169544 03/04/2009 CITY OF CARMEL, INDIANA VENDOR. 361941 Page 1 of 1
ONE CIVIC SQUARE MOSS GLASS CO
0 CHECK AMOUNT: $3,165.00
CARMEL, INDIANA 46032 2507E 8TH ST
ANDERSON IN 46012 CHECK NUMBER: 169544
CHECK DATE: 31412D09
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBE AMOUNT DESCRIPTION
1205 R4463000 18463 2- 183494.:: 3,165.00 COUNCIL CHAMBER SEAL
3
lx
r'. 5
2507 East 8th St.
Anderson, IN 46012
LASS Ph. 765.642.4946
E'ST. 1946' Fax. 765.643.0439
cr:Nr:anTior`s or rxcr:i.i.r:Nr.e www.mossglass.com
Invoice: 2- 183494
Date: 02/11/2009
Sold To: Scheduled:
CITY OF CARMEL
I CIVIC SQUARE
CARMEL IN 46032
CsrA.IL Tech: PO TermsNET 30
Q Part Description Item Total
1.00 MISC 42" tempered glass with city seal painted 3,165.00
Your Flat invoice message here.
Signature
Tax Total Payments Balance
0.00 3,165.00 0.00 3,165.00
Customer Copy vers:8.038 Page: I of 1
COMMERCIAL RESIDENTIAL STAINED GLASS
Glazing Contractors o Replacement Windows e New Design Restoration
Replacement Classs 0 Mirror Walls o Storm Glazing
Aluminum Door Repair o Shower Enclosures 0 Custom Etching
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
M oss Glass CO. Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02111/09 2-18349-47 rr te-I i ipe. ed glass wit! i city sual paii ited $3, 165.00
t
Total
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.
20
Clerk- Treasurer
VOUCHER NO WARRANT NO.
03702/
`,Moss Glass Co. ALLOWED 20
IN SUM OF
2507 East 8th Street
Anderson, 1N 46012
$3,165.00
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
D INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
.1 84A fina 2- 183494 0 dnaterials or services itemized thereon for
which charge is made were ordered and
received except
20
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund