193189 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 362097 Page 1 of 1
ONE CIVIC SQUARE P K DISTRIBUTORS
0 CHECK AMOUNT: $1,015.00
CARMEL, INDIANA 46032 zsaowaoas
PERU IN 45970 CHECK NUMBER: 193189
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350080 1,015.00 STREET LIGHT REPAIRS
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VOUCHER NO. WARRANT NO.
ALLOWED 20
PK Distributors
IN SUM OF
2940 W. 400 S.
Peru, IN 46970
$1,015.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 43- 500.80 $1,015.00 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
Thursday, December 16, 2010
Street Commissioner
ru
Street Corn rintiaioner
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 invoices) or bill(s))
12/10/10 $1,015.00
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IG 5- 11- 10 -1.6
20
Clerk- Treasurer