170777 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00352705 Page 1 of 1
ONE CIVIC SQUARE CARMEL/CLAY SAFE LOCK CHECK AMOUNT: $385.00
s�e CARMEL, INDIANA 46032 6468 W PENDLETON PIKE
MCCORDSVILLE IN 46055 CHECK NUMBER: 170777
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMB INVOICE N AMOUNT DESCRIPTION
1207 4350100 385.00 BUILDING REPAIRS MA
R
CARMEL/CLAY SAFE LOCK
6468 W. Broadway
McCordsville, IN 46055
Phone 335 -2726
PAY TO THIS STATEMENT OR INVOICE
SOLD BY DATE 20
NAME Gf
,S
ADDRESS �Z/ S�c'►���5� ,,pl)
CITY
�✓IL i/ y C o s
CASH 4 Jl ARGE MDSE. RET'D
C.O.D. PAID OUT CHECK
OUAN. DESCRIPTION AMOUNT
70 Oa
I! r 2/ 0-6
D
O
CO
RECEIVE TOTAL
P' 8scribed 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.
1 Payee
L Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
C SE'S", G�
Total 3& GJ
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
l -Afm /e, L IN SUM OF
zoow
co
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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
20
Si nature
4n
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund