180141 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 360376 Page 1 of 1
ONE CIVIC SQUARE INDUSTRIAL MAINTENANCE SOLUTIO'8
CARMEL, INDIANA 46032 PO BOX 318 CHECK AMOUNT: $311.70
o� co WESTFIELD IN 46074 CHECK NUMBER: 180141
CHECK DATE: 1218/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1120 4232100 3832 311.70 GARAGE MOTOR SUPPIE
Industrial Maintenance Solutions Invoice
P.O. Box 318
Date Invoice
Westfield, IN 46074
11/8/2009 3832
Bill To Ship To
Carmel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
USA USA
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 30 WM 11/8/2009
Quantity Item Code Description Price Each Amount
6 33049 Pit Stop Orange Concrete Cleaner 50# 49.95 299.70
1 P/S Petroleum Materials Surcharge 12.00 12.00
Total $31 1.70
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))
3832 $311.70
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
Industrial Maintenance Solutions
IN SUM OF
P.U. Box 318
Westfield, IN 46074
$311.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 3832 42- 321.00 $311.70 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund