171779 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 045200 Page 1 of 1
ONE CIVIC SQUARE CARMEL SAFE LOCK CO CHECK AMOUNT: $160.00
z' CARMEL, INDIANA 46032 20 N.W. EIGHTH STREET
CARMEL IN 46032 CHECK NUMBER: 171779
CHECK DATE: 4/29/2009
DEPAR TMENT ACCOUNT PO NUM BER INVOICE NUMBE A MOUNT DESCRI
1207 4350100 160.00 BUILDING REPAIRS MA
i
1
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d S,
CARMEUCLAY SAFE LOCK
6468 W. Broadway
McCordsville, IN 46055
Phone 335 -2726
PAY TO THIS STATEMENT OR INVOICE
SOLD BY DATE 41
20 (1
l NAME
ADDRE8S
-�-c) r ern
CITY
CASH CHARGE MDSE. RET'D
C.O.D. PAID OUT CHECK
QUAN. DESCRIPTION AMOUNT
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(,yc
RECEIV TOTAL
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
bQ
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 NO. WARRANT NO.
r ALLOWED 20
IN SUM OF
6 1 6t)
ON ACCOUNT OF APPROPRIATION FOR
1, 6 2
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
42 0 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
1 101 20
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund