173222 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 355389 Page 1 of 1
ONE CIVIC SQUARE BLACK SOX RESALE SERVICES
CHECK AMOUNT: $112.00
CARMEL, INDIANA 46032 SDS 12 -0976
PO BOX 86 CHECK NUMBER: 173222
MINNEAPOLIS MN 55486 -0976
CHECK DATE: 611012009
DEPARTME _A CCOUN T P O NUMBER T I NVOICE N UMBER AMOUNT DESCRIPT
601 5023990 4000511 1.12.00 OTHER EXPENSES
v4 6 L A C K B INV ®ICE
Vibes Technologies, Inc.
BILL TO: 116124
For billhig questions, lease call
CITY OF CARMEL 877 214 -4661
CARMEL CLAY COMM CTR /TODD LUCKOSKI
31 1ST AVE NW Imo�ce N 4000511
CARMEL IN 46032 Order 494357090
UNITED STATES Invoice Date 05/19!2009
POD! WATER D75TR0
Amount Due 712 00
SHIP TO 116124 US Dollar
CITY of CARMEL NET 30 FROM INVOICE DATE
CARMEL CLAY COMM CTR %TODD LUCKOSKI
31 1sT AVE NN REMIT PAYMENT TO:
CARMEL, IN 46032 Black Box Resale Services
SOS 12 -0976
PO BOX 86
Minneapolis, MN 554.86 -0976
Line Adj Identifier Description Quantity Unit Amt Net Amount
1 FREIGHT FREIGHT AND HANDLING 1 7.00 7.00
2 XT7316EC #NOR NSTAR T7316 ENH CHAR 1 105.00 105.00
Subtotal: lit 00
T66a1 ".Amount Due 1124
C
Original
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
356389
Black Box Resale Services Purchase Order No.
SDS 12 -0976 Terms
PO Box 86 Due Date 6!212009
Minneapolis, MN 55486 -0976
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/2009 4000511 $112.00
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
Date Officer
VOUCHER 091974 WARRANT ALLOWED
X356389
IN SUM OF
31ack Box Resale Services �p►�
SDS 12 -09761
PO Box 86 Co
Minneapolis, MN 55486 -09 7%eo
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
4000511 01- 6200 -06 $112.00
Voucher Total $112.00
Cost distribution ledger classification if
claim paid under vehicle highway fund