209251 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 366260 Page 1 of 1
ONE CIVIC SQUARE MAJESTIC STEAMER
CARMEL, INDIANA 46032 1378 S RANGELINE ROAD CHECK AMOUNT: $75.00
CARMEL IN 46032 CHECK NUMBER: 209251
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 22836 75.00 BUILDING REPAIRS MA
A CAMEL, IN 46032
1378 S. RANGELINE RD. JOB WORK 01WEIR
MAJESTIC
PHR317- 70•CLEAN 22836
STEAMER DATE OF ORDER
CUSTOMER'S ORDER NO. PHONE MECHANIC HELPER STARTING DATE
I le
BILLTO ORDER TAKEN BY
ADDRESS
DAY WORK
CITY CONTRACT
EXTRA
JOB NAME AND LOCATION
JOB PHONE
DESCRIPTION OF WORK:
L IY /tea
TOTAL MATERIALS
TOTAL LABOR
TAX
DATE COMPLETED WORK ORDERED BY
TOTAL AMOUNT
No one home Total amount due Total billing to
Signature
for above work: or be mailed after
completion
I h reby acknowledge the satisfactory completion of work
of the above described work.
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))
22836 $75.00
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
Majestic Steamer
IN SUM OF
1378 S. Rangeline Road
Carmel, IN 46032
$75.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
1120 I 22836 I 43- 501.00 I $75.00 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
L
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund