203637 11/09/2011 a CITY OF CARMEL, INDIANA VENDOR: 00352550 Page 1 of 1
ONE CIVIC SQUARE T -METAL WORKS, INC.
I CARMEL, INDIANA 46032 1813 E 109TH STREET CHECK AMOUNT: $169.00
INDIANAPOLIS IN 46280 CHECK NUMBER: 203637
CHECK DATE: 1119/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 TII -4487 169.00 REPAIR PARTS
T Metal Works, Inc.
Architectural /Metals Specialties
1813 E. 109 Street Indianapolis, IN 46280
317- 848 -2936 Fax 317- 848 -6133
Invoice
To: Carmel Street Department Job Name:Chute Bucket
3400 W. 131 st Street Location: Shop
Westfield, IN 46074
Your P.O. Verbal /Mike Terms: Net 30 Days Invoice No. TI 14487 Date: 10/21/11
Truck Chute: 5" x 15" x 5" 11 ga HR 109.00
Backhoe Bucket Customer's Material 4 Fl. R. 60.00
Total Material: 169.00
Tax Exempt 00.00
Total Invoice: 169.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
T- MetalWorks, Inc.
IN SUM OF
1813 E. 109th St_
Indianapolis, IN 46280
$169.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Member:
2201 Tii -4487 42- 370.00 $169.00 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
Thursday', November 03, 201'
p r
Street Commissioner
Title
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))
10/21/11 Tii -4487 $169.00
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
,20
Clerk- Treasurer