191570 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 364861 Page 1 of 1
ONE CIVIC SQUARE C S SANDBLASTING AND WELDING LLCC
CARMEL, INDIANA 46032 17623 WASHINTON STREET L RECK AMOUNT: $20.00
WESTFIELD IN 46074
e CHECK NUMBER: 191570
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 4269 20.00 REPAIR PARTS
S Sandblasting nd Wel
dingy i.LC°
17623 Washington Street
Westfield, Indiana, 46074
Phone:(317) 507 -4939 Fax:(317) 867. -6342
Date: 11!3!2010 Invoice 4269
To: city of caffnel
Aft. P.O.
Job Ref.
1 sandblast oil pan
$20.00
2
3
4
5
6
7
8
9
10
Total $20.00
Payment Due upon receipt. After 60 Days
Subject To 7% Interest Charge Monthly.
Thank you,
Charles Stalanaker- Signed:
Date:
Signed by Customer ;i
/v Date:
VOUCHER NO. WARRA NO.
ALLOWED 20
C S Sandblasting and Welding LLC
IN SUM OF
17623 Washington Street
Westfield, IN 46074
$20.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT91TITLE AMOUNT
Board Member:
2201 4269 42- 370.00 $20.00 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
Friday, No er 05, 2010
5treet 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))
11/03/10 4269 $20.00
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