199218 07/06/2011 a. CITY OF CARMEL, INDIANA VENDOR: 365436 Page 1 of 1
ONE CIVIC SQUARE TRU BORE CHECK AMOUNT: $400.00
CARMEL, INDIANA 46032 213 E MAIN ST
BROWNSBURG IN 46112 CHECK NUMBER: 199218
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 234164 400.00 CONT SERVICES OTHER
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CUSTOMER ORDER NO. SOLD BY TERMS F.O.B. DATE
ORDERED SHIPPED DESCRIPTION PRICE UNIT AMOUNT
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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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
365436
TRU BORE CO Purchase Order No.
213 E MAIN ST Terms
BROWNSBURG, IN 46112 Due Date 6/29/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/29/2011 234164 $400.00
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
Date Officer
�I
TOUCHER 111657 WARRANT ALLOWED
365436 IN SUM OF
TRU BORE CO WA's
213 E MAIN ST a 'ERATIOJVS
BROWNSBURG, IN 46112
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
234164 01- 6360 -06 $400.00
I
Voucher Total $400.00
I
Cost distribution ledger classification if
claim paid under vehicle highway fund