167153 12/17/2008 "A. CITY OF CARMEL, INDIANA VENDOR: 00350781 Page 1 of 1
ONE CIVIC SQUARE PICKETT'S PLACE
CARMEL, INDIANA 46032 547 E 161ST ST CHECK AMOUNT: $250.00
WESTFIELD IN 46074 CHECK NUMBER: 167153
CHECK DATE: 12/1712008
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 873 250.00 REPAIR PARTS
I
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rip
i i g
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PICKETT S PLACE O MWO U O C
547E 961ST Invoice Number:
WESMEL®, IN 46074 873
Voice: 317 896 3271
Invoice Date:
Sold To: Fax: 317 896 -2036 Dec 10, 2008
Page
1
Came Street ®epar tr nesnt
3400 West 931st street
WESTF /EL®, IN 46074
Customer ID Customer PO Shipping Method Payment Terms Due Date
shop Cust. Pickup Net 30th of Next 1/30/09
Unnth
Quantity Item Description Unit Price Amount
10.00 SPECIAL RADIATOR FITTINGS 25.00 250.00
r �q Subtotal 250.00
Sales Tax
Total Invoice Amount 250.00
Check /Credit Memo No: Payment/Credit Applied
TOTAL 250.00
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))
12/10/08 873 $250.00
1
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
i
VOUCHER NO. WARRANT N
ALLOWED 20
Pickett's Place
IN SUM OF
547 E. 161st St.
Westfield, IN 46074
$250.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 873 42- 370.00 $250.00 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
Friday, December 12, 2008
Street CommissAmer
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund