162885 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 354175 Page 1 of 1
ONE CIVIC SQUARE MYRON CORP CHECK AMOUNT: $140.21
CARMEL, INDIANA 46032 PO Box 602616
CHICAGO IL 60680 -2616
CHECK NUMBER: 162885
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
2201 4230200 66758582 140.21 OFFICE SUPPLIES
i
M E O �PO BOX 802616 Please Update
CHICAGO, IL 60680 -2616 I Your Records!
TEL 800 526 -9766
F
AX 800 646 -1443 Mail All Checks to:
Questions? PO Box 802616
Email us at invoiceHELP @myron.com Chicago, IL.
60680 -2616
BILL TO: SHIP TO:
MR. Dave Hoffman MR. Dave Hoffman
City Of Carmel Street Dept City Of Carmel Street Dept
3400 W 131st St 3400 W 131st St
Westfield, IN 46074 -8267 Westfield, IN 46074 -8267
0114912680667585820000 140211066758582
PAYME ?'T DUE ACCOUNT INVOICE /ORDER DATE SHIPPED YOJR P4
9/03/08 11491268 66758582 8/04/08
UNIT
QUANTITY ITEM DESCRIPTION PRICE AMOUNT
53 WC91C45B BERGAMO II GUNMETAL /GOLD- RUBBERIZED 1.990 105.47
1 NOBOXES NO GIFT BOXES OR ENVELOPES SELECTED .000 .00
1 04SETLSR LASER BASIC SET UP CHARGE 15.950 15.95
Please inspect your product when it arrives! We realize you may not use the product until
later in the year, and want to ensure you received your order to your specifications.
PACKAGE TRACKING NUMBER INFORMATION SHIPPING /HANDLING 18.79
1ZF04W980301700065 PAYMENT .00
AMOUNT DUE 140.21
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))
08/04/08 66758582 $140.21
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
Myron Corp
IN SUM OF
P. O. Box 802616
Chicago, IL 60680 -2616
$140.21
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 66758582 42- 302.00 $140.21 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
Thursday, August 14, 2008
Street Co issioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund