207120 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 00351189 Page 1 of 1
ONE CIVIC SQUARE J M SUPPLY
CARMEL, INDIANA 46032 PO BOX 1184 CHECK AMOUNT: $67.40
CARMEL IN 46032 CHECK NUMBER: 207120
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 18768 67.40 OTHER MISCELLANOUS
J M Supply Corp INVOICE
PO Box 1184
a.... �u
Carmel, IN 46082 -1184 DATE ORDER NO.
(31 844 -3009 3/2/2012 18768
BILL TO SHIP TO
Carmel Fire Department Carmel Fire Department
2 Carmel Civic Square 2 Carmel Civic Square
Carmel IN 46032 Carmel IN 46032
Att'n. Gary Carter
P.O. NO. TERMS SHIP DATE SHIP VIA FOB VENDOR NO.
VERBAL Net 20 3/212012 Our Truck Delivered
ITEM DESCRIPTION QTY UNIT PRICE B/O AMOUNT
7755 -5 Squeegee fixed head w/ locking blade 28" white 2 33.70 0 67.40
Order Complete
Total $67.40
VOUCHER NO. WARRANT NO,
ALLOWED 20
J M Supply
IN SUM OF
P.O. Box 1184
Carmel, IN 46032
$67.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE I AMOUNT Board Members
1120 I 18768 J I 42- 390.99 1 $67.40 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
MAR 12 2012
t
Fire Chief
Title
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))
18768 $67.40
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