179194 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 083080 Page 1 of 1
s,� ONE CIVIC SQUARE EDGEWOOD BUILDING SUPPLY CHECK AMOUNT: $36.00
+o CARMEL, INDIANA 46032 1580 E EPLER AVE
INDIANAPOLIS IN 46227 CHECK NUMBER: 179194
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 5023990 680238 36.00 OTHER EXPENSES
P INDI E. EPLER AVE. 430 W. CARMEL DRIVE
INDIANAPOLIS, IN 46227 CARMEL, IN 46032
317 786 -9208 317 -846 -6060
BUILDING SUP LY www.edgewoodbuildingsupply.com DATE NUMBER
15:36:42 10/13/0.- 680238
ST. CIT3 ST INVOICE#
00 CITY OF CARMEL H VETERANS PLAZA PROJE
D DEPARTMENT OF COMMUNITY RELATIONS P CARMEL VETERANS PLAZ.
ONE CIVIC SQUARE
CARMEL, IN 46032 CARMEN
TAX JURISDICTION N0. /DESCRIPTION TAX EXEMPT
LOC. DATE E ED T SHIPPED SHIP VIA JOB NO. COST. ORDER NO. SALESPERSON CL I< TERMS COPY PAGE
v .r ORDERED POED DESCRIPTION r— iJWrY Olftt' AMO
BACK ORDERED INVOICE INVOICE INVOICE. INVOICE
NST 2 2 SPECIAL ORDER STONE 18.00 36.00
EA 8X16 PAVER ENGRAVING
SCHNEIDER
ACKLEY
CPU
Pat r
CoyrrnwiJj A-0(0t�W!5 6(�- r ILd Pa veo
d� &-wc j 6 -09
SALES AMOUNT SALES TAX SHIPPING CHG. CODE DEPOSIT CASH CODE
36. 00 36.00
PLEASE PAY THIS AMOUNT
A Late Payment Charge of 1 12% per month or an ANNUAL PERCENTAGE RATE OF 18 will be imposed monthly on past due balances. Customer agrees to pay all cost of collection
PALLETS PALLETS AMOUNT including reasonable attorney fees. SELLER WARRANTS TITLE TO THE ABOVE PRODUCTS. SELLER DISCLAIMS ALL OTHER WARRANTIES. ENPRESS OR IMPLIED, RESPECTING
IN OUT THE PRODUCTS, INCLUDING ALL WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE The only warranties respecting the products are any
warranties made solely by the manufacturer Seller disclaims any liability for any consequential damages. All claims for shortage or objectlonal stock must be made direct to the
Indianapolis office within five days after receipt of goods No returns will be accepted or allowances made unless authorized by seller. Any pick -up returns so allowed are subject to 30
handling charges. PLEASE REMITALL FUNDS TO 1580 EPLER AVE.
CUSTOMER
COST. P /UP DELIVERY SIGNATURE: DRIVER
Prescribe; by State Board of Accourts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
11/9/09 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
E dgewood Purchase Order No.
4 30 W. Carmel Dr Terms
C armel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/13/09 680238 Paver engraving Veteran's Plaza 36.00
Total $36.00
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.
L/Q4ng. ALLOWED 20
-Edgewood IN SUM OF
5
430 W. Carmel Dr.
Carmel IN 46032
36.00
ON ACCOUNT OF APPROPRIATION FOR
#854
Community relations gift fund
Board Members
PO# or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
680238 #854 $36.00 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 0
Q Signaty�e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund