175599 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 360134 Page 1 of 1
ONE CIVIC SQUARE BEN FRANKLIN PLUMBING
e CARMEL, INDIANA 46032 1551 S FRANKLIN ROAD CHECK AMOUNT: $348.00
INDIANAPOLIS IN 46239 CHECK NUMBER: 175599
CHECK DATE: 8/612009
DEPARTMENT ACCO PO NUMB INVOICE NUMBER AMOUN DE SCRIPTION
1205 4350100 336517 348.00 BUILDING REPAIRS MA
J,
o
SUS Invoice
BF Indianapolis, IN 91090 Benjamin Franklin Plumbing
1551 South Franklin Road
Indianapolis IN 46239
317 -375 -2175 FAX: 317-375-2179
Invoice 336517
Account 22351 Date: 07/21/09
Page I of I
-R
Service At:
CARMEL CITY HALL CARMEL CITY HALL
I CIVIC SQUARE 1 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
Service Date 07/21/09 PO Job 274796
CABLED CLEARED T OILET 67 DAY WARR
Description Of Service Quantity Unit Price Extended Price Tx
Cable Clear 67 Day Warranty 1 $299.00 $299.00
Collected Service Fee $29 S79 1 $49.00 $49.00
Balance Due $348.00
Terms: Due Upon Receipt Please pay from this Invoice. Thank You
Please Detach and Return with Remittance
Check Enclosed Method of Payment Invoice 336517
MasterCard[ Visa[ Date 07/21/09
Acet Exp Date Account 22351
Name on Card CARMEL CITY HALL
Signature
Remit To:
BF Indianapolis, IN 41090 Benjamin Franklin Plumbing
1551 S. Franklin Road Amount Due 5348.00
Indianapolis IN 46239
Amount Paid
r
1 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
Benjamin Franklin Plumbing Purchase Order No.
c• Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
To 07 i2 i /0 9 3365117 �_.ahjle_d Cleared
Total $348.00
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
VG�-)UCHER N (b 3je ePRRANT NO.
enjamin Franklin Plumbing ALLOWED 20
BF Indianapolis, IN #1090 IN SUM OF
1 551 South Franklin Ro
$348.00
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
336517 501 $348.00 materials or services itemized thereon for
which charge is made were ordered and
received except
20
i
l
Si na 1��'�_
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund