171986 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00360781 Page 1 of 1
ONE CIVIC SQUARE PICKETT'S PLACE
0 4 CHECK AMOUNT: $80.00
CARMEL, INDIANA 46032 547E 161ST ST
WESTFIELD IN 46074 CHECK NUMBER: 171986
CHECK DATE: 4/29/2009
DEPAR ACCOUNT PO N UMBER INVO NUMBE AMO UNT DESCRIPTION
2201 4237000 923 80.00 REPAIR PARTS
PICKETT •S PLA CE MW O U O E
547E MST Invoice Number:
WESMELD, IN 46074 923
Voice: 317 896 -3271
Invoice Date:
Sold To: Fax: 317 896 -2036 Apr 10, 2009
Page
1
Came Street Department
3400 West 13fst street
WESMELD, IN 46074
Customer ID Customer PO Shipping Method Payment Terms Due Date
VERBAL MIKE Cust. Pickup Net 30th of Next 5/30/09
Unn
Quantity Item Description Unit Price Amount
1.00 WASHER 15.00 15.00
1.00 SHAFT (tar pump) 65.00 65.00
l l r`�
C
Subtotal 80.00
Sales Tax
Total Invoice Amount 80.00
Check /Credit Memo No: Payment/Credit Applied
TOTAL 80.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pickett's Place
IN SUM OF
547 E. 161 st St.
Westfield, IN 46074
$80.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 923 42- 370.00 $80.00 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
Wed day ril 22, 2009
.af
O
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
04/10/09 923 $80.00
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