169327 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 358688 Page 1 of 1
ONE CIVIC SQUARE AGRO CHEM
CHECK AMOUNT: AMOUNT: $129.45
CARMEL, INDIANA 46032 zoos s WABASH STREET
•y oM WABASH IN 46992 CHECK NUMBER: 169327
CHECK DATE: 31412009
DEPARTMENT ACCOUNT PO NUMBER INV OICE NU MBER AMOUNT DESCRIPTION
2201 4237000 0041974.2 129.45 REPAIR PARTS
AGRO CHEM, INC. invoice Date Invoice
AGRO CHEM 2045 S WABASH STREET 2/16/2009 IN00419742
Q WABASH, IN 46992
Bill To Ship To
CITY OF CARMEL INDIANA CITY OF CARMEL INDIANA
3400 WEST 131 STREET 3400 WEST 131 STREET
WESTFiELD,IN 46074 WESTFIELDJN 46074
STATEMENTS SENT BI- MONTHLY PLEASE PAY FROM INVOICE
P.O. Number Rep Ship Via Terms
5 2/16/2009 UPS NEI'30
Ordered Shipped B/O Item Code Description Price Each Amount
2 2 0 12999 PUMP SEAL /O RING KIT 44.23 88.46
2 2 0 RS601 VSS VITON SEAL FOR AQUA MAS. 16.56 33.12
UPS SHIPPING 7.87 7.87
Total $129.45
Phone Fax Web Site
260 563 -0672 260 -563 -8124 www.agrochem.com
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))
02/16/09 in00419742 $129.45
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
V NO. WARRANT NO.
ALLOWED 20
Agro Chem Inc
IN SUM OF
2045 S. Wabash Street
Wabash, IN 46992
$129.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member:
2201 in00419742 42- 370.00 $129.45 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
Frid /y, Fe ry 27, 2009
r m riiss oner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund