210000 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 366313 Page 1 of 1
ONE CIVIC SQUARE FREEDOM BLASTING
CARMEL, INDIANA 46032 13707 THISTLEWOOD DRIVE E CHECK AMOUNT: $165.00
CARMEL IN 46032
CHECK NUMBER: 210000
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 144 165.00 OTHER CONT SERVICES
't .c., r nJ s1 y 2 n,
Invoice
Freedom Blastin
Dater Invoice
6/3/2012 144
Phone (317)774 -4321 freedomblasting@sbcglobal.net
www.freedomblasting.com
Carmel Street Dept
C/0 Eric Russell
P.O. No.
Quantity DescnpUon a Rate t Amount
1 Abrasive blast trash can 165.00 165.00
'Trash can could not have powder coating burned off due to it being aluminum
Thank you for your business!
Total $165.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Freedom Blasting
IN SUM OF
13707 Thistlewood Dr. E.
Carmel, IN 46032
$165.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 I 144 I 43- 509.001 $165.00 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
Friday, June 15, 20
Street Commissionertf
srree t I 't?IrTlrTi IS s w 11E,r
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))
06/03/12 144 $165.00
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