208207 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 025235 Page 1 of 1
ONE CIVIC SQUARE BEHIND THE SEAMS, INC
CHECK AMOUNT: $1,165.00
CARMEL, INDIANA 46032 14544 LYNN AVE
FISHERS IN 46038 CHECK NUMBER: 208207
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 764778 1,165.00 OTHER CONT SERVICES
BE ID THE SE AMS, INC INVOICE NO. a�
14344 LYNN AVENUE za 7
FISHERS, 1 46038
(317) 776 -1849 INVOIC
SO TO SHIPPED TO VIA
ADDRESS ADDRESS i
CITY, STATE ZIP CITY, STATE, ZIP
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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))
764778 $1,165.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Behind the Seams
IN SUM OF
14544 Lynn Avenue
Fishers, IN 46038
$1,165.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
r
1120 I 764778 I 43- 509.00 I $1,165.00 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
APR o o ern M
l a
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund