173412 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 353637 Page 1 of 1
ONE CIVIC SQUARE L W CONSTRUCTION CO
0 CARMEL, INDIANA 46032 1132 S RANGELINE ROAD CHECK AMOUNT: $503.88
SUITE 100
CARMEL IN 46032 CHECK NUMBER: 173412
CHECK DATE: 6/10/2009
DEPARTMENT ACCOUNT PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239000 20952 52009 -JW2 503.88 POOL CHEMICALS
�j
100
L W Construction Company, Inc.
I nvoi c e
1132 South Rangeline Road Qlp
Suite 100 DATE INVOICE
Carmel, In. 46032
5/22/2009 52009 -J W2
BILL TO JOB
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
1425 E. 116TH STREET 1425 E. 116TH STREET
CARMEL, IN. 46032 CARMEL, IN, 46032
P.O. NO. TERMS
20952 NET 30 DAYS
QUANTITY DESCRIPTION RATE AMOUNT
4 55 LB BUCKETS PPG ACCU -TABS 125.97 503.88
Pumhaw
DescripgW
P.O.
P Of F r 7 7 r -7
G.L.
Una Descr JUN 0 1 3 009
Purchaser pats
Approval Date S 2 Fl 0 BY:
Total $503.88
Phone Fax
317 -846 -6134 317- 816 -3150
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
353637 L W Construction Company, Inc. Terms
1132 South Rangeline Rd., Ste 100
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5122/09 52009 -JW2 Pool chemicals 20952 503.88
Total 503.88
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. Warrant No.
353637 L W Construction Company, Inc. Allowed 20
1132 South Rangeline Rd., Ste 100
Carmel, IN 46032
In Sum of
t�
503.88_.
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
20952 F 52009 -JW2 4239000 503.88 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
4 -Jun 2009
Signature
503.88 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund