165965 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 294500 Page 1 of 1
ONE CIVIC SQUARE STEVEN R JENKINS CO INC
CARMEL, INDIANA 46032 6680 E. 21ST. STREET CHECK AMOUNT: $104.99
INDIANAPOLIS IN 46219
CHECK NUMBER: 165965
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBER AMOUNT DESCRIP
1120 4356001 146572 104.99 UNIFORMS
Invoice
Steven R Jenkins Co Inc.
6680 E 21st Street www.srjco.com Date invoice
Indianapolis IN 46213
1 -317- 352 -0184 8/22/2008 146572
Bill To Ship To
CARMEL FIRE DEPT
2 CIVIC SQUARE
ATTN: DENISE BRISTOL
CARMEL, IN 46032
P.O. Number TERMS Rep Ship VIA
BRUCE GIPSON DLP 8/22/2008
Quantity Description Price Each Amount
I MATTERORN 975 BOOTS 104.99 104.99
Sales Tax 0.00% 0.00
Total $104.99
!2 Steven R Jenkins Co Inc. Invoice
6680 E 21st Street www.srjco.com Date invoice
Indianapolis IN 46219
1 -317- 352 -0184 8/22 /2008 146672
Bill To Ship To
CARMEL FIRE DEPT
2 CIVIC SQUARE
ATTN: DENISE BRISTOL
CARM EL, IN 46032
P.O. Number TERMS Rep Ship VIA
BRUCE GIPSON DLP 8/22/2008
Quantity Description Price Each Amount
1 MATTERORN 975 BOOTS 104.99 104.99
Sales Tax 0.00% 0.00
Total $104.99
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))
146572 Honor Guard Boots $104.99
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
\!OUC:HER NO. WARRANT NO.
ALLOWED 20
Steven R. Jenkins
IN SUM OF
6680 East 21 st Street
Indianapolis, IN 46219
$104.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 146572 43- 560.01 $104.99 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
j a
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund