205997 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 364512 Page 1 of 1
ONE CIVIC SQUARE SPINN WITH EASE CHECK AMOUNT: $229.75
CARMEL, INDIANA 46032 ATTN: CJ EDWARDS
579 GRABILL DRVIE CHECK NUMBER: 205997
WESTFIELDIN 46074
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 1900 229.75 EQUIPMENT REPAIRS M
Attn: CJ Edwards
579 Grabill, Drive I nvo ice
Westfield, IN 46074
(317)847 -0083 "Number 1900
Date; December 22, 2011
Bill To: Ship To:
Lindsay Willard Lindsay Willard
Carmel Clay Parks Recreation Carmel Clay'Parks Recreation
Monon Community Center Monon Community Center
1235 Central Park Drive East 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
PO Number 1 Terms Code
net 30
Date Item Description Quantity y Price. Tax 1 Amount
12/11/11 Maintenance (Schwinn IC) 20:00 10.00 200.00
i Toe clip stap 7.00 4.25 2935
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c�.�0 ►0�9 2t. x+35 0000 J I N 0 4 2�12
eua ter �q�,�;Q. �.r� M �3�.
i Une ,C� a
i Purct>a Oda z a
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Sub- Total
State Tax 6,00°x'0 on 0.00 000
Total,- I $229 =76:;
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
364512 Spinn with Ease Terms
Attn: CJ Edwards
579 Grabill Drive
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/22/11 1900 Cycle bike maintenance 229.75
Total 229.75
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.
364512 Spinn with Ease Allowed 20
Attn: CJ Edwards
579 Grabill Drive
Westfield, IN 46074 In Sum of
229.75
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1096 -21 1900 4350000 229.75 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
26 -Jan 2012
Signature
229.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund