169131 02/17/2009 =,q, CITY OF CARMEL, INDIANA VENDOR: 00353396 Page 1 of 1
ONE CIVIC SQUARE R V HALLAM PLUMBING CO INC CHECK AMOUNT: $49.95
t'4o CARMEL, INDIANA 46032 180 S CHERRY STREET
row WESTFIELD IN 46074 CHECK NUMBER: 169131
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1125 4238900 17383 49.95 OTHER MAINT SUPPLIES
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RAJ Hi LAM PLUMBING CO INC j(3 nm
Lic. #CO89200210
180 SOUTH CHERRY STREET 173
WESTFIELD, IN 46074
(317) 896 -5180 r PHONE DATE OF ORDER
9'
ORDER TAKEN BV CUSTOMER'S ORDER NUMBER
TO �I CQ [e -DAY WORK CONTRACT EXTRA
JOB NAME /NUMBER
y /do f'r
t JOB LOCATION
JOB PHONE STARTING DATE
TERMS: Net 20 days. A ffnance charge of 1 per month (18% per annum) will be charged on unpaid balance.
QTY ;MATERIAL PRI AMO m DESCRIPTION OF.WiORK 7,15,
5 POINT.;IN g
Water Pressure PSI
Water Heater Age Good Bad
Sump Pump Good Bad
Back Up Sump Pump Good Bad
Cloths Washer Hoses Good Bad
=a r LA80R- h' HR5 RATE-, 'AMO l
PAL Ord y
GLL O 13Y:
tme
TOTAL LABOR
DATE COMPLETED TOTAL MATERIALS TOTAL MATERIALS
TOTAL OTHER
Work ordered by
TAX
Signature
her owl edge -atis ctory omp efion of the ascribed work. TOTAL
'a' Gam. e
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
00353396 R V Hallam Plumbing Co., Inc. Terms
180 S. Cherry Street Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/10/09 17383 Drain cleaner for trailhead 49.95
Total 49.95
1 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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
00353396 R V Hallam Plumbing Co., Inc. Allowed 20
180 S. Cherry Street
Westfield, IN 46074
In Sum of
r_ 49.95
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. 0 ,CCT #/TITLE AMOUNT Board Members
Dept
1125 17383 4238900 49.95
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
13 -Feb 2009
Signature
49.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund