192199 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00350781 Page 1 of 1
0 ONE CIVIC SQUARE PICKETT'S PLACE CHECK AMOUNT: $246.00
CARMEL, INDIANA 46032 547 E 161ST ST
WESTFIELD IN 46074 CHECK NUMBER: 192199
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1175 246.00 REPAIR PARTS
PICKETT'S PLACE
547E, 161ST Invoice Number:
WESTFIELD, IN 46074 1175
Voice: 317-896-3271
Invoice Date:
Sold To: Fax: 317 896 -2036 Nov 15, 2010
Page
1
Came street Department
3400 West 131st street
WESTFIELD, IN 46074
Customer ID Customer PO Shipping Method Payment Terms Due Date
VERBAL MIKE IN Cust. Pickup Net 30th of Next 12/30/10
.qHnp Month
Quantity Item Description Unit Price Amount
24.00 STEEL BUSHINGS 10.25 246.00
4 Subtotal 246.00
Sales Tax
Total Invoice Amount 246.00
Check /Credit Memo No: Payment/Credit Applied
TOTAL 246.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pickett's Place
IN SUM OF
547 E. 161st St.
Westfield, IN 46074
$246.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 1175 42- 370.00 $246.00 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 Thur0 y, Nbvvember 18, 2010
a
Street Commissioner
AtrPat r nmmic2;
Title v
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))
11/15/10 1175 $246.00
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- 10 -1.6
20
Clerk- Treasurer