177157 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 066000 Page 1 of 1
ONE CIVIC SQUARE CORRELATED PRODUCTS INC.
CARMEL, INDIANA 46032 PO BOX 42387 CHECK AMOUNT: $396.00
INDIANAPOLIS IN 46242 -0387
CHECK NUMBER: 177157
CHECK DATE: 9/1512009
DEP ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DES CRIPTIO N
2201 4232100 0082079 -IN 396.00 GARAGE MOTOR SUPPIE
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INVOICE O
5616 Progress Road P.O. Box 42387 Indianapolis, IN 46242 -0387
Phone 317 243 -3248
Toll Free 800 428 -3266
Fax 317 244 -8461
BILL NO. 90576 SHIP NO.
mp SOLD �CARMEL C ITY OF (STREET) SHIP FARt CITY OF (STREET)
PTO DEPARTMENT TO DEPARTMENT
3400 W. 131ST STREET 3400 W. 131ST STREET
WESTFIELD IN 46074 WESTFIELD IN 46074
DATE j G,UST PO NQ'; asr rl "ert TERR yK SFIPPEO VfA" y TRANS NOS INVOICE NO:.
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0 0 VElk3L a' F OOE3039$1
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QUANTITY
ORDERED SHIPPED 13ACKORD. UM PRODUCT NO. DESCRIPTION PRICE TOTAL
1 1 D i 1 0� FORCE �►LT.RA `NE���1�' §DEITY';9b 30M 3b i0
m_..».....va..,....a,r�_..._..: A_:.:.la,�k..�. v_...._. -....y ...,.r..:,�.:.,..�.... ..,..u.�..,.:..___��..s.. �o-..�_,rea�:....d,..,a7�
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TERMS: TAX FREIGHT TOTAL
NET 15- DAYS 00 .00 396.00
ORIGINAL
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))
09/08/09 0082079 -IN $396.00
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
P _r
VOUCHER NO. WARRANT N
Correlated Products, Inc. ALLOWED 20
IN SUM OF
P. O. Box 42387
Indianapolis, IN 46242 0387
$396.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO Dept, INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 0082079 -IN 42- 321.00 $396.00 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
I F Thursday/ SepteMbeF 1 P09
Y
I
St �e e�Corn m l sslo ne rs r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund