155725 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 096126 Page 1 of 1
ONE CIVIC SQUARE FIREFIGHTERS SEWING SERVICE CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 7114 THOUSAND OAKS LANE
INDIANAPOLIS IN 46214 CHECK NUMBER: 155725
CHECK DATE: 1123/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 6262 30.00 OTHER CONT SERVICES
I
Fire Fighters Sewing Service INVOICE
7114 THOUSAND OAKS LANE
Indianapolis, IN 46214
DATE INVOICE
317 457 -8215 01/04/2008 6262
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
General P.O. NUMBER TERMS PROJECT
Net 30
QUANTITY DESCRIPTION RATE AMOUNT
1.00 NAME PATCH 5X15 $25.00 $25.00
1.00 REATTACH SNAP HOOK &DEE $5.00 $5.00
SHIP VIA SHIP DATE TRACKING NO.
TOTAL $30.00
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))
k
h
Total _�;sAz
�a
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
O 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
20 -,z
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund