157806 03/27/2008 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
0 ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF COQ
CARMEL, INDIANA 46032 C/O PAUL BLOCKOMS CHECK AMOUNT: $240.79
CHECK NUMBER: 157806
CHECK DATE: 3/27/2008
DEPARTME ACC OUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
905 4238900 208.79 OTHER MAINT SUPPLIES
905 4350100 32.00 BUILDING REPAIRS MA
I I
I
PICK LIST
jr r VERMEER OF INDIANA, INC. Order 115800
13402 Britton Park Rd.
f Fishers, Indiana 46038 Date 1/21 12008
Phone 317/842 -1040
Fax 317/577 -1179
Bill To: Ship To:
400 400
Visa/Mastercard Fishers Visa/Mastercard Fishers
Charge Account Charge Account
.,IN 0000 IN 0000
(000) (000)
Customer P.O Ordered By Ship Date Ship Term Ship Via FOB Reqd. Date Sales Person Payment Terms
1/21/2008 Pick Up Pick -up Origin 1/21/2008 Tony Vinson Creditcard
tt =:z =i ria za:: >:a :e' ,::;;>i:;; >z
Irti srcT:::::::::: zl-::::::::::::::::::::::::
1:::::.:::::::-_::::::::::
S18958 DISPLAY Stable Braid 9/16 x 15011 /RED 0.00 Each 1.00 0.00 1.00 161.00 161.00
Total Weight: 0.00 :::1 wee; 161.00
<-aies'k 9.66
0.00
0.00
170.66
Notes:
Signature:
This is n ®t an invoke.
Payment for all services rendered shall be due within (20) days from the date on the invoice or statement from Vermeer of Indians,lne. Interest shall accrue on all amounts at the rate of one and one-half percen
(1
1/2 monthly (eighteen percent 118 per annum) to any outstanding amounts more than (20) days past due. You agree to pay all of Vermeer of Indiana, Inc. costs of collection or attempted collection,
including,
but not limited to, reasonable attorneys' fees made necessary by your nonpayment pursuant to these terms. All Merchandise returned is subject to a 15% restocking charge and must be returned within 30 days
-of receipt_So:ne. safety equipment.may not be returnable.
Page 1 of 1
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
a (Z-0 o tZ roz G�� Cis Purchase Order No.
C Terms
�_--rr I (—O'S *f Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08 S P�1`.:
ttl o? Qom 1 S� r- 0 L,' 2 0
e J LJ nsC 0 3
on
3 6 o O Mort. QCs z. l. L L+
02 C KC".j-'
Total 4
1 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.
1
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE CT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
C2C L3 z bill(s) is (are) true and correct and that the
Ckc- 4 2 3v 0 materials or services itemized thereon for
c(L( 4ZN �0-3- ?�,�J which charge is made were ordered and
CAC.- LP-3j q.D v received except
3L
42.3 8joo
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund