178600 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 363537 Page 1 of 1
j ONE CIVIC SQUARE A SPECIALITIES
CARMEL, INDIANA 46032 310 WEST SOUTHPORT ROAD CHECK AMOUNT: $485.00
INDIANAPOLIS IN 46217 CHECK NUMBER: 178600
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBER AMOUNT DESCRIPTION
1120 4350100 485.00 BUILDING REPAIRS MA
INVOICE
�A Specialties
310 W. Southport Road Lawncar+e
Indianapolis, IN 46217 Flagpole Sales and Service
(317) 780 -0800 Snow Removal Services
(317) 787 Fax
Bill to: Job Location:
Carmel Fire Station
Aft. Mike Wix
3242 E. 106th Street
Carmel, I N 460333
571 -2631 966 -2370
10/13/09 Remove existin 30' aluminum flagpole from crooked sleeve
base. Provide and install 1- 3'flagpole ground sleeve, cut off
existin 30'flagpole, transfer and set into new ground sleeve.
Provide and install 60'3/8" nylon braided rope, Move tie down
cleat 5' above grade $485.00
Balance Due $485.00
Thank You For Your Business.
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))
$485.00
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. 'WARRANT NO.
ALLOWED 20
A. Specialities
IN SUM OF
310 West Southport Road
Indianapolis, IN 46217
$485.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
1120 43- 501.00 $485.00 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
OCT 2 6 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund