171921 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 184000 Page 1 of 1
°g ONE CIVIC SQUARE LEE SUPPLY CORP CARMEL CHECK AMOUNT: $5.86
CARMEL, INDIANA 46032 PO BOX 681430
INDIANAPOLIS IN 46268- CHECK NUMBER: 171921
CHECK DATE: 4129/2009
DEPART ACCOUNT PO NUMBER I N UMBER AMO UNT DESCRIPTION
1120 4237000 4703734 5.86 REPAIR PARTS
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y 4
LEE SUPPLY CORP. tNhale»Ie Drstributors
r 6610 GUION ROAD INVOICE
P.O. BOX 681430
�'t U „vv v'E LL SUPPLIES
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INDIANAPOLIS, IN 46268 SUILDE PRODUG 1
FID 35-1310996 IVAIvIENANCE PAR IS AND SUPPLIES 4703734
4/15/09
p Carmel Carmel 4703734
LEE SUPPLY CORP. ,Lee Supply Corp. °4 2 -00710
P.O. BOX 681430 415 W. Carmel Drive Y 0 0 2
gsINDIANAPOLIS, IN Carmel, IN 46032
4.6.2 6.8 ephone_;_3.1 8A
CARMEL FIRE DEPT Customer Pickup
='2 CIVIC SQUARE
CARMEL, IN x
46032
TATION 44 STATION 44 HSE 5/10/09 4/15/09 Pickup
u
1 ••oD o D o p ill "�U -1 (r' D o
L40133 EZFLO 1 -1/4 CASTBR CLO SPUD EA 1 5.8600 5.86
Payment of Due On If Paid By You we
703734 5.86 5/10/09 5/10/09 5.86
1
CCEPTED WE ARE EXCITED TO INTRODUCE RINNAI 4.NO AMOUNT 5..86._
R AUTHORIZATION o YANKEES S WATER HEATERS aaMAGE nnusrBE TAXAMT 0 0 ARRIVING SOON AT YOUR LOCAL BRANCH IER FREIGHT 00
A service charge equivalent to 2 °/p
per month (24% per annum) will
be added to past due invoices. 5.
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, bye;
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))
4703734 Misc. Parts $5.86
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.
Lee Supply ALLOWED 20
IN SUM OF
P.0 Box 681430
Indianapolis, IN 46268
$5.86
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 4703734 42- 370.00 $5.86 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
APR 2 7 2009
r
r f r
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund