165273 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 140100 Page 1 of 1
ONE CIVIC SQUARE IBS OF INDIANAPOLIS CHECK AMOUNT: $89.95
CARMEL, INDIANA 46032 6648 E. 21 ST STREET
INDIANAPOLIS IN 46219 CHECK NUMBER: 165273
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOU DESCRIPTION
651 5023990 67001 89.95 OTHER EXPENSES
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IBS OF INDIANAPOLIS lNTER NTE Page: 1
684° E 21 st St. 0AT&WERIES
Indianapolis IN 46219
{317) 322- 1818
Invoice Nbr :67001
DEALER NBR, 2401 Location of Sale W01
CITY OF CARMEL WATER DEPT Sales Person Name :JEREMY OWENS
3450 W 131 ST ST Sales Person Nbr :J06
PO Number :9609 Hazel Dell
WESTFIELD IN 46074 Date :10/09/2008
Time :8:51:30 AM
Payment Type: CHARGE ACCOUNT
Type Qty Part NumberlDesc Age Rate Price Amount
Sale I U220OUT 89.95 89.95
Sates Total 89.95
Cores Received I L'I'CORL'
Sub Total 89.95
Sub Total 89.95
Invoice total 89.95
Invoice Payment Amount 0.00
Net Invoice 89.95
DEALER AGING
Dealer Aging Current Balance Total 89.95
0 to 30 days 89,95
31 to 60 days .00
61 to 90 days .00
91 days or more .00
Invoices
67001 /�y 89.95
Z REC'
D OCT 0 8 2008
OV
PRINT NAME HER
t
SIGNATURE
VOUCHER 086492 WARRANT ALLOWED
14`0100
IN SUM OF
t
IBS of Indianapolis
3250 N. Post Road Suite 170
Indianapolis, IN 46226
Carmel Wastewater Utility
ACCOUNT OF APPROPRIATION FOR
t
Board members
PO INV ACCT AMOUNT Audit Trail Code
67001 01- 7502 -06 $89.95
Voucher Total $89.95
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
140100
IBS of Indianapolis Purchase Order No.
3250 N. Post Road Suite 170 Terms
Indianapolis, IN 46226 Due Date 10/21/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/21/2001 57001 $89.95
hereby certify that the attached invoice(s), or bill(s) is (are) true and r
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer