155660 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 003000 Page 1 of 1
ONE CIVIC SQUARE BOYCE INC
CARMEL, INDIANA 46032 P.O. Box 669
CHECK AMOUNT: $195.47
DALEVILLE IN 47334 -0669 CHECK NUMBER: 155660
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4230100 0367618 -IN 195.47 STATIONARY PRNTD MA
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Boyce Forms Systems 800- 382 -8702 In
Boyce P.O. Box 669 317 664 -7400 (Ph)
0 Daieville, IN 47334 -0669 317- 664 -7401 (Fx) 0367618
1/16/2008
B S
1 CITY OF CARMEL C/T H CITY OF CARMEL C/T
L 1 CIVIC SQUARE I 1 CIVIC SQUARE
L CARMEL, IN 46032 P CARMEL, IN 46032
T T
0 O
CUSTOMER ICUSTOMER POI TERMS I SALES ORDER JORDER DATEI SALESMAN I SHIP VIA I FOB
0765400 KAREN H Net 10 0047059 1/11/2008 0007 UPS -COM
EOM
ITEM 1 DESCRIPTION UM I ORDERED I SHIPPED JBACKORDEREDr UNIT PRICE 1EXTENDE D PRICE
AEB99 PD 10 10 0 13.5900 135.90
PAYROLL SCHEDULE AND VOUCHER,
WHITE 100 PER PAD
AEB99A EA 200 200 0 0.2600 52.00
EMPLOYEE'S SERVICE RECORD
91/4X117/8
Net Invoice Less Discount Freight Sales Tax j Invoice Total Less Deposit Invoice Balance
L 187 .90 0.00 7.57 0.00 j 195.47 0.00 195.47
Prescribed 4 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
,30 A en_� 5 b
Tn /I,nQ Purchase Order No.
bq Terms
q,� Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
l S
Total
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
vs IN SUM OF
T(D
a� v it U 0 `7334
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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
k
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund