172108 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362217 Page 1 of 1
ONE CIVIC SQUARE Z -COIL
CARMEL, INDIANA 46032 1362 S RANGELINE ROAN CHECK AMOUNT: $159.99
CARMEL IN 46032 CHECK NUMBER: 172108
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 1538 159.99 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))
04/16/09 1538 $159.99
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
20
Clerk Treasurer
VOUCHER NO. WA RRANT NO.
ALLOWED 20
Z Coil
IN SUM OF
1362 S. Rangeline Road
Carmel, IN 46032
$159.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 1538 43- 560.03 $159.99 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
:r
1 ne Apri 22, 2009
qtr f ,4 M, �t�r� er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund