209505 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 363018 Page 1 of 1
ONE CIVIC SQUARE CAMPBELL SALES SERVICE
CARMEL, INDIANA 46032 1332 S 8TH STREET CHECK AMOUNT: $32.40
NOBLESVILLE IN 46060 CHECK NUMBER: 209505
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 6961 -20 32.40 REPAIR PARTS
Date
m
CAMPBEL SALES SERVICE
X33 S.
1 81 -H ST.
Address. N OBLESVILLE, IN 46060.
317- 773 -672:' pccouut
Reg. No. Clerk Forward•
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A- 1200/3510/3530 Your Account Stated to Date If Error is Found, Return at Once
T- 45202146202/46203
VOUCHER NO. WARRANT NO.
ALLOWED 20
Campbells Sales Service
IN SUM OF
1332 S. 8th Street
Noblesville, IN 46060
$32.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE I AMOUNT Board Members
2201 I 6961 -20 I 42- 370.001 $32.40 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
Friday p e 01, 2012
Street Commissio
Street Cnfi@missioner
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))
05/21/12 6961 -20 $32.40
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
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Clerk- Treasurer