159944 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 172430 Page 1 of 1
ONE CIVIC SQUARE KAYLINE COMPANY CHECK AMOUNT: $347.48
CARMEL, INDIANA 46032 PO BOX 603207
CLEVELAND OH 44103 CHECK NUMBER: 159944
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232100 176340 347.48 GARAGE MOTOR SUPPIE
I
r1j, ORIGINALINVOICE
Professional Maintenance Products
PLEASE REMIT FROM THIS INVOICE MEMBER
I !n S SAm, na�
B ATTN: ACCOUNTS PAYABLE S ATTN: JEFF
I CARMEL STREET DEPT CARMEL STREET DEPT
3400 W. 131 ST ST. 3400 W. 131 ST ST.
L WESTFIELD, IN 46074 P WESTFIELD, IN 46074
T T
0 0
INVOICE NO. ORDER DATE CUSTOMER P.O. VENDOR NO PAGE INVOICE DATE
176340 05/14108 JEFF STEWART 1 05/14/08
CUSTOMER NO. SALESMAN TERMS SHIP VIA F.O.B. Warehouse:
3303
10750 -S HERMANN 1% 10 DAYS NET 30 U.P.S. WHSE Clev Lakeside Ave.
Cleveland, Ohio 44114
PRODUCT NUMBER DESCRIPTION U NIT
OF UNITS NET UNIT EXTENDED
MEASURE ORDERED SHIPPED PRICE AMOUNT
K224 CENTENNIAL PLUS CS 2 2 159 .990 319.98
ALWAYS IMPOVING QUALITY VALUE... TRY KAYLINE'S N W GEM,
POWERZYME GEL S.O.G. GEL! ASK YOUR SALESMAN FOR DETAILS!
i
UBTOTAL 319.98
R
Kayline Fed. I.D. No. 34- 0325350 REMIT TO: KAYLINE COMPANY TAX 0.00
1 112 Charge per month past 30 days. P.O. BOX 603207
All Night claims must be filed by customer. CLEVELAND, OH 44103 I REIGHT 27.50
No goods returnable without Kayline's written consent
Do not take discounts on sales tax or freight charges. PAY
OFFICE: (216)566 -9858 (800)426 -5820 THIS
www.kaylinecompany.com FAX: (216)566 -1228 347.48
AMOUNT
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
w
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
It� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
ALLOWED 20
IN SUM OF
�J�,. CP03o20�1
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
i (0 3 3� 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
IAY 2�0 2
Sig ure
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund