192188 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 363975 Page 1 of 1
e ONE CIVIC SQUARE CHARLES PACKARD
/a CHECK AMOUNT: $286.87
CARMEL, INDIANA 46032 9801 CHAMBRAY DR
'tier INDIANAPOLIS IN 46280
CHECK NUMBER: 192188
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 286.87 BUILDING REPAIRS MA
Charles Packard Invoice
9801 Chambray Dr
Indianapolis, IN 46280 Date Invoice
10 /1 /2010 15
Bill To Ship To
Carmel Clay Parks Recreation Cannel Clay Parks Recreation
1411 I:, 1 16th Street 1411 E. 1 16th Street
Carmel IN 46032 Carmel, IN 46032
NO V 8
1 2010
BY:
P.p. Number Terms Rep Ship Via F.O.B. Project
10 /1 /2010
Quantity Item Code Description Price Each Amount
I Quarterly Service Water analysis from October 1, 2010 thru December 3 I. 2010 286.87 286.87
P irchase
D scription
PO.# Poo
G L. /0 93 <sDia�
8 dget �j/
E i ie Descr /Z(�1���fr1
Purchaser Date
proval Date
NOV 1 5 2010
HY:..11:
Tota $286.87
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.
363975 Packard, Charles Terms
9801 Chambray Dr
Indianapolis, IN 46280
Invoice Invoice Description
Date Number
or note attached invoice(s) or bills PO Amount
24090 286.87
1011110 15 Water analysis
Total 286.87
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
Voucher No. Warrant No.
363975 Packard, Charles Allowed 20
9801 Chambray Dr
Indianapolis, IN 46280
In Sum of
286.87
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 15 4350100 286.87 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
286.87 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund