171129 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00351542 Page 1 of 1
0 ONE CIVIC SQUARE VERDIN COMPANY CHECK AMOUNT: $445-00
CARMEL, INDIANA 46032 PO BOX 632672
CINCINNATI OH 45263 -2672
CHECK NUMBER: 171129
CHECK DATE: 4/16/2009
DEPARTMENT ACCOU PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 18780 00992508 445.00 ROTARY CLOCK
VERDIN THE VER:BIN COMPANY PLEASE REMIT TO:
444 READING ROAD
CINCINNATI, OH 45202 THE VERDIN COMPANY 00992508 1
PH: 513-241-4010 P.O. BOX 630653 INVOICE DATE
SfNCEI 2 FAX: 513-241-1855 CINCINNATI, OH 45263 -0653 03/31/09
BALL TO City of Carmel Rotary Clock SHIP TO:
City of Carmel Rotary C
c/o Carmel Street Dept. c/o Carmel Street Dept.
3400 West 131 Street 3400 West 131 Street
Westfield, IN 46074 Westfield, IN 46074
VERDIN CUSTOMER NO: "CUSTOMER P.O.,NUN JOB, NUMBER
SHIP YIA;'
%'ORDtR DATE 1B ER
03/31/09 INCA008 JAMES BENTLY
Service Call .00
Street Clock Equipment
Service Call and Initial Hour 400.00
Tech: Bradley Date: 03/19/09
Service Labor 45.00
Additional Hour(s)
COMMENTS: SALE AMOUNT 445.00
If you have questions regarding SHIPPING /HANDLING .00
this invoice, please call Debi SALES TAX .00
Stafford 800 -543 -0488 Ext 1278. TOTAL 445.00
TERMS: Net Cash AMOUNT RECEIVED .00
r 445.00
Paperware O by Exact Forms'" To Reorder Forms (800) 468 -0834 ext. 2602 www.exactamer[ca.com /exactforms FP709 modified IN446632
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))
03/31/09 00992508 $445.00
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. WA RRANT NO.
The Verdin Company ALLOWED 20
IN SUM OF
P. O. Box 430653
Cincinnati, OH 45263 -0653
$445.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
18780 00992508 43- 509.00 $445.00 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
Thu jsd,hy, A r�1909, 2009
Street Commissio pry
S t r eQt i fe MiSSiener
Cost distribution ledger classification if
claim paid motor vehicle highway fund