171768 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00350098 Page 1 of 1
0 ONE CIVIC SQUARE MARK CALLAHAN
CARMEL, INDIANA 46032 14339 HAZEL DELL ROAD CHECK AMOUNT: $285.00
CARMEL IN 46033
CHECK NUMBER: 171768
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT D
1120 4237000 285.00 REPAIR PARTS
Rpr 0.._ 0 90 2 15p. ADS INC 31 7 867 0683 P.1
ASSOCIATED DEALER'S SU PPLY
221 E. MAIN STREET
WESTFIELD, IN 46074
PURCHASE A GREEMENT
Carol Demaree- Vanzile, CKD Date: April 7, 2009
221 E. Main St. Westfield, IN 46074
Office: (317) 867 -0483 Fax: (317) 867 -0683 Cell: (317) 416 -7309
Submitted To: Carmel Fire Station #44
PO# 5009CD
Phone: 571 -2632 Fax: 571 -2652
Description
Cabinets in Aristokraft recessed panel oak, Oakland $285.00
Finish: spice
1 18" base
1 36" sink base
1 toe kick, quarter round 8 scribe
Subtotal for above .$285.00
Sales tax Tax Exempt O 0 3 1 S'S
Total Investment $285.00
Payment terms: $285.00 on Mark Callahan's Discover Card XXXX XXXX XXXX 9375.
Lead time: Allow approximately 3 weeks from date of confirmed order.
This agreement i valid g t s alyd only if materials are ordered within 30 days.
We are required by Indiana law to notify you that Associated Dealers Supply, Inc. will furnish material
to the real estate identified above and to advise you that a mechanic's lein may be filed if bills
are not promptly paid. No returns on special order merchandise.
Accepted by (Client): (rL f 'r- L'cc �S[cV.G._ Date: 7 7 O -I �3
MATERIALS ONLY NO INSTALLATION UNLESS NOTED
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))
Replacement Sink Sta. 44 $285.00
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.
ALLOWED 20
Mark Callahan
IN SUM OF
$285.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 42- 370.00 $285.00 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
APR 2 71009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund