177232 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 362485 Page 1 of 1
ONE CIVIC SQUARE HAMM SONS INC PLUMBING
CARMEL, INDIANA 46032 6350 SOMMER AWNING BLVD CHECK AMOUNT: $94.50
INDIANAPOLIS IN 46220
CHECK NUMBER: 177232
CHECK DATE: 9/15/2009
DEPARTM AC COUN T PO NUMBER INVOICE NU MBER J AMOUNT DESCRIPT
1120 4350100 55899 94.50 BUILDING REPAIRS MA
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4 K u' r `..�.d 'C+u' f AM MANAIMAN
Plumbing
6350 Sommer Awning Blvd., Indianapolis, IN 46220
CP 10000101
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Invoice Number: 55899
.i.nvoice Date: 08/26/09 Page: 1
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Bill To: Carmel Fire Department Work Carmel Fire Department
3610 W 106th St Location: 3610 W 106th St
Carmel, IN 46032 Carmel, IN 46032
Our Order No. WO -39274 Customer ID CARFIR42
Due Date 08/26/09 P.O. Number
Terms Due Upon Receipt P.O. Date 08/25109
Item Description Unit Quantity Total Price
CREAHAR Labor 08/25/09 Hour 1 85.00
MATERIAL 1/2" cp union 08/25/09 Each 1 9.50
Repaired leaking water line iin ceiling above N.
Amount Subject to Amount Exempt from Subtotal: 94.50
Sales Tax Sales Tax Invoice Discount: 0.00
9.50 85.00 Sales Tax:
Total: -9&+7-
Phone 317.202.9850 Fax 317.202.9860
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))
55899 $94.50
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hai ;nm Sons, Inc.
IN SUM OF$
6350 Sommer Awning Blvd.
Indianapolis, IN 46220
$94.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 55899 43- 501.00 $94.50 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
SEP 14 2009
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Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund