170279 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 360711 Page 1 of 1
4' ONE CIVIC SQUARE A M SPECIALTIES INC
CHECK AMOUNT: $135.00
CARMEL, INDIANA 46032 5726 w79Twsr
INDALS IN 46268 CHECK NUMBER: 170279
CHECK DATE: 4/1/2009
'DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESC
1047 4235000 2005 -1472 135.00 BUILDING MATERIAL
5726 W. 79f-k 51, avivoice-
2j'\J 4 6268
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MAR
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Ck I I S e. C_ "A -_!n VN C. C, o m 1 2/25/2009 2009-1472
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Mignon Trall Fitness Centel Monon Trail Fitness Center
1235 Central Park Drive Fast 1237 Central Park Drive East
Carmel. IN 46032 Carmel, IN 46032
C"S1. PC)V Z erms R e- p Skip Dofc Vic, F, 0. B. Peojacf
per'lercilly Credit Card Aaron 2/25/2009 Custorne Our office Toilet partition brackets
Q LAC-1vifily .flan Coldlr_ D4P_scrip+ic)P, Price- CC%. AMC)(AYAf
41 solid plastic wall bracket Cor Urinal screens 45.00 135.00
LI VED
MAR 1 0- 2009
B_j(:��,
Purchase f
Description
P.O.
G.L.
Budget
Li ne De scr
3
Purchaser C Date
Approv Date )-6r(
$135.00
10_111s n C011diliolIS: T\ MNcs or installation included except as specifically listed above- Terms arc NET 30 (with -,1j)j)1_0VCd credit).
Overdue accounts will be subject 10 1- 1/2% set charge.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
T f J
An invoice of 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.
360711 A M Specialties, Inc. Terms
5726 W 79th St
Indianapolis, IN 46268
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/25109 2009 -1472 Restroom wall dividers 135.00
Total 135.00
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
f
Voucher No. Warrant No.
360711 A M Specialties, Inc. Allowed 20
5726 W 79th St
Indianapolis, IN 46268
In Sum of
1�!
135.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 2009 -1472 4235000 135.00 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
25 -Mar 2009
Signature
135.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund