177909 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362217 Page 1 of 1
ONE CIVIC SQUARE Z -COIL CHECK AMOUNT: $359.99
CARMEL, INDIANA 46032 1362 S RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 177909
CHECK DATE: 9129/2009
DEPAR ACCOUNT PO NUMBER INVOICE NUMBER AMOU DESCRIPTION
601 5023990 2723 150.00 OTHER EXPENSES
2201 4356003 2785 209.99 SAFETY ACCESSORIES
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))
09/23/09 2785 $209.99
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 N
ALLOWED 20
Z -Coil
IN SUM OF
1362 S. Rangeline Road
Carmel, IN 46032
$209.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
'2201 2785 43- 560.03 $209.99 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
J,,hursday, Sept er 24, 2009
Street Commissio q!�r
St
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 of service rendered, by whom, rates per day, number of units, 1
price per unit, etc.
�t*
Payee
362217
Z -COIL PAIN RELEIF FOOTWEAR Purchase Order No.
1362 S RANGELINE RD Terms
CARMEL, IN 46032 Due Date 9/21/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/2112009 2723 $150.00
a
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
Date Officer
VOUCHER 093000 WARRANT ALLOWED
362217 IN SUM OF
Z :COIL PAIN RELEIF FOOTW
1362 S RANGELINE RD
�l( CARMEL, IN 46032 Z 1
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2723 01- 6200 -06 $150.00
Voucher Total $150.00
Cost distribution ledger classification if
claim paid under vehicle highway fund