176819 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 00352542 Page 1 of 1
ONE CIVIC SQUARE KENNEY OUTDOOR SOLUTIONS
CHECK AMOUNT: $21.98
CARMEL, INDIANA 46032 PO BOX 1142
s� INDIANAPOLIS IN 46206 -1142 CHECK NUMBER: 176819
CHECK DATE: 9/2/2009
DEP ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 550090 -00 21.98 OTHER MAINT SUPPLIES
8420 Zionsville Road INVOICE
Indianapolis, IN 46268
OUTDOOR SOLUTIONS (317) 872 -4793 Fax (317) 879 -2331
UPC V >INVOICE.DATE IN NO
0000 08/13/09 550090 -00
::SALES REP: Pl0 NO PAGE N
CUST.#: 170 2080 1
SH IP TO: CITY OF CARMEL BROOKSHIRE
12120 BROOKSHIRE PARKWAY
CARMEL, IN 46033 -3314 REMIT TO: KENNEY OUTDOOR SOLUTIONS
P.O. BOX 1142
INDIANAPOLIS, IN 46206 -1142
BILL TO: CITY OF CARMEL BROOKSHIRE
12120 BROOKSHIRE PARKWAY
CARMEL, IN 46033 -3314
:>iINSTRUCTIONS WABEHOUSE'NO
SHIP POINY, SHIP VIA SHIPPED i TERMS
Kenney Outdoor Solution UPS.Ground 08/13/09 Net 30 Days
'LINE': PRODUCT :QUANTITY:: QUANTITY '.QTY QTY UNIT
NO AND;DESCRIPTION ORDERED B 0 SHIPPED. U/M PRICE.:: N
ET ?TOTAL i?
1 112 5270: 2 :0' 2 ea 5.47500
ROLLER SHAFT.SCREWASM
:DIRECT.:ORDER
2 107. 1997 2 0; 2 ea 3.16250 6.33::
.FITTING .GREASE
**.::D IRECT: :.ORDER
2 L7nes Total Qty Shipped 4 Total 1Z 28`:
Frei 4.70
4.70
Invoice:Total 21.98
Last Page ORIGINAL Cash Discount 0.00 If Paid By 08/13/09
1.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
S1 U ce =Z ee cc- 7i d K� Purchase Order No.
cI, _/Xf 6) Terms
';7,y Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 07/. 7?
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
&hAwiakjs IN SUM OF
al. 9k
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
S- -cam 9 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
20
ignat
'title
Cost distribution ledger classification if
claim paid motor vehicle highway fund