165899 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 362156 Page 1 of 1
ONE CIVIC SQUARE OAKLANDON LAWN GARDEN
CHECK AMOUNT: $32.86
CARMEL, INDIANA 46032 6451 OAKLANOON ROAD
INDIANAPOLIS IN 46236 CHECK NUMBER: 165899
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 32770 32.86 MATERIALS SUPPLIES
1
OAKLANDON LAWN GARDEN Date........: 10 -13 -08
6451 OAKLANDON ROAD Invoice 032770, Page 1
INDIANAPOLIS, IN 46236 Customer 5712635
(317) 823 -0088 Salesperson.: SS
P.O.
BILL TO: 5712635 SHIP TO:
CITY OF CARMEL CITY OF CARMEL
9609 HAZELDELL PARKWAY 9609 HAZELDELL PARKWAY
CARMEL, IN 46280 CARMEL, IN 46280
(317) 571 -2635
INVOICE REPRINT
TERMS: 15 Days Net, from Statement Date
I I QTY I QTY ITISI
MFR I PART /MODEL IDESCRIPTION I SLD I B/O I PRICE NET I TOTAL IXIOI
SHI 70140 32111 CYLINDER COVER 0 1 12.63 12.63 12.63 N N
SHI 99909 -12212 INSULATOR BLOCK W /BO 1 0 5.68 5.68 5.68 N
WALB 125 -527 Filter assy intank 1 0 2.81 2.81 2.81 N
SHI 70064 82210 AIR FILTER (OLD STYL 0 1 1.74 1.74 1.74 N N
SHIPPING 1 0 10.00 10.00 10.00 N
SUBTOTAL 32.86
TAX 0.00
INVOICE TOTAL 32.86
AMOUNT PAID 0.00
BALANCE DUE 32.86
RECEIVED BY:
L�
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
T1053
OAKLANDON LAWN GARDEN Purchase Order No.
6451 OAKLANDON ROAD Terms
INDIANAPOLIS, IN 46236 Due Date 11/5/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/5/2008 32770 $32.86
i
r�
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
i�
VOUCHER 086620 WARRANT ALLOWED
T1053 iN SUM OF
OAKLANDON LAWN GARDEN
6451 OAKLANDON ROAD
INDIANAPOLIS, IN 46236
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
a
Board members
PO INV ACCT AMOUNT Audit Trail Code
32770 01- 7202 -06 $32.86
;7
Voucher Total $32.86
Cost distribution ledger classification if
claim paid under vehicle highway fund