167021 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 362296 Page 1 of 1
ONE CIVIC SQUARE CARMEL COUNTERTOPS INC CHECK AMOUNT: $2,500.00
CARMEL, INDIANA 46032 260 GRADLE DRIVE
CARMEL IN 46032 CHECK NUMBER: 167021
CHECK DATE: 12/1712008
D EPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
1120 4350100 3107 -08 2,500.00 BUILDING REPAIRS MA
I
Carmel Countertops Inc. Invoice
260 Gradle Drive
Carmel, IN 46032 Date Invoice
12/4/2008 3107 -08
Bill To Ship To
Carmel Fire Dept.
Station #41
P.O. Number Terms Rep Ship Via F.O.B. Project
3107-08 12/4/2008
Quantity Item Code Description Price Each Amount
SS TOP RETAIL Fabricate and install Corian, Aurora, with stainless steel 1,525.00 1,525.00
sink.
SS TOP RETAIL Corian Aurora 975.00 975.00
Total $2,500.00
Payments /Credits $0.00
Customer Total Balance $2
i
VOUCHER NO. WARRANT NO.
ti ALLOWED 20
Carmel Countertops, Inc.
IN SUM OF
260 Gradle Drive
Carmel, IN 46032
$2,500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 3107 -08 43- 501.00 $2,500.00 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 15 2008
V —d
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 Countertops Sta. 41 $2,500.00
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