178838 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 00352548 Page 1 of 1
ONE CIVIC SQUARE RCS CONTRACTOR SUPPLIES INC
4t CARMEL, INDIANA 46032 PO BOX 541 CHECK AMOUNT: $209.23
NOBLESVILLE IN 46061
CHECK NUMBER: 178838
CHECK DATE: 10/28/2009
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
-i
2201 4235000 34959 209.23 BUILDING MATERIAL
I nvoice
RCS Contractor Suppiies, Azc.
5000 E. Conner Street Invoice Number:
P:O. Box 541 .39'_; 59
Noblesville, IIJ 46061
Invoice Date.
UOICe' {317) 773 -4223 Oct 20, 20091
Fax- (37 -7) 773- 42 65 Pagel
1
Sold To: Ship to:
CARMEL STREET DEPARTMENT
3400 w. 131st STREET
WEST]FTELD, IN 46,079
__C Customer P_ O i P- avrn_ent -Terms_-
CARMEL STREET DE PINT C IT'r HALL
Net 30 Days
S ak,:s Rep. ID Shipping Method_ Ship Date Du e D ate_ i
BOLIVAR WALK --IN Customer Pick. Up
uantity m
Ite_ —vm
Q Description Unit Price E xtension
7.00 HFC 8E9 -420 4 ":=_L2' FLEXIBLE POLY FORM09.23
PICKED UP BY MARK OTTINGER
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IIII i r
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Picked Up By fj' Subtotal
X09.2=
Sales Tax
Freight
Check No: Total Invoice Amount 209.23
Payment Received 0.00
Interest rate is 18% annually. TOTAL 209.23
Customer is responsible for any collection court costs and attorney fees.
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))
10/20/09 34959 $209.23
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. W NO.
ALLOWED 20
RCS Contractor Supplies
IN SUM OF
P. O. Box 541
Noblesville, IN 46060
$209.23
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 34959 42- 350.00 $209.23 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
h Thurs Q er 22, 2009
e'Al
r
r
Street Commissi n r
C+ "root r'im�.'
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund