204202 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 354194 Page 1 of 1
ONE CIVIC SQUARE CRYOGENICS CHECK AMOUNT: $280.00
CARMEL, INDIANA 46032 PO Box 5040
ZIONSVILLE IN 46077 CHECK NUMBER: 204202
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 110066 280.00 REPAIR PARTS
Invoice
P.O. BOX 5040 ZIONSVILLE IN 46077
PHONE (317) o FAX t 769-3710 o Web cr o
�3 7) �3 7) enicsofindiana.com Y g
®V MINA Date Invoice
Your Thermo Tempering of Metals Specialist
11/14/2011 110066
Bill To Ship To
Carmel Street Dept. Carmel Street Dept.
3400 West 131 st Street 3400 West 131 st Street
Carmel, IN 46074 Westfield, IN 46074
P.O. Number Terms Rep Ship Via F.O.B. Project
15 DAYS JC 11/14/2011 Customer Pick...
Quantity Item Code Description Price Each Shipped Amount
28 Mower Blades Cryo treat Mower Blades 10.00 280.00
Thank you for your business, If you have any questions please call 317- 989 -2796
T otal $280.00
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))
11/14/11 110066 $280.00
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 N WARRANT NO.
ALLOWED 20
Cryogenics of Indiana
IN SUM OF
P. O. Box 5040
Zionsville, IN 46077
$280.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 110066 42- 370.00 $280.00 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
rl u
Thursday, December 01, 2011
Street Commissioner
JUCCt IIIu�oi
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund