172068 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 355216 Page 1 of 1
ONE CIVIC SQUARE THOMAS L GRANTHAM COMPANY INC
CARMEL, INDIANA 46032 14016 BRITTON PARK ROAD CHECK AMOUNT: $1,095.00
FISHERS IN 46038 CHECK NUMBER: 172068
CHECK DATE: 4/2912009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 3959 1,095.00 BUILDING REPAIRS MA
r
e' n.
F.
a
Grantha m Invoice
THOMAS L. GRANTHAM COMPANY, INC.
14016 Britton Park Road
Fishers, Indiana 46038
317-845-8888
Fax: 317-770-6160 Date
4/10 /2 009 0 0=9
Bill To Job Name
F
i Carmel Street Department
i 3400 W. 131 st Street
I
I Westfield IN 46074
P.O. No.
Terms Project
Net 15 days 37296
Quantity Description i Rate Amount
I Sales Service -Doug
)05
I Material sales GMT-CO-SI-A CO Monitor 1,005.00 l
7.00% 0.00
I i
Sales Tax
Total $1,095.00
Thank You!
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.
r
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/10/09 3959 $1,095.00
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
VOUCH NO. WARRAN NO.
ALLOWED 20
Thomas L. Grantham Company
IN SUM OF
14016 Britton Park Road
Fishers, IN 46038
$1,095.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 3959 43- 501.00 $1,095.00 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
Wedn ay, it 22, 2009
Street Commissioder`
ctrAQt
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund