155780 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 359243 Page 1 of 1
ONE CIVIC SQUARE INDY SALT
CARMEL, INDIANA 46032 549 E AMBERLEAF TRAIL CHECK AMOUNT: $272.50
WESTFIELD IN 46074 CHECK NUMBER: 155780
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4236500 412 272.50 SALT CALCIUM
Indy Salt Invoice
549 E. Amberleaf Trail
Westfield IN 46074 Date Invoice
Telephone: (317) 616 -3900 1110/2008 412
Facsimile: (317) 867 -0481
Email: sales @indysalt.com
Bill To Ship To
Carmel Fire Department Carmel Fire Dept. Station 45
2 Civic Square 10701 N. College Ave.
Carmel, IN 46032 Indianapolis, IN 46280
Project P.O. Number Terms
XXVINDYSAOOPAMDGEGEGE001 Net 30
Quantity Item Code Description Price Each Amount
50 MP40 Morton Pellet Salt 401b bags 5.39 269.50T
I PF Pal Ict Fee 3.00 3.00
Sales Tax (0.0 $0.00
Thank you for your business.
Total $272.50
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))
:r
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
�ci u�a- 3`�s oo a�a5o 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund