207231 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 353511 Page 1 of 1
ONE CIVIC SQUARE STOUTS SHOES CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 318 MASSACHUSETTS AVE
INDIANAPOLIS IN 46204 CHECK NUMBER: 207231
CHECK DATE: 3113/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 3125 150.00 MA'T'ERIALS SUPPLIES
STOUTS Invoice
318 MASSACHUSETTS
INDIANAPOLIS, IN 46204 -2187 DATE INVOICE
3/1/2012 3125
BILL TO
CARMEL UTILITIES
3450 WEST 131ST ST
WESTFIELD, IN 46074
P.O. NO. TERMS
CARMEL Net 30
DESCRIPTION QTY RATE AMOUNT
PURCHASED BY BRIAN TOLAN 1/24/2012
1007043 130 2E KEEN 1 180.00 180.00
Total $180.00
VOUCHER 113925 WARRANT ALLOWED
353511 IN SUM OF
STOUTS SHOES
318 MASSACHUSETTS AVENUE
INDIANAPOLIS, IN 46204
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
3125 01- 6200 -03 $150.00
Voucher Total $150.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
353511
STOUTS SHOES Purchase Order No.
318 MASSACHUSETTS AVENUE Terms
INDIANAPOLIS, IN 46204 Due Date 3/6/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/6/2012 3125 $150.00
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
J r
(a t
Date Officer