180246 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00350811 Page 1 of 1
ONE CIVIC SQUARE RENEWED PERFORMANCE INC (RPI) CHECK AMOUNT: $1,456.00
CARMEL, INDIANA 46032 PO BOX 196
TIPTON IN 46072 -0196 CHECK NUMBER: 180246
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION
1120 4351000 6277 1,456.00 AUTO REPAIR MAINTEN
T.
`f INVOICE
0 ON Remit To: DATE INVOICE
P.O. BOX 196
RENEWED PERFORMANCE, INC. TIPTON, IN 46072 -0196 11/23/2009 6277
PH. (765) 675 -7586 FAX (765) 675 -7589
BILLTO:
Carmel Fire Department
Attn: Bob Vanvoorst
2 Civic Square
Carmel, IN 46032
Customer Order NO. —TERRS
Due Upon Receipt
DESCRIPTION AMOUNT
REPLACED BOTH WINDSHIELDS ON ONE KME CUSTOM FIRE TRUCK
(ENGINE 43) PER THE PROPOSAL DATED 11/09/09 1,456.00
Thank you TOTAL
$1,456.00
FPI INV01CLDmd IfttV. MOO MPI, Inc 11551 5]5 -9556 t
VOUC NO. WARRANT NO.
ALLOWED 20
FOP I
Renewed Performance Inc. IN SUM OF
P.O. Box 196
Tipton, IN 46074
$1, 456.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 6277 43- 510.00 $1,456.00 I 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
DEC 2009
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.
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))
6277 $1,456.00
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