159786 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 361327 Page 1 of 1
fe Q tii ONE CIVIC SQUARE BENNETT CAMPBELL CHECK AMOUNT: $160,00
a,li�o CARMEL, INDIANA 46032 1733 PEARLS?
ANDERSON IN 46016 CHECK NUMBER: 159786
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 13273 160.00 OTHER EXPENSES
>t
gar, J,��'�.:ge�D'�t""ar- .S:c+crT�.. r- r`._ "ij'�'� =m�•+°-s d i� `.,y� yJS.�:; F6��,
w Authorized AACOAIRE Dealer
NTT JOE WORK ORDER
�AINPULL
HEATING COOLING
1733 Pearl Street Anderson, IN 46016
643 -0232 DATE OF ORDER
3 -ao -off
CUSTOMER'S ORDER N0. PHONE eX4 P 16 MECHANIC HELPER STARTING DATE
woe o- O� 3��- 571 -Zco3
E. \L TO ORDER TAKEN BY
C• V b� ny 12L I 1P
ADDRESS
DAY WORK
CONTRACT
CITY
EXTRA
JOB NAME AND LOCATION
JOB PHONE
a
DESCRIPTION OF WORK:
3700aZ-5
Slow VP Y 1
00 r� 2 (o dQ
RFc 'D LIAR
PAYMENT DUE UPON RECEIPT. TOTAL MATERIALS
PLEASE PAY FROM THIS INVOICE.
TERMS: A FINANCE CHARGE OF 2% PER MONTH TOTAL LABOR
(24°6 PER ANNUM) WILL BE CHARGED ON ALL
BALANCES OVER 30 DAYS. SERVICE CALL
TAX e xlern
DATE COMPLETED WORK ORDERED BY TOTAL AMOUNT
s
No one home Total amount due Total billing to
for above work: or be mailed after
Signature completion
I hereby acknowledge the satisfactory completion of work
of the above described work.
BENNETT AND CAMPBELL c
°o0 1733 PEARL ST o
g ANDERSON, IN 46016 0
o, 765- 643 -0232 ;o
FAX 643-0276 0
'0 0
'o, ,o
NAME: CITY OF CARMEL UTILITIES o
ADDRESS: ONE CIVIC SQUARE o
OR CARMEL, IN 46032 0
STATEMENT DATE: 5 -20 -08
o
Q INVOICE# DATE OF INVOICE JOB LOCATION INV AMT. AMT PAID o
a 13273 3 -20 -08 160.00 c
0,
0 ol
o INTEREST:
TOTAL DUE: 160.00 0
0 0
a TOTAL DUE AFTER:
m o
0
o PLEASE PAY FROM THIS INVOICE! o
TERMS: A FINANCE CHARGE OF 2% PER MONTH o
o (24% ANNUM) WILL BE CHARGED ON ALL o
a BALLANCES OVER 30 DAYS
o o,
ol
ol
o
b o
A 0
D 0
'0 0
0 D
D
0
0
B e0
r;;cribedby State Board ofAccounts ACCOUNTS PAYABLE VOUCHER
Form No. 301 -S (Rev. 1995)
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I 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
1 19
Signature Title
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�1- 10 -1.6.
x/23 /Dee
Officer Title
Vrsucher No. Warra No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
SANITATION DEPARTMENT ACC.
NOT
CARMEL, INDIANA
Qn n Fav r Of
/733
/7Nd
Total Amount of Voucher
Deductions
0 0C)
Amount of Warrant 40 vQ
Month of 19
Acct.
VOUCHER RECORD No.
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
BOYCE FORMS SYSTEMS 7- 800 3828702 325