192854 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 00350360 Page 1 of 1
ONE CIVIC SQUARE INDIANAPOLIS RECORDER
CARMEL, INDIANA 46032 2901 NORTH TACOMA CHECK AMOUNT: $319.00
a INDIANAPOLIS IN 46218 CHECK NUMBER: 192854
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4346000 124403 319.00 CLASSIFIED ADVERTISIN
INDIANAPOLIS RECORDER INVOICE
2901 N. Tacoma Avenue
Indianapolis, IN 46218 DATE INVOICE
(317) 924 -5143 11/26/2010 124403
BILL TO
CARMEL FIRE DEPARTMENT
ATTN: DAVID HABOUSH
2 CIVIC SQUARE
CARMEL, IN 46032 -0000
P.O. NO. TERMS DUE DATE REP ISSUE DATE FED. ID# 35- 0853913
NET 10 DAYS 12/6/2010 010 11/26/2010
ITEM DESCRIPTION QTY UNIT PRICE AMOUNT
A029 CLASSIFIED DISPLAY 2 159.50 319.00
ID: CAREER FIREFIGHTER
RUN DATES: 11/26/10 AND
12/03/10
PGj�]
ONE TEARSHEET SENT TOTAL
$319.00
MAKE CHECK PAYABLE TO: THE Balance Due $319.00
INDIANAPOLIS RECORDER.
PLEASE RETURN A COPY OF THE
INVOICE WITH PAYMENT. THANK
YOU FOR YOUR SUPPORT.
VOUCHER NO. WARRANT N
The Indianapolis Recorder ALLOWED 20
IN SUM OF
2901 N Tacoma Avenue
Indianapolis, IN 46218
$319.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 124403 43- 460.00 $319.00 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 eft 13 2 U
r A
Fire Chief
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))
124403 $319.00
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