202268 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 00350781 Page 1 of 1
ONE CIVIC SQUARE PICKETT'S PLACE CHECK AMOUNT: $271.00
CARMEL, INDIANA 46032 547 E 161ST ST
WESTFIELD IN 46074 CHECK NUMBER: 202268
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1326 231.00 REPAIR PARTS
2201 4237000 1330 40.00 REPAIR PARTS
P/C T'S PLA CE 0H
547E 161ST Invoice Number:
WESTFAEL®, tN 46074 1330
Voice: 317- 896 -3271
Invoice Date:
Sold To: Fax: 317 896 -2036 Sep 21, 2011
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1
Came Street Department
3400 West 131st street
WESTF /EL®, IN 46074
Customer ID Customer PO Shipping Method Payment Terms Due Date
VERBAL Jeff Cust. Pickup Net 30th of Next 10/30/11
Stawnrt Mnnth
Quantity Item Description Unit Price Amount
Machined pin for leveling shaft 40.00
Subtotal 40.00
Sales Tax
Total Invoice Amount 40.00
Check /Credit Memo No: Payment /Credit Applied
TOTAL 40.00
PICKETT °s PLA CE 0 WO O O E
547E; 161ST Invoice Number:
WESTFIELD, IN 46074 1326
Voi 317- 896 -3271
Invoice Date:
Sold To: Fax: 317 896 -2036 Sep 19, 2011
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Came street Department
3400 West 1131st street
WESTFIELD, IN 46074
Customer ID Customer PO Shipping Nlethod Payment Terms Due Date
VERBAL JEFF Cust. Pickup Net 30th of Next 10/30/11
R A RT 11Annth
Quantity Item D escription Unit Price Amount
12.00 3/4 HEX FITTING 3/4 -16 X 16mm -1.5 19.25 231.00
�9 1
Subtotal 231.00
Sales Tax
Total Invoice Amount 231.00
Check /Credit Memo No: Payment/Credit Applied
TOTAL 231.00
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))
09/19/11 1326 $231.00
09/21/11 1330 $40.00
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. WARR NO.
ALLOWED 20
Pickett's Place
IN SUM OF
547 E. 161 st St.
Westfield, IN 46074
$271.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 1326 42- 370.00 $231.00 1 hereby certify that the attached invoice(s), or
2201 1330 42- 370.00 $40.00
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
Thursday, September 22, 2011
S t ree Commiss ebb u
N
Street bmmissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund