167910 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 360134 Page 1 of 1
ONE CIVIC SQUARE BEN FRANKLIN PLUMBING CHECK AMOUNT: $268.00
CARMEL, INDIANA 46032 1551 S FRANKLIN ROAD
INDIANAPOLIS IN 45239 CHECK NUMBER: 167910
CHECK DATE: 1/21/2049
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 316312 268.00 BUILDING REPAIRS MA
Invoice
Ben Franklin Indianapolis, IN 432
1551 South Franklin Road
Indianapolis IN 46239
317 -375 -2175 FAX: 317 -375 -2179
Invoice 316312
Account 22351 Date: 12/19/08
Page 1 of I
Service At:
CARMEL CITY HALL CARMEL FIRE DEPT STATION #6
CIVIC SQUARE 540 W 136 ST
CARMEL IN 46032 CARMEL IN 46032
Service Date 12/19/08 PO Job 258163
reprd half inch copper line in ceiling above tv 2 yr w arr
Description Of Service Quantity Unit Price Extended Price Tx
up to 1 water leak 1 $219.00 $219.00
Collected Service Fee $29 $79 1 $49.00 $49.00
Balance Due $268.00
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))
316312 Repair Sta. 42 Water Leak $268.00
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
13-3n Franklin Indianapolis, IN #32
IN SUM OF
1551 South Franklin Road
Indianapolis, IN 46239
4t $268.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 316312 43- 501.00 $268.00 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
IAN I
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund