208488 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 364090 Page 1 of 1
ONE CIVIC SQUARE THOMAS JEFFERSON ROOFING 8, REMp ❑EL
CARMEL, INDIANA 46032 547 INDUSTRIAL DRIVE CHECK AMOUNT: $1,789.00
CARMEL IN 46032 CHECK NUMBER: 208488
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 1,789.00 OTHER CONT SERVICES
Declare Independence in Excellence Get It!
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547 Industrial Drive Carmel, IN 46032
1- 317- TIMELY -TOM Fax: (317) 846 -8640
INVOICE:
To: Carmel Communications Center Date: April 7, 2012
31 1 st Ave. NW
Carmel, IN 46032
Siding repair on south side of building $1,450.00
Emergency Temp $339.00
Total Due: $1,789.00
i
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))
04/07/12 $1,789.00
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
VOUCHE NO. WA RRANT NO.
ALLOWED 20
Thomas Jefferson Roofing Remodeling
IN SUM OF
547 Industrial Drive
Carmel, In 46032
$1,789.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 I I 43- 509.00 I $1,789.00 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
Wednesday, April 18, 2012
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund