172286 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 353580 Page 1 of 1
ONE CIVIC SQUARE CUSTOM CAST STONE INC CHECK AMOUNT: $55.00
CARMEL, INDIANA 46032 PO BOX 6069 DEPT 164
INDIANAPOLIS IN 46206 -6069 CHECK NUMBER: 172286
CHECK DATE: 5/13/2009
DEPARTMENT AC COUNT PO NUMBER INV OICE NUMBER AMOUNT DE SCRIPTION
853 5023990 56361 55.00 OTHER EXPENSES
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Invoice
Invoice
A ELC I'!!T F U R .A CON. M. =:r; RI —Si. L')LN I'l AL 56361
y� Invoice Date:
Remit Payment To: (Big 9 V IE 04/29/09
P.O. Box 6069 Dept 164
Indianapolis, IN 46206 -6069 APR 2 9 1009 Page:
1
(317) 896 -1700 By-_ a...•.......
Bill To: Carmel Clay Parks Recreation Ship To:
1411 E. 116th Street
Carmel, IN 46032
Customer ib invoice Due ba te Payment Terms Sales'kep
CARMEL CLAY 05/29/09 Net 30 days Kelly
ip Via Date Purchase Order No Description
Cust Pick Up 04/28/09 �7 I M STONE BACKERi
Quantity Item Number De scription
1 ASFL5X12 Address Stone Flat 55.00 55.00
5" x 12" IN MEMORY OF
STEPHEN A. BACKER
1946 -2009 (SEALED)
1.5% interest per month will be Subtotal 55.00
added to all invoices not paid Sales Tax 0.00
within 30 days. Freight 0.00
Payment/Credit 0.00
Deposit 0.00
THANK YOU FOR YOUR ORDER Total 55.00
Purchase
Description P 01D
P.O.
G.L.#
Budget C71
Line Descr
Date_.
Purchaser Date_.-
Approval
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Custom Cast Stone Terms
P.O. Box 6069 Dept 164
Indianapolis, IN 46206 -6069
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4129109 56361 "in memory of stone 20732 55.00
Total 55.00
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
Voucher No. Warrant No.
Custom Cast Stone Allowed 20
P.O. Box 6069 Dept 164
Indianapolis, IN 46206 -6069
r:
In Sum of
55.00
ON ACCOUNT OF APPROPRIATION FOR
853 Gift Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
853 56361 5023990 55.00 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
7 -May 2009
Signature
55.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund