160753 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 359344 Page 1 of 1
ONE CIVIC SQUARE AYERS BACKFLOW CHECK SERVICE
CARMEL, INDIANA 46032
20 BENNETT ROAD CHECK AMOUNT: $456.80
CARMEL IN 46032 CHECK NUMBER: 160753
CHECK DATE: 6125/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
1125 4350100 497978 456.80 BUILDING REPAIRS MA
497978
INVOICE
SOLD TO SHIP TO
C,4 Ayers Backfl ®w Check Sere
ADDRESS 5T� ADDRESS 20 Bennett Rd.
CITY, STATE, ZIP CITY, STATE, ZIP eat inct, lN 46032
clj--r� F-C 1&�'643Z 575 -0782
'CUSTOMER ORDER Na. SOLDBY TERMS F.O:B: DATES,
ORDERED SHIPPED v. DESCRIPTION PRICE UNIT AMOUNT
l S G,ry c Z-00
-3 N l 5�So
v t s6 o
n JUN 5 2008
/I 1A1
Mil ve
5840
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.
Ayers Backflow Check Ser. Terms
20 Bennett Rd.
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/28/08 497978 Repairs to West Park backflow preventer 456.80
Total 456.80
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
�4
Voucher No. Warrant No.
Ayers Backflow Check Ser. Allowed 20
20 Bennett Rd.
Carmel, IN 46032
In Sum of
456.80
ON ACCOUNT OF APPROPRIATION FOR
101 -General
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 497978 4350100 456.80 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
19 -Jun 2008
Signature
456.80 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund