168664 02/04/2009 DAV6 Sl qrnA-l\J ?1JM-P
f CITY OF CARMEL, INDIANA VENDOR: T0002363 Page 1 of 1
ONE CIVIC SQUARE DAVID PRITCHARD
CARMEL INDIANA 46032 6537 BASH STREET SUITE 7 CHECK AMOUNT: $1,275.00
,4.rc INDIANAPOLIS IN 46250 -1566
CHECK NUMBER: 168664
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT P N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4463500 62561 1,275.00 GROUNDS MAINT EQUIPME
CL
it
PLEASE PAY FROM THIS INVOICE
DAVID A. PRITCHARD
D /B /A DAVE SIGMAN PUMP SERVICE
8537 BASH STREET, SUITE 7 o INDPLS, IN 46250 a PHONE: 849 -2505
Finance charge of 1' /z% per month on past due accounts. After 30 days.
"CUSTOMER'S ORDER NO, PHONE DATE_
—gyzs s y� Y 3 z3
NAME
ADDRESS i
SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE. RET D. PAID OUT
QTY. DESCRIPTION PRICE. AMOUNT
al
1
TAX
RECEIVED BY
TOTAL
C PRODUCT610 AJl ins/and rety tl goods must be accompanied by this bill.
62561
0
PLEASE PAY FROM THIS INVOICE
DAVID A. PRITCHARD
D/B/A DAVE SIGMAN PUMP SERVICE
8537 BASH STREET, SUITE 7 INDPLS, IN 46250 PHONE: 849-2505
Finance charge of 1 per month on past due accounts. After 30 days.
C,IISTOMER'S ORDER NO. PHONE DATE
NAME
ADDRESS
SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE. RET'D. PAID OUT
QTY. DESCRIPTION PRICE AMOUNT
y
o
.3 may"
ol
co
v.
TAX
RECEIVED BY
TOTAL
C PRODUCT610 /f/As/and ret d goods must be accompanied by this bill.
62561
Prescribed 6y 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.
IT Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
VOUCHER NO. WARRANT NO.
n f i ALLOWED 20
�f !'7/,G S��i�AN P��"�.���� IN SUM OF
S7
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�D Gl G3�sD
7J 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
20
Signature
Title Cost distribution ledger classification if
claim paid motor vehicle highway fund