173756 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 045200 Page 1 of 1
ONE CIVIC SQUARE CARMEL SAFE LOCK CO
CARMEL, INDIANA 46032 20 N.W EIGHTH STREET CHECK AMOUNT: $114.35
CARMEL IN 46032 CHECK NUMBER: 173756
CHECK DATE: 6/24/2009
DEPA ACCOU PO NUMBER IN NU MBER AMOUN DESCRIP
1205 4350100 T 114.35 BUILDING REPAIRS MA
5 CARMEL/CLAY SAFE LOCK
�2� 1 6468 W. Broadway
McCordsville, IN 46055
Phone 335 -2726
PAY TO THIS STATEMENT OR INVOICE
SOLD BY DATE
L 20 D
NAME
ADDRESS
CITY
CASH C- @HARGE MDSE. RET'D
C.O.D. PAID OUT CHECK
OUAN. DESCRIPTION AMOUNT
J L., 4< 4g-/
S
1
RECEIVED BY TOTAL
l 35'
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
Carmel Clay Safe Lock Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/1 2/OA 1 =_k And installatfiol—I 4.35
Total
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 N�. NO.
Carmel Clay Safe Lock ALLOWED 20
6468 W. Broadway IN SUM OF
$114.35
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or DEPT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1205 501 $114.35 materials or services itemized thereon for
which charge is made were ordered and
received except
1 0
1205 0 501 $0.00
20
Si atur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund