170917 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 359243 Page 1 of 1
0 4J ONE CIVIC SQUARE INDY SALT CHECK AMOUNT: $1,013.95
CARMEL, INDIANA 46032 3490w79TH ST
INDPLS IN 46268 CHECK NUMBER: 170917
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTION
1120 4236500 1110 1,013.95 SALT CALCIUM
0
f
Invoice
I S.ALW
3490 w 79th St Date /nvoice
Indianapolis, IN 46268 3126/2009 111D
Phone 317- 652 -3122
Fax 317 -536 -5945
B To th /p To
Carmel Fire Department Gary Carter
2 Civic Square cell: 508 -5777
Carmei, IN 46032
Attn: Denise
O.O. Number Term( Mop Ship Via P O.6C
Gary Carter Net 30 iz 3/30/2009 CID
Qwont/ty product Dexdption Price Each Amount
63 Morton Pellet ##40 Morton Salt Station 45 5.85 368.55
63 Morton Solar ##40 Morton Salt Station 46 5.80 365 -40
40 Morton Rust Remo._. Morton Salt Station 42 7.00 280.00
0.00 0.00
Total $1,013.95
Cneck/visa/N4C /v,sc Balance Due $1,013,95
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))
1110 Salt Sta. 42, 45, 46 $1,013.95
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. ,x:NARRANT NO.
ALLOWED 20
Indy Salt
IN SUM OF
3490 West 79th Street
Indianapolis, IN 46268
$1,013.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 1110 42- 365.00 $1,013.95 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
ZOO
T j
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund