168670 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00353396 Page 1 of 1
ONE CIVIC SQUARE R V HALLAM PLUMBING CO INC
CARMEL, INDIANA 46032 180 S CHERRY STREET CHECK AMOUNT: $90.85
WESTFIELD IN 46074 CHECK NUMBER: 168670
CHECK DATE: 2/4/2009
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350100 17070 90.85 BUILDING REPAIRS MA
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R'V HALLAM PLUMBING CO INC 2
Lic. #C089200210
180 SOUTH CHERRY STREET 17070
WESTFIELD, IN 46074
(317) 896 -5180 PHONE DATE OF ORDER
ORDER TAKE CUSTOMER'S ORDER NUMBER
TO
1, [C ��ydEL EK E] Y WORK CONTRACT EXTRA
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JOB NAME /NUMBER
JOB LOCATION
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JOB PHONE STA TING DATE
TERMS: Net 20 days. A finance charge of 1' /aY per month (18% per annum) will be charged on unpaid balance.
QTY. MATERIAL PRI AMOU DESCRIPTION O WORK
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J I JAN 1 .3 NUSI
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5 POINT INSPECTION
Water Pressure PSI
Water Heater Age Good Bad
Sump Pump Good Bad
Back Up Sump Pump Good Bad
Cloths Washer Hoses Good Bad
LABOR HRS. RATE AMOUNT
Pumhase 1A
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Bud JAN 2 3 2009
Pur
TOTAL LABOR
DATE COMPLETED TOTAL MATERIALS TOTAL MATERIALS
TOTAL OTHER
Work ordered by j
TAX
Signature Q
I hereby acknowledge the satisfactory completion of the above described work. TOTAL
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.
353396 R V Hallam Plumbing Co., Inc. Terms
180 S. Cherry Street Date Due
Westfield, IN 46074
i
Invoice EN ce Description Amount
Date er (or note attached invoice(s) or bill(s))
11/29/08 0 Repairs to meeting house plumbing 90.85
Total 90.85
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
1
Voucher No. Warrant No.
353396 R V Hallam Plumbing Co., Inc. Allowed 20
180 S. Cherry Street
Westfield, IN 46074
In Sum of$
90.85
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. kCCT #/TITLE AMOUNT Board Members
Dept
1125 17070 4350100 90.85
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
2 -Feb 2009
Signature
90.85 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund