168214 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 355216 Page 1 of 1
ONE CIVIC SQUARE THOMAS L GRANTHAM COMPANY INC CHECK AMOUNT: $552.25
CARMEL, INDIANA 46032 14016 BRITTON PARK ROAD
FISHERS IN 46038 CHECK NUMBER: 168214
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
2201 4350100 3836 552.25 BUILDING REPAIRS MA
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Grantham Invoice
THOMAS L. GRANTHAM COMPANY, INC.
14016 Britton Park Road
Fishers, Indiana 46038
317-845-8888 r-----
Fax: 317-770-6160 Date IL Invoice
1/9/2009 3836
Bill To Job Name
Carmel Street Department
3400 W. 131st Street
Westfield IN 46074
P.O. No. T' Terms Project
Net 15 days 3 716
Jeff Stewart i6
Quantity T Description T Rate Amount
4.25 Sales Service Allen 12/22/08 115.00 488.75
6'Material sales Fuses 2.25 13.50
I Waterial sales Ra;; Module 20.00E 20.00
I Material sales safnple gas 1 10.00
30.00
Sales Tax 7.00% 0.00
Total $552.25
Thank You r
THOMAS L.
037266
GRANTHAM CO., ING' PAGE OF
9099 TECHNOLOGY DRIVE W.O. NUMBER
F FISHERS, INDIANA 46038
317-845-8888 PROJECT NUMBER P:O. NUMBER
BILL TO NAME ADDRESS JOB NAME ADDRESS
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DATE WORK PERFORMED
A STRAIGHT TIME STRAIGHT TIME
B OVERTIME OVER TIME `7
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R TRAVELTIME TRAVEL TIME
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MILEAGE
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0 QUANT. PART NUMBER DESCRIPTION EACH PRICE AMOUNT
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CUSTOMER SIGNATURE DATE TECHNICIAN
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))
01/09/09 3836
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
VOU NO. WARRA NO.
Thomas L. Grantham Company ALLOWED 20
IN SUM OF
14016 Britton Park Road
Fishers, IN 46038
F ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member
2201 3836 43- 501.00 5 I 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
lJ Saturday, January 17, 2001
Str et Comm ssioi
Street C
x"t�iSSit�f��r
Cost distribution ledger classification if
claim paid motor vehicle highway fund