180453 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 363017 Page 1 of 1
0 ONE CIVIC SQUARE INDIAN CREEK STONE PRODUCTS
CARMEL, INDIANA 46032 PO Box 96
CHECK AMOUNT: $500.00
HIGHWAY 50 WEST
CHECK NUMBER: 180453
HURON IN 47470
CHECK DATE: 12/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
~2201 4350400 6888 500.00 GROUNDS MAINTENANCE
Indian Creek Stone Products Invoice
Post Office Box 96 Date Invoice
Huron, Indiana 47437
812- 247 -3342 812 247 -3441 FAX 12/4/2009 6888
Bill to CShip to
City of Carmel Job Site
One Civic Square 96th Spring Mill
Carmel, Indiana 46032 Carmel, IN
P.O. No. Project ICSP Ship Date Terms Due Date
5788 12/4/2009 COD 12/4/2009
Quantity Unit Item Description Rate Amount
MISC Charge Repairs Reshaping to damaged roundabout end 500.00 500.00
block
Subtotal $500.00
Sales Tax (7.0 $0.00
Total $500.00
Payments /Credits $0.00
Balance Due $500.00
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))
12/04/09 6888 $500.00
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.
Indian Creek Stone Products ALLOWED 20
IN SUM OF
P O Box 96
Huron, IN 47437
$500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 6888 43- 504.00 $500.00 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
Friday,�Je 11, 2009
f r
Street Commissioner
SLreei uorn r-F ifle -ler
Cost distribution ledger classification if
claim paid motor vehicle highway fund