11600 Commonwealth Drive
Louisville, KY 40299
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/20/10 9666500 Laundry soap 24014 809.10
Total 809.10
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.
362886 Allied Central Dist. Inc. Allowed 20
11600 Commonwealth Drive
Louisville, KY 40299
In Sum of
809.10
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1093 9666500 4238900 809.10 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
4 -Nov 2010
Signature
809.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund