192902 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 00353396 Page 1 of 1
ONE CIVIC SQUARE R V HALLAM PLUMBING CO INC CHECK AMOUNT: $259.80
CARMEL, INDIANA 46032 180 S CHERRY STREET
WESTFIELDIN 46074 CHECK NUMBER: 192902
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238900 21520 259.80 OTHER MAINT SUPPLIES
R.V. Hallam Plumbing Co., Inc. Date Invoice
180 South Cherry Street 11/11/10 021520
Westfield, IN 46074
Phone: 317 846 -8936 Fax:317- 896 -1031 Page 1
License #CO89200210
Billed To:
Carmel Clay Parks Department Job: SERVICE
1411 E. 116th Street Mechanic: DUSTIN Cust Ph: 317 571 -4144
Carmel, IN 46032 Fax: 571 -4143 Cell: 710 -5671
Description of Work: Day Work
(3) Sio Clean, (1) Root X.
Total $259.80
Purchase
Descriptiond
P.O. P o F
Budget
Line Descr
Purchaser Date
Approv Date i 1 Z 4
NOV 18 2010
BY:... o
1
Customer Copy
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.
00353396 R V Hallam Plumbing Co., Inc. Terms
180 S. Cherry Street Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/11/10 21520 Plumbing supplies 27964 259.80
Total 259.86
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.
00353396 R V Hallam Plumbing Co., Inc. Allowed 20
180 S. Cherry Street
Westfield, IN 46074
In Sum of
259.80
ON ACCOUNT OF APPROPRIATION FOR
101 -General fund
PO# or INVOICE NO. CCT #/TITLE AMOUNT Board Members
Dept
1125 21520 4238900 259.80
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
259.80 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund