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171802 04/29/2009
CITY OF CARMEL, INDIANA VENDOR: 361226 Page 1 of 1 0 ONE CIVIC SQUARE COOPERS STARDUST CARMEL, INDIANA 46032 845 WESTFIELD ROAD CHECK AMOUNT: $851.25 NOBLESVILLE IN 46062 CHECK NUMBER: 171802 CHECK DATE: 4/29/2009 DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMBER AMOU DESCRIPTION 1046 4343007 847868 T T 356.25 FIELD TRIPS 1046 4343007::: 847869 495.00 FIELD TRIPS rid CUSTOMER'S ORDER NO. iDEPARTMENT /1.� I` I D ESCRIPTI ON ©m am am 0_ ►iii Y MM ii rriic� m� �m� m� C�Oni I 847868 845 Westfield Road, NoblesvaIc,IN 46062 CUSTUMth Un- /T DATE NAME ADDRESS CITY, STAT P SOLD BY C C.O.D. CHARGE ON ACCT. MDSE RETD PAID OUT QUANTITY DESCRIPTION PRICE AMOUNT 1 2 2 5 3 3 r s Y�C 2 G 4 5 6 7 8 P.O.8 9 L• `�l9' 10 Bud et YC L tt q 11 Die 12 Det9 13 14 15 16 p 17 [20 RECEIVED BY t-s KEEP THIS SLIP FOR REFERENCE 5805 ACCOUNTS PAYABLE VOUCHER ,Al- CITY OF CARMEL 1 An invoice of 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. c� Coopers Stardust Terms 845 Westfield Road Noblesville, IN 46062 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 418109 847869 Field trip 20298 F 495.00 3127109 847868 Field trip 20278 F 356.25 Total 851.25 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. Coopers Stardust Allowed 20 845 Westfield Road Noblesville, IN 46062 In Sum of 851.25 ON ACCOUNT OF APPROPRIATION FOR t+ 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 847869 4343007 495.00 1 hereby certify that the attached invoice(s), or 1046 847868 4343007 356.25 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 22 -Apr 2009 Signature 851.25 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund