177085 09/15/2009 CITY DFOARMEL »swo«R: n»»»nu Page 1 of 1
ONE CIVIC SQUARE A.M. c�mxno|mC
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pmu^n* 45356o816 CHECK NUMBER: 177005
CHECK DATE: 9/15/2009
oepAnTMsmT ACCOUNT PO NUMBER |mvo|namumssn AMOUNT ossCR|PT/om
I192 4238000 C109110047 80.59 SMALL TOOLS MINOR E
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PLEASE REMIT TO:
A.M. Le A. M. Leonard Inc.
P. O. Box 816
Serving The Commercial Horticultural Industry Since 1885 N Piqua, Ohio 45356 -0816
241 Fox Drive Piqua, Ohio 45356 -0816
Phone 1-937-773-2694 Fax 1-937-773-9959
Ca
SHIP TO (IF OTHER THAN "SOLD TO
CYOUI3,ACCOUNT'N.
PLEASE REFER TO YOUR ACCOUNT NO-, OUR INVOICE AND
ORDER NO. IN ALL COMMUNICATIONS REGARDING THIS INVOICE 96?a83r1
City 9f Carmel
One Civic Square
AT"IT Darcn Mindham
Carmel, IN 46032
Darrin
YOUR PURCHASE ORDER NUMBER AND'DATE'
INV NO /ORDER NO INV. DATE SHIPPED VIA 'DATE SHIPPED T
Payment DUe 13y 10/04/2009
C 1091 10047 9/4/2009 F13DEX Ground "974/2009 i
ORDERED SHIPPED ITEM NO, DESCRIPTION UNIT PRICE DISCOUNT EXTENDED AMOUNT S
1 j1 POST PULLER 66.99 66.99 66.99
i
I
SALES TAX ji FOB SHIPPING&HANDLING RW
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11/2% PER MONTH WHICH,
1
IS AN ANNUAL PERCENTAGE RATE OF 18% TO BE APPLIED TO THE UNPAID BALANCE.
0 -00 Piqua 3.60
ORIGINAL
Please return below portion with payment:
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 invoices) or bill(s))
09/04/09 C109110047 Post puller for Forestry $80.59
1 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
A.M. Leonard
IN SUM OF
P.O. Box 816
Piqua, OH 45356 -0816
$80.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1192 C109110047 42- 380.00 $80.59 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
Monday, September 14, 2009
Direct r, DOCS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund