158105 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 00353191 Page 1 of 1
ONE CIVIC SQUARE ROAD SOLUTIONS INC
CARMEL, INDIANA 46032 PO BOX 42387 CHECK AMOUNT: $1,506.36
INDIANAPOLIS IN 46242 -0387 CHECK NUMBER: 158105
cs CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMBER AMOUNT DE SCRIPTION
2201 4236500 3269 —IN 1,506.36 SALT CALCIUM
i
NVOICE R®AD� ROAD SOLLMONS ONC.
1 4�`' 643 5616 Progress Road o P. O. Box 42387 o Indianapolis, IN 46242 -0387
r
INC. Phone 317 243 -3248 Fax 317 244 -8461 a Toll Free 888 888 -3615
BILL NO. SHIP NO,
9803100
SOLD SHIP
TO F—cARMEL STREET DEPARTMENT TO FARMEL STREET DEPARTMENT
3400 W. 131ST STREET 3400 W. 131ST STREET
ATTN: JEFF STEWART ATTN: DAVE
WESTFIELD IN 46074 WESTFIELD IN 46074
DATE COST. RO: NO I TERR. I SHIPPED VIA TRANS NO. INVOICE NO.
03/17008 98 00: 0 003269 —aN
QUA NTITY
ORDERED SHIPPPED PED BACK ORD. UM PRODUCT NO. DESCRIPTION PRICE TOTAL
504 504. Gj L 1354 —_000 GEOMELT s z .84 1 4 �31_ 36,
^a. A 5201 0 FILL CHARGES
5 7 5. 0 0__._
TERMS: TAX FREIGHT TOTAL
NET 15 DAYS .00 .00 1,506.36
ORIGINAL
Prescribed by State Board of Acceunts I 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.
�II Payee ll
10 l� J Q�� ��1 /S�l Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
(p 50ia..3�p 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
kA A
20
Signat r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund