180875 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 363743 Page 1 of 1
ONE CIVIC SQUARE MAGIC SALT OF CENTRAL INDIANA CHECK AMOUNT: $2,000.00
CARMEL, INDIANA 46032 8494 BROOKWLLE ROAD
INDIANAPOLIS IN 46239
CHECK NUMBER: 180875
CHECK DATE: 12/3012009
DEPARTMENT ACCOUNT PO N UMBER INVOICE NU MBE R AMOUNT DESCRIPTION
2201 4236500 MCSI -1002 2,000.00 SALT CALCIUM
Magic Salt of Central Indiana Invoice Date: 12/23/2009
8494 Brookville Rd Invoice: MSCI -1002
Indianapolis, IN 46239 Payment Terms:
PO Number:
I
:Customer: Invoic,e.Address`
Carmel Street Dept.
I
i
Description; Qty: Rate /Ton.' Total
500 Gallons of Magic Enviro 500 $4.00 $2,000.00 i
$0.00
$0.00
$0.00
$0.00
$0.00
I
I
Please Remit Payment forAhe-Amount of: $2,000.00
i
4
i f
I
k
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))
12/23/09 MCSI -1002 $2,000.00
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.
ALLOWED 20
Magic Salt of Central Indiana
IN SUM OF
8494 Brookville Rd.
Indianapolis, IN 46239
-d
$2,000.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 MCSI -1002 42- 365.00 $2,000.00 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
Monday, D I mber 28, 2009
f
Str&"f agloner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund