169379 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00351296 Page 1 of 1
ONE CIVIC SQUARE CAPITOL DRILLING SAWING
0 CARMEL, INDIANA 46032 5440 ROCK HAMPTON Cr CHECK AMOUNT: $788.33
INDIANAPOLIS IN 46268 CHECK NUMBER: 169379
CHECK DATE: 3/412009
DEP ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4463500 166106 788.33 GROUNDS MAINT EQUIPME
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DRILLING A �'®�J' jraff S IFFJV
INLIGICE
5430 ROCK HAMP717NC0L#7T INVOICE NUMBER: 166106
/NO/ANAPOL /5. /N 46268 INVOICE DATE: Feb 24, 2009
PAG E: 1
VOICE: 317- 876 -8800
FAX: 317- 872 -2076
CARMEL STREET DEPARTMENT
3400 W. 131 ST ST.
WESTFIELD, IN 46074 -0000
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104605 CUSTOMER PICKUP 3/10/09
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1.001 I GX240U 1 HA2 HONDA MOTOR W 756.001 756.001
1.00 S# 1166153 1
1.00 1 SHIPPING SHIPPING CHARGES 32.33 32.33 j
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Please Remit to:
Capitol Drilling Contractor Supply Subtotal 78 8.33 I
5430 Rock Hampton Court Sales Tax
Indianapolis, IN 46268 1 7 77
01 L�DUF 788
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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))
02/24/09 166106 $788.33
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
VOUCHE N WARRANT NO.
ALLOWED 20
Capitol Drilling Contractor Supply
IN SUM OF
5430 Rock Hampton Court
Iridianapolis, IN 46268
$788.33
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 166106 2201-635.00 $788.33 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
grid FebrUa 27, 9
r
Street C mmissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund