156166 02/06/2008 I
CITY OF CARMEL, INDIANA VENDOR: 096126 Page 1 of 1
ONE CIVIC SQUARE FIREFIGHTERS SEWING SERVICE
CARMEL, INDIANA 46032 7114 THOUSAND OAKS LANE CHECK AMOUNT: $20.00
INDIANAPOLIS IN 46214
CHECK NUMBER: 156166
CHECK DATE: 2/612008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
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1120 4350900 6264 20.00 OTHER CONT SERVICES
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Fire Fighters Sewing Service INVOICE
7114 THOUSAND OAKS LANE
Indianapolis, IN 46214
DATE INVOICE
317 457 -8215 01/21/2008 6264
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BILL TO: SHIP TO:
CARMEL FIRE DEPT CARMEL FIRE DEPT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
UNITED STATES UNITED STATES
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General P.O. NUMBER TERMS PROJECT
Net 15
QUANTITY DESCRIPTION RATE AMOUNT
3.00 PATCH PIN HOLES $2.50 $7.50
2.00 REPAIR SMALL TEAR $5.00 $10.00
1.00 REPAIRED SUSPENDER CLIP $2.50 $2.50
SHIP VIA SHIP DATE TRACKING NO.
TOTAL $20.00
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))
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Mkt'
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. I 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
y 20
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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund