159940 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 00351004 Page 1 of 1
q ONE CIVIC SQUARE JOHN KIRK BOATS,INC CHECK AMOUNT: $71.40
CARMEL, INDIANA 46032 12345 N MERIDIAN ST, STE 100
CARMEL IN 46032 CHECK NUMBER: 159940
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
41120 4237000 4877 71.40 REPAIR PARTS
JOHN KIRK BOATS
12345 (aid Meridian
CARMEL, IN. 46032 004877
(317)- 844 -KI K a,
NAME �(Ri� DATE
ORDER
AUDRESS NO.
CASH SALE PAID OUT CHARGE SALE RECD ON ACCT. RET'D MDSE. SALESPERSON TERMS Lar3.
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+ANA
QUAN. PART NO. DESCRIPT16N PRICE AMOUNT
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FORM RL -503 (4/97) Reynolds and Reynolds TO ORDER: www.reysource.com; 1- 800 344 -09 800 531 -9055
TAX A
NO REFUND z d f
WITHOUT THIS INVOICE RECD TOTAL
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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))
05/06/08 4877 Misc. Boat Parts $71.40
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.
ALLOWED 20
John Kirk Boats
IN SUM OF
12345 Old Meridian
Carmel, IN 46032
$71.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 4877 42- 370.00 $71.40 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
l Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund