192005 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364904 Page 1 of 1
ONE CIVIC SQUARE BRENTRICK INC
i CHECK AMOUNT: $391.00
CARMEL, INDIANA 46032 527 EAST 39TH ST
o�.Eo PATERSON NJ 07504 -1407 CHECK NUMBER: 192005
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4350000 12572 391.00 EQUIPMENT REPAIRS M
Brentrfck Inc. Inv oice
527 East 39th Street
Paterson, NJ 07504 -1407 Date Invoice
Phone 973 -357 -3579 10/26/2010 12572
Fax 973 357 -3581
Bill To Ship To
Carmel Clay Parks Rec Carmel Clay Parks Rec
1235 Central Park. Drive F 1411 E 116th Street
Carmel, IN 46032 Carmel, IN 46032
P.O. No. Terms Rep Ship Via F.O.B. Project
Michelle Net 30 bk 10/26/2010 UPS Paterson
Quantity Item Code Description Price Each Amount
1,000 JL- Adjust 1 1/4" IL-Large Adjustable Velcro table skirting 0.34 340.00
clips 1 1/4" in lengh
UPS shipping: 2nd Day Air 51.00 51.00
00 0 9 2910
c seel.ea000000a
Purchase
L}escriptlart
P.O. alt �p P co�)
G.L. a Z 3 S000 D
Bud et
Liner
Purchaser bat
A pp
Thank you for your business.
T otal $391.00
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.
Terms
Brentrick Inc.
527 East 39th Street
Paterson, NJ 07504 -1407
Invoice Invoice Description Amount
Date Number or note attached invoice(s) or bill(s)) PO
10126/10 12572 Table clips
24041 391.00
Total 391.00
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- 1Q -1.6
20_
Clerk- Treasurer
Voucher No, Warrant No,
Brentrick Inc. Allowed 20
527 East 39th Street
Paterson, NJ 07504 -1407
In Sum of
391.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #fT'ITLE AMOUNT Board Members
Dept
1095 -3 12572 4350000 391.00 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
18 -Nov 2010
Signature
I 391.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund