167648 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 184000 Page 1 of 1
ONE CIVIC SQUARE LEE SUPPLY CORP CARMEL
s• e CARMEL, INDIANA 46032 CHECK AMOUNT: $180.00
`zc PO BOX 681430
INDIANAPOLIS IN 46268- CHECK NUMBER: 167648
CHECK DATE: 1/7/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AM DESCRIPTION
2201 4350100 4622627 180.00 BUILDING REPAIRS MA
LEE SUPPLY CORP. Wh olesale Distributors
6610 GUION ROAD y��y�� pp
P.O. BOX 681430 1 r'(
ICI
INDIANAPOLIS, IN 46268
FID 35- 1310996 MAINTENANCE FARTS AND SUPPLIES 4 62 2627--
p a -k�;. 22 2 0.8
QQ Carmel Carmel 46,22627
Q.�
EE SUPPLY CORP. 'ILee Supply Corp. 2 00719
t
=415 W Carmel Drive
'O BOX 681430 00
Y
INDIANAPOLIS, IN Carmel, IN 46032
4-6-268-7430 T� ephQne�:_3.1 Z -8 -4.4 4
Q CARMEL STREET DEPT p CARMEL STREET DEPT
3400 W. 131ST ST. a�3400 W. 131ST ST.
:p WESTFIELD, IN p, ESTFIELD, IN
46074 O' 46074
y a
i
•l l C`JU�:.LI'LL1lS Il'f/:h I1/�,U CJ:./.•J UI:.M CJCO.T 599 6 l:'il:ag L:J:.YI L3 CLlllr L:A.:Yll7 C U111YlYLi/J.�J uzfium
3HOP HSE 1/10/09 11/26/08 Direct Prepay /Add
i
P 1 IAlJIJ p p p p 0 1
1
36000726176 OMEGA II COMB BLWR ASSY EA 1 180.0000 180.00
Payment of Due On --If Paid By You we
622627 180.00 1/10/09 1/10/09 183.00
c
I
NEW WINTER HOURS NO RETURNS ACCEPTED AMOUNT TA 1 O 00
WITHOUT PRIOR AUTHORIZATION O O
AT OUR INDIANAPOLIS CARMEL LOCATIONS ALL CLAIMS FOR DAMAGE MUST BE XAMT I`
INDIANAPOLIS 7 3 OAM- 5 O O PM M- F SAT 8 O OAM -11 O OAM FILED WITH CARRIER FREIGHT i 00
CARMEL 7 0-AM- 5_._O_OPM -M -F SAT 8_, -O_0AM�2- ,_O -O.PM A service charge equivalent to 2% then .00
per month (24 /p per annum) will
tAL
be added to past due invoices. 180.00
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
S Date Number (or note attached invoice(s) or bill(s))
12/22/08 4622627 $180.00
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
V NO. W NO.
ALLOWED 20
Lee Supply
IN SUM OF
P. O. Box 681430
Indianapolis, IN 46268 -7430
$180.00
ON ACCOUNT OF APPRO ATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board MembE
2201 4622627 43- 501.00 $180.00 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
Wedne y 2001
111 Ilbsion
..d
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund