196934 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 00350944 Page 1 of 1
ONE CIVIC SQUARE SCOTT POOLS, INC CHECK AMOUNT: $77.70
CARMEL, INDIANA 46032 904 W MAIN ST
CARMEL IN 46032 CHECK NUMBER: 196934
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 110103 77.70 REPAIR PARTS
Scoft P ools, I nc. O
904 W. Main Street Invoice Number: 110103
Carmel, IN 46032
Invoke Date: Apr 15, 2011
www.scottpoolsinc.com Page: 1
Voice: (317) 846 -5576
Fax: (317) 846 -4763
Email: scottpools2 @gmail.com
Bilt.T S hip to
CITY OF CARMEL STREET DEPT.
3400 W. 131ST STREET
WESTFIELD, IN 46074
Custo PO Payment Terms Due Date.
Net 30 Days 5/15/11
Quantity Description U nit Price Amount
1.00 STORE SALES 4111/11 77.70 77.70
Li
Scott Pools is on Facebook! subtotal 77.70
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the latest news, specials and morel!!! Total invoice 77
(A 1 -1/2% late fee will be charged on all Accounts 30 days past due)
Payments Accepted: Visa, Mastercard,
Discover, AMEX, Check or Cash. 77.7®
T t3T A D UE
Thank you for your continued business!
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Scott Pools
IN SUM OF
904 W. Main Street
Carmel, IN 46032
$77.7
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member.
2201 42- 370.00 1 hereby certify that the attached invoice(s), or
2201 110103 42 370.00 $77.70
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
/r, ThLirs& y��ii1 21, 2011
Jl y f, l y
l/ fir✓ s
Street Commissioner
6
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))
04/15/11 110103 $77.70
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