170288 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 362728 Page 1 of 1
1 �yi ONE CIVIC SQUARE AMERICAN FLAGSTORE CHECK AMOUNT: $177.00
CARMEL, INDIANA 46032 PO BOX 8
'0ioh do MAURICEVILLE TX 77626 CHECK NUMBER: 170288
CHECK DATE: 4/1/2009
I MPARTMENT ACCOUNT PO NUMBER INVOIC NUMBER AM OUNT DESCRIPTION
..651 5023990 23568 177.00 OTHER EXPENSES
americanflagstore.com, Inc. INVOICE
-k PO Box 8
Invoice Number: 23568
0auriceville, TX 77626
Invoice Date: Mar 11, 2009
Page:
Voice: 409-745-5734 Duplicate
Fax: 409-745-4932
Bill To a a mi i Sh 02MELAME
Carmel Wastewater Treatment Plant Carmel Wastewater Treatment Plant WWTP
6
7 0 T Ave SW, Ste#1 10 9609 Hazel Parkway
Accounts Payable 317-571-2634
Carmel, IN 46032 Indianapolis, IN 46280
Customer ID "Nl
M� Cust
Carmel Wastewater Tr S11534 Net 30 Days
jlljiip
J am
UPS Ground 3/2/09 4/10/09
3.00 RRA0007 Retainer Ring Assembly for 7" pole base 44.00 132.00
R
HO
diameter
3.00 LNK0300 Stainless Steel Connecting Link 15.00 45.001
Subtotal 177.00
Sales Tax
Freight
Total Invoice Amount
Check/Credit Memo No: Payment/Credit Applied
'A
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
t
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
T2083
AMERICAN FLAGSTORE Purchase Order No. U
PO BOX 8 Terms s�
MAURICEVILLE, TX 77626 Due Date 3/25/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/25/2009 23568 $177.00
f
h
R'
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 095352 WARRANT ALLOWED
T2083 IN SUM OF
AMERICAN FLAGSTORE
PO BOX 8
MAURICEVILLE, TX 77626
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
23568 01- 7202 -05 $177.00
VI
r
Voucher Total $177.00
Cost distribution ledger classification if
claim paid under vehicle highway fund