179472 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 362217 Page 1 of 1
r ONE CIVIC SQUARE Z -COIL CHECK AMOUNT: $383.97
CARMEL, INDIANA 46032 1362 S RANGEUNE ROAD
CARMEL IN 46032
CHECK NUMBER: 179472
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239012 3042 127.99 SAFETY SUPPLIES
1047 4239012 3052 127.99 SAFETY SUPPLIES
1047 4239012 3078 127.99 SAFETY SUPPLIES
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.
Z -Coil Pain Relief Footwear Terms
1362 S. Range Line Rd
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/23/09 3052 Maintenance footwear/ W.Loveall 127.99
10/17/02 3042 Maintenance footwear J. Bartle 127
10/25/09 3078 Maintenance footwear/ J. Kerr 127.99
Total 383.97
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
Voucher No. Warrant No,
Z -Coil Pain Relief Footwear Allowed 20
1362 S. Range Line Rd
Carmel, IN 46032
In Sum of
383.97
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 3052 4239012 127.99 1 hereby certify that the attached invoice(s), or
1047 3042 4239012 127.99 bill(s) is (are) true and correct and that the
1047 3078 4239012 127.99 materials or services itemized thereon for
which charge is made were ordered and
received except
5 -Nov 2009
Signature
383.97 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund