HomeMy WebLinkAbout205295 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 355216 Page 1 of 1
ONE CIVIC SQUARE THOMAS L GRANTHAM COMPANY INC
0 CHECK AMOUNT: $658.00
CARMEL, INDIANA 46032 14016 BRITTON PARK ROAD
FISHERS IN 46038 CHECK NUMBER: 205295
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 5284 658.00 BUILDING REPAIRS MA
G iantham Invoice
THOMAS L. GRANTHAM COMPANY, INC.
14016 Britton Park Road
Fishers, Indiana 46038
317 -845 -8888
Fax: 317-770-6160
Dat Invo ice
12/30/2011 5284
Bill To i Job Name
Carmel Street Department
3400 W. 131 st Street
Carmel, IN 46074
P.O. No. Terms Project
Net 15 days 40758
Item Quart... Description Rate Amount
Service 1.5 Sales Service Doug 12/19/11 90.00 135.00
Materials I Material sales SM2 +DC 8660 523.00 523.00
Sales Tax 7.00% 0.00
1
1
Federal ID#
35- 1673094 Total $658.00
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))
12/30/11 5284 $648.00
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 NO. WARRANT NO.
ALLOWED 20
Thomas L. Grantham Company
IN SUM OF
14016 Britton Park Road
Fishers, IN 46038
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 5284 43- 501.00 (p 5, 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
J ,l
Tuesday;iJ.anuary 03, 2012
Street Commissioner
Luc t v nn n i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund