167075 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00353168 Page 1 of 1
ONE CIVIC SQUARE GREAT LAKES CHLORIDE CHECK AMOUNT: $3,915.10
CARMEL, INDIANA 46032 PO 233 assay -ozss
CHECK NUMBER: 167075
CHECK DATE: 12/1712008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMO UNT DESCRIPTION
'2201 4236500 0039989 -IN 3,915.10 SALT CALCIUM
eP ti
way. df' •vA:'
INVOICE PAGE.
taRC::A LAKES CHLORIDE, i INC. o s. i <<s..1. (...i:_ r•4!_3{ e 0039989-1
895 E. 200 WARSAW, q p t i 5 r 2 �a i t f DATE: 1 i t) a 8
(877) 750-3878
.i 1 1 t`n a �.s N!
CITY CAF'. CFtRt CUS PEAR h•'.f1: C1031.
{_i DEPT i:;t_Iia P.O.:
3400 W 131ST STREET SHIP VIA0
Westfield IN 46074. TERM&
NET 30 DAYS
1 !_.ES CD DESCRIPTION c"! L 1 1! 1 1 T `t PRICE E=: Pudic UN T
1 N I N H I B I T E D CALCIUM CHLORIDE liF'tl.. 3095.000 .3 •_t..:l y}
NET INVOICE: 3,915.10
FREIGHT. 00
SALES TAX: .00
VOUCHE=R NO. WARRANT NO.
ALLOWED 20
Great Lakes Chloride, Inc
IN SUM OF
895 E. 200 North
Warsaw, IN 46582
$3,915.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 0039989 -IN 42- 365.00 $3,915.10 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
Friday, December 12, 2008
Z' 4 Z
Street Co issioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 2v 1 (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 Num ber (or note attached invoice(s) or bill(s))
12/04/08 0039989 -IN $3,915.10
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