203612 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 00350944 Page 1 of 1
ONE CIVIC SQUARE SCOTT POOLS, INC
CHECK AMOUNT: $51.71
904 W MAIN ST
CARMEL, INDIANA 46032
CARMEL IN 46032 CHECK NUMBER: 203612
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 51.71 OTHER MAINT SUPPLIES
Scott Fools
904 W. Main Street
Carmel, IN 46032
317-846-5576
Account CITY CAR, STREET
3400 WEST 131ST STREET
WESTFl[LD, IN. 46074
Description Qty Price En Extended
Lifegard #812 1 31.95 J1.95
Quiptron LEAF 1 19,76 19,76
Sub Total 51,Y1
Sales Tax Total 0.00
Total Amt 51.?1
Paid BY Charging To Account 51.71
Change 0.00
By Charging To
Auth:
Amount: 51.71
Customer Signature
Tuesda November 1, 2O11 1:44 pm
ReO:OO1 1 1'sh�1 Trns:00130042011
VOUCHER NO. WAR NO.
Scott Pools ALLOWED 20
IN SUM OF
904 W. Main Street
Carmel, IN 46032
$5 1.71
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Member.
2201 42 389.00 $51 -71 I 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
U Thursday, Nove ber 03, 201
Street Commissioner
:rCee: GTiflemiSSi�i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
11(01111 $51.71
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