169613 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 361114 Page 1 of 1
0 ONE CIVIC SQUARE SELECTIVE SYSTEMS INC.
o CARMEL, INDIANA 46032 4230 S MADISON AVE CHECK AMOUNT: $236.99
INDPLS IN 46227 CHECK NUMBER: 169613
CHECK DATE: 3!4!2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4341955 09 -..60 236.99 INFO SYS`MAZNT /CONTRA
invoice
eaecfi ve 5 to ts, nc� UT'E INVOICE
4230 5 Madison Ave'.
2/12/ 09 #60
Ihdiarrdipol s,. iN 462
(317 '83'-OM 783 +3
B .TV SWIG o.
Carmel Clay, forks A Re4reatior car rttef "Clay Parks Reereatiort
Attu; Aaourits �Payoble: Carrr�el .Clay .1+1!est
1235 Central Park brive East
Carmel, IN "46032:
P., 0, NUMBER T I E ft NMIs REP SHIP PROJECT
5. Were Dui at3. r&cipt Neil
QUANT Y xt`E GPID UfM bESGR #�TItJ PR10E' AMQIJf
3 FONDER 782iri.0.5 +apply X9.99 59.99T
2 'technical Repl sced k dd,'pavver- supply f om a 88:50 17
�QCt�mc7 to: a'1250ina
Tax` Exern 0.00 0,00
FAG' F,IVFD
FEB 1 3 2009
BY:
PtwdWe
PAS
�.Lli `t- t ov ..toa --'i3 15S
Total $23 6.99
Coll Us For HIO, Flat Parcel bispAays, ,Surround Sound Systen%s, Closed Circuit Cameras and Mobile Satellite
Systems far RY'.s, .8oats, Etc.
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.
Selective Systems, Inc. Terms
4230 S Madison Ave
Indianapolis, IN 46227
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2112109 09 -60 Replace power supply for fitness desk 236.99
Total 23£.99
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.
Selective Systems, Inc. Allowed 20
4230 S Madison Ave
Indianapolis, IN 46227,
In Sum of
236.99
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. kCCT WTITLE AMOUNT Board Members
Dept
1047 09 -60 4341955 236.99 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
26 -Feb 2009
Signature
236.99 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund