156312 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 00353191 Page 1 of 1
O ONE CIVIC SQUARE ROAD SOLUTIONS INC
CARMEL, INDIANA 46032 PO BOX 42387 CHECK AMOUNT: $6,735.24
INDIANAPOLIS IN 46242 -0387 CHECK NUMBER: 156312
CHECK DATE: 216/2008
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBE AMOUNT DESCRIPTION
2201 •4236500• 3122 -IN 942.16 SALT CALCIUM
2201 124236500 17525 3122 -IN 5,793.08
4L,
(INVOICE RoA ROAD SOLUTIONS, INC.
SOLUTIONS 5616 Progress Road P, O. Box 42387 Indianapolis, IN 46242 -0387
Phone 317 243 -3248 Fax 317 244 -8461 Toll Free 888 888 -3615
BILL NO. SHIP NO.
9803100
SOLD SHIP
TO F STREET DEPARTMENT TO F STREET DEPARTMENT
3400 W. 131ST STREET 3400 W. 131ST STREET
WESTFIELD IN 46074 ATTN: DAVE
WESTFIELD IN 46074
.DATE OUST. P.O. NO. TERR. SHIPPED VIA TRANS NO. INVOICE NO.
01/17/'08 V ERBAL =D-A 9800 0002 0003122 I j
aUAN UM PRODUCT NO. DESCRIPTION PRICE TOTAL
ORDERED SHIPPED PED BACK ORD.
-2236 2236 1354'-000 GE0MELT'S 2..8.4 24
TERMS: TAX FREIGHT TOTAL
NET 15 DAYS .00 385.00 6,735.24
ORIGINAL
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
►�c�(�.G� ..JnL�I Q ►1!� 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.
.j ALLOWED 20
0 acts n b- c-Ij Oct) koM.
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
`1YIY Eo -m
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1 `t 515 3 l a�- 15 579 3. G� bill(s) is (are) true and correct and that the
materials or services itemized thereon for
2) to <5 q4J, IV which charge is made were ordered and
received except
F EB 0 4 nopo
Lf- Z
Sign e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund