168660 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00350781 Page 1 of 1
ONE CIVIC SQUARE PICKETT'S PLACE
s CHECK AMOUNT: $40.00
CARMEL, INDIANA 46032 547E 161ST ST
WESTFIELDIN 46074 CHECK NUMBER: 168660
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
2201 4237000 887 40.00 REPAIR PARTS
b
ti wP
e
PICKE7 'S PLACE 0 HVO H C C
547E 161ST Invoice Number:
WESTFIELD, IN 46074 887
Voice: 317- 896 -3271
Invoice Date:
Sold To: Fax: 317 896 -2036 Jan 13, 2009
Page
1
Came/ street Department
3400 West 131st street
WESTFIELD, ON 46074
Customer ID Customer PO Shipping IVIethod Payment Terms Due Date
VERBAL JEFF Cu Pickup Net 30th of Next 2/28/09
�R Ann4
Quantity Ite D escrip tion J Unit Price Amou
1.00 10mm X 1.25 BY 1/4 NPT BY 4 -1/2 long 40.00 40.00
is UL f
io
Subtotal 40.00
Sales Tax
Total Invoice Amount 40.00
Check /Credit Memo No: Payment /Credit Applied
TOTAL 40.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pickett's Place
IN SUM OF
547 E. 161st St.
Westfield, IN 46074
$40.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 887 42- 370.00 $40.00 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
Thu j s ay, ary 29, 2009
L
Street Ornmiss onP er
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 VOOCHE�R
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))
01/13/09 887 $40.00
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