166798 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 362140 Page 1 of 1
q 0 ONE CIVIC SQUARE MCCOMB WINDOW CHECK AMOUNT: $1,690.00
CARMEL, INDIANA 46032 5425 WEST 74TH STREET
INDIANAPOLIS IN 46268 CHECK NUMBER: 166798
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 12618 0001290 1,690.00 REPAIR WINDOWS
I
i
DEC-03-2008 WED 11:30 AM FAX NO. P, 02
IN 'U iv=000000012909
McComb Window Door Co, Inc.
5425 W. 74th St. "D 12/3/2008
Indianapolis IN 46268
Bill to: Ship to
Carmel Fire Dept. Carmel Fire Dept.
2 Civic Square 2 Civic Square
Carmel IN 46032 Carmel IN 46032
CIVIC SQUARE CAR01 I GDG DELIVER _ICBDDP
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01
I BRICKMOUUD MATERIAL Each $0.00 $1,69&00 $1,690.00
1 PER REVISED QUOTE Each $0.00 $0.00 $0.00
$1,690,00
$0.00
W!5
F $0.00
$0.00
$1,690-00
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))
VC000000001290 Custom Molding for Windows $1,690.00
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
20
Clerk- Treasurer
I
VOUCHER NO. WARRANT N
PAcComb Window ALLOWED 20
IN SUM OF
5425 West 74th Street
Indianapolis, IN 46268
$1,690.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
12618 IVCOOOOO0001290 43- 501.00 $1,690.00 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
,o
v
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund