176739 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 354947 Page 1 of 1
ONE CIVIC SQUARE FIREHOUSE IRRIGATION CHECK AMOUNT: $189.00
CARMEL, INDIANA 46032 10572 TALISMAN DRIVE
NOBLEVILLE IN 46060 CHECK NUMBER: 176739
CHECK DATE: 9/2/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
"1120 4350900 09 -234 189.00 OTHER CONT SERVICES
Firehouse Irrigation 317-513-4611
Brad Sombke Owner Operator
7941 Broadmead Way
Indianapolis, IN. 46259
(317) 513-4611
INVOICE No:09-234
8/1812009
Carmel Fire Station #42
106th Shelborn Rd
Carmel, IN. 46032
PH. 733-1480
Job Description: Repair of broken main line 1 112" pipe.
'Ri
QUANTITY DESCRIPTION UNIT PRICE TOTAL
3 hr Service call 50 hr $150.00
Mic parts 39.00 $39.00
Materials total. 189.00
SERVICE
HOURS DESCRIPTION CHARGES TOTAL
Thank You
Service total:
Total price: 189.001
Payment Due Upon Receipt
VOUCHER -NO. WARRANT NO.
ALLOWED 20
Firehouse Irrigation
IN SUM OF
10572 Talisman Drive
Noblesville, IN 46060
$189.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 09 -234 43- 509.00 $189.00 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
AUG 3 12009
Fire Chief a
Title
Cost distribution ledger classification if
claim paid motor 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 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 -234 $189.00
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