197191 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 354380 Page 1 of 1
ONE CIVIC SQUARE GILLE COMPANY
s i CHECK AMOUNT: $91.14
CARMEL, INDIANA 46032 1146 SOUTH WEST ST
INDIANAPOLIS IN 46225 CHECK NUMBER: 197191
CHECK DATE: 5/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231500 62111000001 91.14 OIL
1146 S. West Street INVOICE DATE
Indianapolis, IN 46225
Phone: (317) 638 -6441 Cldit f r:r,') f::kC
(888) 74 -GILLS or (888) 744 -4553 INVOICE NO. PAGE
c e CQMPANY, INC Fax (317) 632 -3956 r",r,r�rti
CUSTOMER NO. BRANCH'
REMITTO: 1.146 S. West St., Indianapolis, IN 46225
SOLD :;I lfa`'ll::a... 1 3T1 1':::I :T I7ET."'T SHIP
TO TO
W.
,:ti 1 400 W. J. s:i.;: 'f' �i 7'I :i:: :i::: 7' ::i�oi:a':i
WI::. t :i T 1 Li i .l. 1 i'1 fft•: r'rf �li::.4:k I i" .i.L:.L_TJ 1.1 1 f °r t.� r tf
Invoices unpaid 31 days after invoice date are subject to 1 -112% per month service charge. Equivalent interest rate per annum is 18 Invoices unpaid after 61 days
will also be subject to collection, and fees charged will be responsibility of the customer.
CUSTOMER PO. R/S ORDER NO:
:).1..:3i:...... s ti..ti....':y()'7' r Y 040 ,f�)t7 r}.' i7
QUANTITY PART ND. PRICE) ER I EXTENSION
"I RC: 0 55 1W ."77 ."77 ';f;IT <:i f i i l I iE: :"T':C(:; C:(:iMID E28..:I 3 :1.:`.'...:1.`)1 :::11
Dl ::.I.- a. VF1F', Y C :I. f •Y' Dl :L..
t:iRr)l:'R 1':I:C'KE'T BY:: J"I"I y
ft
15 ,.00 i:::t:31,J. FEE" W:1:1...i... DE. tl },:3E::;:3; :31: TC3 AL..i...
T001 1'401 I";I::.I""'r'Z.LI ";I::.x3 OR l'' :1••'L..()CI:_D 1:SY (3 1 L.L.L: CC),
FREIGHT TAXABLE _SUB TOTAL TAX STATUSCSTATE SALES TAX PLEASE PAY
Any warranties on the product sold hereby are those made by the manufacturer. The seller hereby expressly disclaims
all warranties, either express or implied, including any Implied warranty of merchantability or fitness tot a particular
purpose, and the seller neither assumes nor authorizes any other person to assume for It any liability in connection with
rr 55 11 yy CUSTOMER SIGNATURE the sale of said products. Any limitation contained herein does not apply where prohibited by law. h
J. 5:7 f••1l''l :I: iii E::>~7�.Jii�,) 01'•i 1� k Y 1 l•'1.�..4.�1�4:1',)0 ...,7
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gille Company, Inc.
IN SUM OF
1146 S. West Street
Indianapolis, IN 46225
$91.14
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Member;
2201 6211100001 42- 315.00 $91.14 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
Thu�sday May 05, 2011
jo �f_ Ally
v V v St eet Commissionef
Street CcTim!-nissioner
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))
04/20/11 G211100001 $91.14
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