180725 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 362886 Page 1 of 1
4 ONE CIVIC SQUARE ALLIED CENTRAL DIST, INC
CARMEL, INDIANA 46032 11600 COMMONWEALTH DRIVE CHECK AMOUNT: $316.35
LOUISVILLE KY 40299 CHECK NUMBER: 180725
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CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
:1047 4238900 85377 -00 316.35 OTHER MAINT SUPPLIES
REMIT AND MARE CHECK PAYABLE TO *xxxxx
CUSTOMER NUMBER ALLIED CENTRAL DIST. INC. INVOICE NUMBER
500940 11600 COMMONWEALTH DRIVE 085377 -00
*xx *xxxx *xxx *xxxx *xxx *xx *xxx
LOUISVILLE KY 40299
SOLD TO: CARMEL CLAY PARKS REC SHIP TO: MONON CENTER
1411 E 116TH STREET 1235 CENTRAL PARK DRIVE
CARMEL, IN 46032 PH #317/573 -4026
CARMEL, IN 46032
317/573 -4023 SERRA GARSKE
SALESMAN DATE CUSTOMER
NUMBER NAME INVOICED ORDER NUMBER TERMS SHIP VIA F.O.B.
50 BROADSTREET 12/02/09 FRED NET 30 DAYS OUR TRUCK CUSTOMER
SPECIAL BILLING INSTRUCTIONS: FAX
QUANTITY QUANTITY QUANTITY ITEM NUMBER/ QUANTITY UNIT EXTENDED T
ORDERED SHIPPED BACKORDERED UM DESCRIPTION BILLED UM PRICE PRICE X
2 2 0 EA PG- OPTIDE5 2 EA 134.85 269.70 N 1
16571 PROLINE TIDE DETER 5 GAL
1 1 0 EA PG- OPCLOR5 1 EA 46.65 46.65 N 2
41676 PROLINE CLOROX BLEACH 5G
III N N V V 000 III CCCC EEEEE SUS -TOTAL 316.35
I NN N V V O 0 I C E
I N N N V V O O I C EEE
I N NN V V O O I C E
III N N V 000 III CCCC EEEEE
TOTAL 316.35
Purchase
Description
P.O.# PorF
G.L A
U nd ne get k4
Li Descr
Purchases
Data
Approval pate DR, 0 3 2009
END OF INVOICE
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
362886 Allied Central Dist. Inc. Terms
11600 Commonwealth Drive
Louisville, KY 40299
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/2/09 85377 -00 Laundry chemicals 22987 F 316.35
Total 316.35
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.
362886 Allied Central Dist, Inc. Allowed 20
11600 Commonwealth Drive
Louisville, KY 40299
In Sum of$
316.35
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members
Dept
1047 85377 -00 4238900 316.35 i 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
23 -Dec 2009
L P &/22 2,r) oh,
Signature
316.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund