177732 09/29/2009 a CITY OF CARMEL, INDIANA VENDOR: 00352542 Page 1 of 1
1 ONE CIVIC SQUARE KENNEY OUTDOOR SOLUTIONS CHECK AMOUNT: $38.24
CARMEL, INDIANA 46032 PO BOX 1142
INDIANAPOLIS IN 46206 -1142 CHECK NUMBER: 177732
CHECK DATE: 9/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESC
1207 4350000 553384 -0.0 38.24 EQUIPMENT REPAIRS M
.z
8420 Zionsville Road INVOICE
If Indianapolis, IN 46268 L
,QKENNEY
OUTDOOR SOLUTIONS (317h 872 -4793 Fax (317) 879 -2331
UPC V I': INVOICE:DAT Em;
INVOICE NO.
0000 09/17/09 1 553384 -00
SALES REP:` PAGE #'i;,;'
CFOST. 170 2080 1
SHIP To: CITY OF CARMEL /BROOKSHIRE
12120 BROOKSHIRE PARKWAY REMIT TO: KENNEY OUTDOOR SOLUTIONS
CARMEL, IN 46033 -3314 P.O. BOX 1142
INDIANAPOLIS, IN 46206 -1142
BILL To: CITY OF CARMEL /BROOKSHIRE
12120 BROOKSHIRE PARKWAY
CARMEL, IN 46033.3314
F.INSTflUGTIO.NS ;>WAREHOUSENO.Ji'
lz4408660341964310
SHIP PRINT' I'? ,SHIP VlA SHIPPED. TERMS
Kenney Outdoor Solution UPS Ground 09/ 0
17/09 Net 10th Prx
LINE PRODUCT QUANTITY QUANTITY QTY QTY UNIT
No': IAND DESCRIPTION I' "tORRERED:I.. B 0. :SHIP.PED. UIM PRICE NET
TOTAL
1 65'6270 2 0 2 EA 11.75 23 :50
BOLT.:BEDBAR
1 Lines Total Qty Shlpped;Total 2 Total 23.50`
FreightParts 14.74
Invoice :Total 38.24
Last Page ORIGINAL Cash Discount 0.00 If Paid By 09/17/09
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
�/J b_ Ti6 s_)S Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
PSI J� 200
S' nature bly
Tile
Cost distribution ledger classification if
claim paid motor vehicle highway fund