206738 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 358649 Page 1 of 1
ONE CIVIC SQUARE LIBERTY ART WORKS, INC
CHECK AMOUNT: $3,000.00
CARMEL, INDIANA 46032 Po sox 36
DUTZOWMO 63342 CHECK NUMBER: 206738
CHECK DATE: 2/2812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 24297 20228 3,000.00
LIBERTY ART WORKS -INC.
PH. 1- 888 411-7744
PO BOX 38
DUTZOW, MO 83342
"w.liberryart orks.aam Mug ug @g 0
1/24/2012 20228
o
oa�a Ship To
CARNET. FIRE DEPT. Ld4444 CARIVIEL FIRE DEPT.
C/O ANDY W ANT DENISE
ONE CIVIC SQUARE 2 CIVIC AQUARE
CARIVIEL IN 46032 CAL, IN 46032
P.O. No. Terms Ship Ilia Required By Date Shipped
24297 Net 30 UPS
008 MWWse Cross Axe NO TAO HANDLE 10 285.00 2,850,04
2 Sh4n)ing tap to $200 $399 DISCOUNTED. PER 10 15 150.00
BOB
iVLl S1lW i4 V '!1 JLlLE L'a It ]FI REI �'kJ H LL E .LL' ®R
�F'II��IEIF IGHT`IERS TO TA L �C�c� $3,000.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Liberty Art Works
IN SUM OF
P.O. Box 38
Dutzow, MO 63342
$3,000.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
24297 I 20228 102 670.99 I $3,000.00 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
FEB 2 4 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
20228 $3,000.00
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