155813 01/23/2008 I
CITY OF CARMEL, INDIANA VENDOR: 00352593 Page 1 of 1
ONE CIVIC SQUARE LOY INSTRUMENTS INC
CARMEL, INDIANA 46032 PO BOX 19426 CHECK AMOUNT: $4319
INDIANAPOLIS IN 46219 -0426 CHECK NUMBER: 155813
CHECK DATE: 1/2312008
-F ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990' 182457 43.19 MATERIALS SUPPLIES
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�'LOY INSTRUMENTS, INC. INVOICE
n coo
8455 E. 30th ST. 0
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P.O. BOX 19426
Indianapolis, IN 46219 -0426 z
Phone: 317- 890 -0474 T sr,� Nu 182457
Fax: 317 -890 -0861 eµ, .f�? Date. 01/03/08
.Page t
Bill To: CARMEL WASTEWATER TREATMENT Ship To CARMEL WASTEWATER TREATMENT
12209• 9609 HAZEL DELL PARKWAY SAME 9609 HAZEL DELL PARKWAY
INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280
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Reference Shipped Salesperson Terms Tax Code Doc #wh Freight Ship Via
VBL JEFF N 01/02/08 �I 04 ROGER STEP NET 30 T NOTAX 1
01 PRE /ADD UPS
Item Description Ordered $hi ed Backordrd U
pp na. Price un� Extension
10 ICM TIMER TO REPLACE OBSOLETE 1 1 0 EA 36.66 EA 36.66
HONEYWELL S876AIO24
TRACK IZ4410660343992568
Merchandise Misc Discount Tax Freight Total Due
36.66 .00 .00 6.53 43.19
ACCOUNTS OVER 60 DAYS WILL BE ON CREDjT HOLD
VOUCHER 077086 WARRANT ALLOWED
32593 IN SUM OF
I „OY INSTRUMENTS INC.
8455 E. 30TH ST
Indianapolis, IN 46219
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
182457 01- 7202 -06 $43.19
Voucher Total $43.19
�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 1:
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
352593
LOY INSTRUMENTS INC. Purchase Order No.
8455 E. 30TH ST Terms
Indianapolis, IN 46219 Due Date 1/9/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/9/2008 182457 $43.19
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer