209366 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 00352550 Page 1 of 1
ONE CIVIC SQUARE T -METAL WORKS, INC.
=4�? CARMEL, INDIANA 46032 1813 E 109TH STREET CHECK AMOUNT: $50.00
INDIANAPOLIS IN 46280 CHECK NUMBER: 209366
CHECK DATE: 5122/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 TI -24603 50.00 REPAIR PARTS
VOUCHER NO. WARRANT NO.
ALLOWED 20
T- MetalWorks, Inc.
IN SUM OF
1813 E. 109th St.
Indianapolis, IN 46280
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 I TI -24603 I 42- 370.001 $50.00 1 hereby certify that the attached invoice(s), or
1 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
urs ,May 17, 2012
Street Commi si ner
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))
04/30/12 TI -24603 $50.00
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