177897 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 361278 Page 1 of 1
ONE CIVIC SQUARE WEBB EFFECTS LLC
CARMEL, INDIANA 46032 CHECK AMOUNT: $300.00
1000 OAK HILL LANE
'c, CICEROIN 46034 CHECK NUMBER: 177897
CHECK DATE: 9/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 2008 -131 300.00 OTHER CONT SERVICES
Webb Effects, LLC Invoice
1000 Oak. Hill Lane
Date invoice
Cicero, IN 46034
9/15/2009 2008 -131
Bill To Ship To
Carmel Fire Department
2 Civic Square
Carmel, In 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
9/15/2009
Quantity Item Code Description Price Each Amount
1 signs I 1 miscellaneous signs for safety day 300.00 300.00T
Tax Free 0.00% O.00
Total $300.00
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))
2008 -131 Safety Day Signs $300.00
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
VOUCHER NO. WARRANT NO.
Webb Effects, LLC ALLOWED 20
IN SUM OF
1000 Oak Hill Lane
Cicero, IN 46034
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 2008 -131 43- 509.00 $300.00 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
SEP 2 9 2009
U
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund