177087 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 363227 Page 1 of 1
ONE CIVIC SQUARE ACCESS GARAGE DOORS CHECK AMOUNT: $660.00
a CARMEL, INDIANA 46032 8070 CASILETON ROAD
INDIANAPOLIS IN 46250 CHECK NUMBER: 177087
CHECK DATE: 9/15/2009
DEPARTMENT ACCOUNT P N UMBER I NVOICE NUMBER AM OUNT DES CRIPTION
651 5023990 S11807 77 660.00 ROLLERS
M Invoice
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10 1 77
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8070 Castleton Road 0- 0
Indianapolis, IN 46250 d
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t:arrnal Wa.tewater Treatment Punt
9609 Mud Dclt Pnrkwny
Ndinnapolis, IN 46280
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L�r uW4y� "lei[7° tl3 .M" SA I' 'y
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4 Quotc FS 500 gt+tc rollers 165.00 660.00
oquare tube. 4" pint)
Subtotal S 660.00
AGD pirect is not liable for costsldal ttSe,s associated with the installation of any
purchased equipment. ]y Sales Tax (7. 0%n) $01OU
Total
(317)570 54.3(;1 (317)577 -4996
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
363227
ACCESS GARAGE DOORS Purchase Order No.
8070 CASTLETON ROAD Terms
INDIANAPOLIS, IN 46250 Due Date 9/8/2009
1 nvoice I nvoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2009 77 $660.00
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
Date fficer
VOUCHER 096359 WARRANT ALLOWED
363227 IN SUM OF
ACCESS GARAGE DOORS
8070 CASTLETON ROAD
INDIANAPOLIS, IN 46250
-i Carmel Wastewater Utility
4
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
77 01- 7202 -05 $660.00
Voucher Total $660.00
Cost distribution ledger classification if
claim paid under vehicle highway fund