179441 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 362843 Page 1 of 1
ONE CIVIC SQUARE TRAFFIC LOGIX INC
INDIANA 46032 CHECK AMOUNT: $152.00
CARMEL
-.a 3 HARRIET LANE
SPRING VALLEY NY 10977 CHECK NUMBER: 179441
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4462000 1 -12326 152.00 OTHER STRUCTURE IMPRO
Logix Inc Invoice No
r 3 Harriet Lane I 12326
Spring Valley, NY 10977
Phone: 1 Fax:
1- 866- 99LOGIX Sep 11, 2009
J1 www.trafficlogix.com Page 1 of 1
G.S.T No: P.S.T No:
J J INVOICE
Soid To Ship To
City of Carmel City of Carmel
One Civic Square 3400 W. 131 st Street
Carmel IN 46032 Westfield, IN 46074
US
Phone: 317-571-2441 Fax: 317-571-2439 PST#
Cust. PO No. Sales Order No. Terms
9 -4 -09 7914 1 10 Days, Net 30
Customer ID F, O. B. Ship VIA
CAR015
LN uantit Part# Description Unit Unit Price Extended
Ordered Shipped B/O
1 600 600 0 23599 EA 0.92 552.00
Speed Hump Lagbolts
Subtotal: $552.00
Freight: 152.00
USD Total: $704.00
CUSTOMER COPY
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
z
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
Traffic Logix INC.
Purchase Order No.
3 Harriet Lane
Terms
Spring Valley, NY 10977
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/11/09 1 -12326 Speed Hump supplies $152.00
(missed shipping charges 1 st time pa)
Total
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.
ALLOWED 20
Traffic Logix INC. IN SUM OF
3 Harriet Lane
Spring Valley, NY 10977
$152.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a 1 -12326 2200- R446200 $152.00 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
111 L1
20 0-0/
Signature
�L E.vnq, yuu7l
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund