157214 03/05/2008 *E CITY OF CARMEL, INDIANA VENDOR: 00353160 Page 1 of 1
6 ONE CIVIC SQUARE PRO SEAL SERVICE GROUP INC
i CARMEL, INDIANA 46032 35 SILERDOME INDUST PARK WEST CHECK AMOUNT: $227.04
PONTIAC MI 48342 -2994 CHECK NUMBER: 157214
CHECK DATE: 3/512008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S133382 227.04 MATERIALS SUPPLIES
t
Pro -Seal Service Group
35 Silverdome Indust. Park West Invoice
Pontiac, MI 48342 -2994
(248) 758 -0500
(248) 758 -0505 Fax Customer Number Date Invoice Number
CARMEL, CITY OF 1 /13/2008 SI -33382
Carmel, City Of Carmel, City Of
Waste Water Utilities Waste Water Utilities
760 3Rd Ave SW 9609 Hazel Dell Pkwy
Suite 110 Indianapolis, IN 46280
Carmel, IN 46032
Ship via Terms Due mate Salesperson Customer PO Originai Ef Number
FedEx Ground Net 30 3/14/2008 11 34 V -JEFF OE -31832
Item No Shipped Description Sales Price Disc Total
Unit Measure Weight Volume Additional Info'
6105120050 1 0 1 Synfilm GT 220 (5 gal pail) 211.41 0 211.41
Each 0 0
1 1 1.11 11 ......1111.....
Total Item Count I, Total Items Shipped I
Weight: 0 lbs 0 kgs volume: 0 cu ft Subtotal:
211.41
Freight: 15.63
Tax: 0.00
Total: 227.04
Page: 1 Amount Due: 227.04
/OUCHER 077367 WARRANT ALLOWED
900353160 IN SUM OF
PRO SEAL SERVICE GROUP INC
:i5 Silverdome Industrial Park
rt Pontiac, MI 48342 -2994
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
S133382 01- 7202 -06 $227.04
Voucher Total $227.04
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 4
performed, dates of service rendered, by whom, rates per day, number of units,
�5
price per unit, etc.
Payee
00353160
PRO SEAL SERVICE GROUP INC Purchase Order No.
35 Silverdome Industrial Park Terms
Pontiac, MI 48342 -2994 Due Date 2/20/2008
I nvoice I nvoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2%20/2008 S133382 $227.04
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
i
oZ b r�
Date Officer