191796 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 00350781 Page 1 of 1
ONE CIVIC SQUARE PICKETT'S PLACE
CARMEL, INDIANA 46032 547 E 161ST ST CHECK AMOUNT: $147.00
o� WESTFIELD IN 46074 CHECK NUMBER: 191796
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DE SCRIPTION
2201 4237000 1169 132.00 REPAIR PARTS
1120 4351000 1170 15.00 AUTO REPAIR MAINTEN
PICKET T'S PLACE
547 E. 961ST Invoice Number:
WESTFIELD, IN 46074 1169
Voice: 317- 896 -3271
Invoice Date:
Sold To: Fax: 317 896 -2036 Nov 3, 2010
Page
1
Came/ Street Department
3400 West 931st street
WESTFIELD, NV 46074
Customer ID Customer PQ Shipping Method Payment Terms Due Date
VERBAL JEFF Cust. Pickup Net 30th of Next 12 /30/10
CTF VIT RT AAnnf h
Quantity Item Description Unit Price Amount
6.00 518 ROD THREADED BOTH ENDS 22.00 132.00
Subtotal 132.00
Sales Tax
Total Invoice Amount 132.00
Check /Credit Memo No: Payment /Credit Applied
TOTAL 132.00
VOUCHER NO. WARRA NO.
ALLOWED 20
Pickett's Place
IN SUM OF
547 E. 161st St.
Westfield, IN 46074
$132.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member
2201 1169 42- 370.00 $132.00 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
Thursday, November 04, 201 C
I i
9
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/02/10 1169 $132.00
1 hereby certify that the attached invoice(s), or blll(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk Treasurer
J P/CKEM'S PLACE
547E. 161ST Invoice Number:
i WESTFIELD, IN 46074 1170
Voice: 317 896 -3271
Invoice Date:
Fax: 317- 896 -2036 Nov 3, 2010
Sold To:
Page
1
Carmel Fire Dept
2 CIVIC SQUARE
CARMEL 46032
Customer ID Customer PO Shipping Method Payment Terms Due Date
VERBAL BOB Cust. Pickup Net 30 Days 1213/10 f
Quantity Item Descr Unit Price Amount
1.00 BORED HOLE IN STAINLESS STEEL PLATE 15.00 15.00
Subtotal 15.00
Sales Tax
Total Invoice Amount 15.00
Check /Credit Memo No: Payment/Credit Applied
TOTAL 15.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Picketts Place
IN SUM OF
i
547 East 161st Street
Westfield, IN 46074
$15.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
1120 1170 43- 510.00 $15.00 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
F f�'
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev_ 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1170 E46 $15.00
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