159421 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 00352514 Page 1 of 1
ONE CIVIC SQUARE J.B.'S PLACE
CARMEL, INDIANA 46032 2650 WEST STATE ROAD 38 CHECK AMOUNT: $983.02
SHERIDAN IN 46069
CHECK NUMBER: 159421
CHECK DATE: 5/14/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4163500 6211 983.02 GROUNDS MAINT EQUIPME
s
r J:S Sk PL�►CE 7
2650 W STATE ROAD�38 N
u SHERIDAN IN 't46069 9701
v ,.(317) 7W 4877' x c u
Service Pick Up Phone Repair In Date of Order
[:1 Da
❑Install ❑Deliver Home Shop 3
r'
Name Date Promised
t-
CJY
Address Apartment
City Date of Ong. Instal.
Make Model y i 7 Serial No. E] Estimate
Ch" v �1.�0 6 1 L A Warranty
r o Contract
Nature of V I G 2q u l 2 4 sL k 3 El Cash
Service
Request ❑Charge
C.O.D. z
Quantity Part No. Description Price Amount
w
lit A -il G) ,I" 7
d
i-
d ti
e�ti 5
3-"
a
Service Performed Total
Material
Technical
Service Time id
Tax
T h y q gq� ygy q p� DATE COMPLETED ON COMPLETION
ank ®6.9 ����OF WORK Total �l�
I hereby accept above performed seryfce, and charges, as being satis
factory and acknowledge that equipment has been left in good condition
Technician Customer
'sSignature
6211.-
P ascribed 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
J.B.'s Place Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Fuel pump, gas labor 83.02
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.
05112106 ALLOWED 20
J. B.'s Place
IN SUM OF
2650 W. State Road 38
Sheridan, IN 46069 -9701
$983.02
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
3.0Paterials or services itemized thereon for
5 635
which charge is made were ordered and
received except
20
ftnatu
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund