194171 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 354947 Page 1 of 1
ONE CIVIC SQUARE FIREHOUSE IRRIGATION
CARMEL, INDIANA 46032 7941 BROADMEAD WAY CHECK AMOUNT: $390.00
INDIANAPOLIS IN 46259
CHECK NUMBER: 194171
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 10 -4238 200.00 BUILDING REPAIRS MA
1120 4350100 10 -4239 190.00 BUILDING REPAIRS MA
Firehouse Irrigation 317513 -4611
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Brad Sombke Owner Operator
7941 Broadmead Way
Indianapolis, IN. 46259
(317) 513 -4611
INVOICE No:10 -4238
10/10/2010
Carmel Fire Station #42
106th Shelborn Rd
Carmel, IN. 46032
PH. 733 -1480
Job Description: Fall Irrigation Winterization
QUANTITY DESCRIPTION UNIT PRICE TOTAL
Fall Irrigation Winterization 150.00 $150`.00
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Repair to zone line #1 #13 due to const. 50.00 $50.00
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Materials total: 200.00
SERVICE
HOURS DESCRIPTION CHARGES TOTAL
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Thank You
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Service total:
Total price: 200.00
Payment Due Upon Receipt
Firehouse Irrigation 317 513 -4611
Brad Sombke Owner Operator
7941 Broadmead Way
Indianapolis, IN. 46259
(317) 513 -4611
INVOICE No:10 -4639
10/10/2010
Carmel l=ire Station #46
540 W. 136Th St.
Carmel, IN. 46032
PH. 571 -2625
Job Description: Fall Irrigation Winterization
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QUANTITY DESCRIPTION UNIT PRICE TOTAL
t=all Irrigation Winterization 150.00 $150.00
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Repair zone
1€ line
q #8 40.00 _$4
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Materials total: 190.00
SERVICE
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HOURS DESCRIPTION CHARGES TOTAL
Included
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Thank You
Service total:
Total price: 190.00
Payment Due Upon Receipt
VOUCHER NO. WARRANT NO.
ALLOWED 20
Firehouse Irrigation
IN SUM OF
$390.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 10 -4238 43- 501.00 $200.00 1 hereby certify that the attached Invoice(s), or
1120 10 -4239 43- 501.00 $190.00 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
JAN 3 1 2011
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))
10 -4238 $200.00
10 -4239 $190.00
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
2Q
Clerk- Treasurer