167288 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 362296 Page 1 of 1
ONE CIVIC SQUARE CARMEL COUNTERTOPS INC CHECK AMOUNT: $2,334.00
CARMEL, INDIANA 46032 260 GRADLE DRIVE
o �o CARMEL IN 46032 CHECK NUMBER: 167288
CHECK DATE: 12/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRI
1120 4350100 3107 -08 -2 2,334.00 BUILDING REPAIRS MA
Dec 18 08 08:27a Carmel Countertops 3178430143 p.2
Carmel Countertops Inc. Invoice
260 Gradle Drive
Date Invoice
Carmel, IN 4.6032
12/18/2008 3107 -08 -2
Bilk To Ship To
Carmel Fir! Dopt.
Station J41
P.O. Number Terms Rep Ship Via F.O.B_ Project
3107 -08 -2 11-18.~2008
Quantity Item Code Description Price Each Amount
SS 1*0P- RETAIL Fabricate and. install Corian Aurora with sinks. 2334.00 2,334.00
Total $2,334.00
Payments /Credits $0.00
Customer Total Balance $4,834,00
VOUCHER NO. WARRANT NO.
ALLOWED 20
C&mel Countertops, Inc.
IN SUM OF
260 Gradle Drive
Carmel, IN 46032
$2,334.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO, ACCT #/TITLE AMOUNT Board Members
1120 3107 -08 -2 43- 501.00 $2,334.00 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
DEC 2 2 2008
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
3107 -08 -2 Counters Sta. 41 Bathrooms $2,334.00
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