192671 12/10/2010 CITY OF CARMEL, INDIANA VENDOR: 356915 Page 1 of 1
0 ONE CIVIC SQUARE L.T. RICH PRODUCTS INC
CARMEL, INDIANA 46032 920 HENDRICKS DR CHECK AMOUNT: $58.12
LEBANON IN 46052 CHECK NUMBER: 192671
CHECK DATE: 1 211 01201 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4235000 16627 58.12 BUILDING MATERIAL
LT Lich Products, Inc.w
920 Hendricks Drive I�A�D'UCTS IN0' cum
Lebanon, IN 46052` 41.
t
INVO ICE 11/23/2010 18627
Bill To Ship To
CARMEL CLAY PARKS Recreation CARMEL CLAY PARKS Recreation
1411 E 116th St 1411 E 116th St.
CARMEL, IN 46032 CARMEL, IN 46032
USA USA
o 1 1 j: o.
DUE ON DELIVERY 11/2312010 11/2312010 U.S. FedEx Gro
p s P
4
60029 1 /4'MPT X 318' BARB 1 0.47 0.47T
60040 SPOT SPRAY GUN 1 25.48 25.48T
60041 SPOT SPRAY TIP #12 1 7.66 7.66T
60082 UNION BALL VALVEIn3 -WAY 314' 1 24.51 24..54
SALES TAX 7.00% C�4.07
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Pay online at
https X�
Purchase
Description
NOV 2 9 2010 P .O. Q�f
G.L. 5
Budget
��o .........o.......... Zane Descr
Purchaser Dab
Approval Date
Total $62.19
Payments /Credits $0.00
765 =482 -2040 765 482 -2050 sjones @z- spray.com Balance Due $6
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.
LT Rich Products, Inc. Terms
920 Hendricks Drive
Lebanon, IN 46052
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/23/10 18627 Plumbing repair parts 58.12
Total 58.12
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
Voucher No. Warrant No.
LT Rich Products, Inc. Allowed 20
920 Hendricks Drive
Lebanon,IN 46052
In Sum of
58.12
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 18627 4235000 58.12 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
9 -Dec 2010
Signature
58.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund