209059 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 025235 Page 1 of 1
ONE CIVIC SQUARE BEHIND THE SEAMS, INC
I CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 14544 LYNN AVE
FISHERS IN 46038 CHECK NUMBER: 209059
CHECK DATE: 512212012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 764786 100.00 OTHER CONT SERVICES
BEHIND THE S INC. INVOICE NO. '1
iu
14544 LYNN AVENUE
FISHERS, j N 460.38 INVOICE
.(317) 776. -1 "9
SOLD O SHIPPED TO VIA
ADDRESS ADDRESS
CITY, STATE, ZIP CITY, STATE, ZIP
GUSTO ERSGRDER SALESPERSON
60
8740
VOUCHER NO. WARRANT NO.
ALLOWED 20
Behind the Seams
IN SUM OF
14544 Lynn Avenue
Fishers, IN 46038
$100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 764786 I 43- 509.00 I $100.00 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
MAY 21 2 012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
764786 I I $100.00
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