170803 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00353110 Page 1 of 1
ONE CIVIC SQUARE COWPOKES
CARMEL, INDIANA 46032 27498 US 31 CHECK AMOUNT: $135.99
ti oa ARCADIA IN 46030 CHECK NUMBER: 170803
CHECK DATE: 4111612009
UEPARTMENT� ACCOUNT PO N UMBE R INVOICE NUMBER A MOU NT DESC RIPTIO N mmJ
2201 4356.003 55923 135.99 SAFETY ACCESSORIES
i
Cowpokes
27498 US `31
Arcadia, IN 46030
317 984 -1600
Sold by: Tyler Inv# 55923
Monday 03/23/2009 6:01 pm #23
COPY of invoice
CARMEL STREET DEPT. 5110
3400 W. 131st STREET
WESTFIELD, IN 46074
(317)- 733 -2001
Net Due on 03/23/2009
933749 D/1.1 112 ROCKY OTHER WORK -STEEL
1 135.992 $135.99
JRWALDEN
You SAVED $34.00 1
Nontaxable items $135.99
INVOICE TOTAL $1.35.99
Charge Amoumt $135.99
You SAVED $34.00 1
ALI, SALES FINAL!
ALL SALES FINAL!
ALL SALES FINAL!
Open Mon. Sat. 10 -8 SLUT. 11-5
NO REFUNDS PAST 30 DAYS
NO REFUNDS W/O RECEIPT/ NO PRICE ADO
Prescribed by Stale Board of Accounts City FG,. No. 201 (Rev. 1995)
r
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 k
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/23/09 55923 $135.99
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
Cowpokes
IN SUM OF
27498 U.S. 31 North
Arcadia, IN 46030
$135.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 55923 43- 560.03 $135.99 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
Thursday, pri 1 09, 2009
l rrG/
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund