170330 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 00351296 Page 1 of 1
ONE CIVIC SQUARE CAPITOL DRILLING CONTRACTOR'WECK AMOUNT: $142.11
s CARMEL, INDIANA 46032 5430 ROCK HAMPTON CT
h Z INDIANAPOLIS IN 46268 CHECK NUMBER: 170330
CHECK DATE: 4/1/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
2201 4238000 166231 142.11 SMALL TOOLS MINOR E
CAPIrOL
IT1117 1DR/LL/N6 C17111TRAMIRKIPMY RV11010E
5430ROLWHAMPMNCOURT INVOICE NUMBER: 166231
1NO/ANAPOL /5. /N 46268 INVOICE DATE: Mar 11, 2009
PAG E: 1
VOICE: 317- 876 -8800
FAX: 317- 872 -2076
CARMEL STREET DEPARTMENT
3400 W. 131 ST ST.
WESTFIELD, IN 46074 -0000
C ST DME D� F� RCHiSE'DR REI= ERENCE AY RI1r1S�
CARM2 G Net 10th of N ext Month J
S ES DRp NUM NGA4E i f'PIMG DATE DUE E
sH�P "I rnraD
104676 C USTOM ER PI 4/10/0
f?UANTl7'l' 17'EAA� w DESCR/PFlDN UN/T PRICE 11NlDU T-
1.00 38449 SHEAVE 2 AK 4-1/4 X 1 SPL -STONE 78.861 78.86
1.00 21047 RUBBER BLADE SET 48.031 48.03
1.00 SHIPPING INCOMING SHIPPING CHARGES 15.22 15.22
I
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Please Remit to:
Capitol Drilling Contractor Supply Su btofal 142 11
5430 Rock Hampton Court Sales Tax
Indianapolis, IN 46268
Overdue invoices are subject to late charges.
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))
03/11/09 166231 $142.11
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
Capitol Drilling Contractor Supply
IN SUM OF
5430 Rock Hampton Court
Indianapolis, IN 46268
$142.11
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 166231 42- 380.00 $142.11 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
Friday, March 27, 2009
Street Commi sior f,
V
Street GTj' icner
Cost distribution ledger classification if
claim paid motor vehicle highway fund