160046 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 361182 Page 1 of 1
t ONE CIVIC SQUARE RIVERA FINANCE CHECK AMOUNT: $119.31
�a CARMEL, INDIANA 46032 PO BOX 905714
o CHARLOTTE NC 28290 CHECK NUMBER: 160046
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
,651 5023990 16513 119.31 MATERIALS SUPPLIES
7
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Freedom Contractor's Supply w
P.O. Drawer 960 y Wa
Madison, Florida 32341
Date 4/18/2008
Invoice 16513
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Carmel Sewer Dept. Carmel Sewer Dept.
T131' S'T. 901 N. Rangeline Road
Carmel, IN 46032 cep, Carmel, IN 46032
Cust.ID 317 733 -2855 Ship Date 4/18/2008
Terms Net 30 Due Date 5/18/2008
Cust. PO
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Tools Insertion Tools 2 49.90 99.80
Shipping Shipping Charges 19.51 19.51
NOTICE OF ASSIGNMENT
THIS INVOICE HAS BEEN SOLD
ALL INVOICES HAVE BEEN
ASSIGNED MUST BE PAID
DIRECTLY TO
RIVIERA FINANCE
P.O. Box 905714
Charlotte, NC 28290 -5714
ANY CLAIMS, OFFSETS,
DISPUTES OR QUESTIONS
CONCERNING ANY INVOICE
MUST BE REPORTED TO
RIVIERA ATI(800) 334- 209DIATELY
2
Have a great day! Subtotal $119.31
Sales Tax (7.0%) $0.00
Total $119.31
Freedom Contractor's Supply
1- 800 263 -0635
www.freedomsupplycompany.com Fax 1- 850 -973 -2619 Balance Due $119.31
VOUCHER 085512 WARRANT ALLOWED
'--'861182 IN SUM OF
RIVIERA FINANCE (Freedom Contractoi
PO Box 905714
'!.Charlotte, NC 28290 -5714
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
16513 01- 7200 -02 $119.31
Voucher Total $119.31
'0,ost distribution ledger classification if
-jiaim paid under vehicle highway fund
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
361182
RIVIERA FINANCE (Freedom Contractor) Purchase Order No.
PO Box 905714 Terms
Charlotte, NC 28290 -5714 Due Date 5/15/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/15/2008 16513 $119.31
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer