175964 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 362217 Page 1 of 1
ONE CIVIC SQUARE Z -COIL
CARMEL, INDIANA 46032 1362 S RANGELINE ROAD CHECK AMOUNT: $292.98
CARMEL IN 46032 CHECK NUMBER: 175964
CHECK DATE: 8/6/2009
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2227 127.99 OTHER EXPENSES
2201 4356003 2240 164.99 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
362217
Z -COIL PAIN RELEIF FOOTWEAR Purchase Order No.
1362 S RANGELINE RD Terms
CARMEL, IN 46032 Due Date 7/28/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/28/2009 2227 $127.99
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
7/m/01 4 l+
Date Officer
VOUCHER 092486 WARRANT ALLOWED
62217 IN SUM OF
Z` -COIL PAIN RELEIF FOOTW
1362 S RANGELINE RD 4�
CARMEL, IN 46032���� O
O
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2227 01- 6200 -06 $127.99
Voucher Total $127.99
Cost distribution ledger classification if
claim paid under 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 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))
07/22/09 2240 $164.99
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. WARRA NO.
ALLOWED 20
Z -Coil
IN SUM OF
1362 S. Rangeline Road
Carmel, IN 46032
$164.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 2240 43 560.03 $164.99 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materiafs or services itemized thereon for
which charge is made were ordered and
received except
Thgrs`day, �U4 30, 2009
f t i!
Street Commissiorrer��
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund