207017 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 354194 Page 1 of 1
ONE CIVIC SQUARE CRYOGENICS
CARMEL, INDIANA 46032 Po eox 5040 CHECK AMOUNT: $210.00
z oNSVILI_E IN 46077 CHECK NUMBER: 207017
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 120006 210.00 REPAIR PARTS
Invoice
P.O. Box 5040 C ZIONSVILLE, IN 4
PHONE (317) 769 -2796 FAX (317) 769 -3710 a Web cryogenicsofindiana.com
Date Invoice
Your Thermo Tempering of Metals Specialist
2/19/2012 120006
Bill To Ship To
Carmel Street Dept. Carmel Street Dept.
3400 West 131st Street 3400 West 131st Street
Carmel, IN 46074 Westfield, IN 46074
P.O. Number Terms Rep Ship Vi a 1=.0.6, Project
15 DAYS JC 2/19/2012 Customer Pick...
Quantity Item Code Description Price Each Shipped Amount
14 Bush I -log Blad CRYO TREAT BUSH HOG BLADES 15.00 210.00
a
Thank you for your business, If you have any tions please call 317 -989 -2796
Total $210.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cryogenics of Indiana
IN SUM OF
P. O. Box 5040
Zionsville, IN 46077
$210.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 120006 42 370.00 $210.00 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
�l Thursday, Mach 08, 2012
YL'
Street Commissidn V
Street C- ifiemissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
02/19/12 120006 $210.00
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