168162 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 00353396 Page 1 of 1
i ONE CIVIC SQUARE R V HALLAM PLUMBING CO INC CHECK AMOUNT: $460.00
CARMEL, INDIANA 46032 180 S CHERRY STREET
ra WESTFIELD IN 46074 CHECK NUMBER: 168162
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350100 15923 460.00 BUILDING REPAIRS MA
.r. R V HALLAM PLUMBING CO INC
Lic. #PC81051125
180 STR EET
W STF E D, IN 46074 15923
PHONE DATE ORD
(317) -.896 -5180
ORDER T& BY C TOM R'S ORDER NUMBER
GY
TO Gl �/�S DAY WORK El CONTRACT EXTRA
JOB NAME/NUMBER
G JOB LOCATION
JOB PHONE STARTING DATE
TERMS: Net 20 days. A finance charge of I/
per per month (18%
per annum) will be charged on unpaid balance.
QTY. MATERIAL PRICE AMOUNT DESCRIP ON OF WORK
a�
JAN 0 200
OTHEWCHARGES
cam+• o>t���.�
za
r J. ...h.
Line
TOTAL OTHER
LABOR HRS. RATE AMOUNT
1 2 2008
PLEASE PAY FROM THIS INVOICE TOTAL LABOR
DATE COMPLETED TOTAL MATERIALS TOTAL MATERIALS
TOTAL OTHER
Work ordered by SERVICE CALL
TAX
Signature
I hereby acknowledge the satisfactory completion of the above described work. TOTAL
0
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. 19501 F
353396 R V Hallam Plumbing Co., Inc. Terms
180 S. Cherry Street Date Due
Westfield, IN 46074
r
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11119/08 15923 Repairs to meeting house 460.00
Total 460.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
353396 R V Hallam Plumbing Co., Inc. Allowed 20
180 S. Cherry Street
Westfield, IN 46074
In Sum of
460.00
t�
ON ACCOUNT OF APPROPRIATION FOR
101 General 'Fund
PO# or INVOICE NO. ckCCT #/TITLE AMOUNT Board Members
Dept
1125 15923 4350100 460.00
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
12 -Jan 2009
Signature
460.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund