209965 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 363634 Page 1 of 1
ONE CIVIC SQUARE CLEARY VACUUM COMPANY, INC CHECK AMOUNT: $379.00
CARMEL, INDIANA 46032 7035 E 96TH STREET
INDIANAPOLIS IN 46250 CHECK NUMBER: 209965
CHECK DATE: 6/2012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 19905 379.00 OTHER EQUIPMENT
Invoice
Cleary Vacuum Company
7035 E. 96th St. Suite R
Indianapolis, IN 46250
(317) 570 -3910
CUSTOMER: PAYMENT TYPE: DATE: 6/6/2012
City of Carmel Fire Dept. Account
2 Civic Square TERMS: 30 Days
Carmel, In 46032
(317) 571 -2600
CUSTOMER 648 INVOICE 19905
QTY PART DESCRIPTION PRICE AMOUNT
1 QUICKITE Hoover Commerical 379.00 $379.00
1 QUICKITE Station 44 0 $0.00
Subtotal: $379.00
Tax: $0.00
Labor: $0.00
Total: $379.00
Pay total upon receipt. Reference invoice number above. Send Payment to Address Above.
Signature of Receipt:
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))
19905 $379.00
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
VOUC NO. WA NO.
ALLOWED 20
Cleary Vacuum Company, Inc.
IN SUM OF
7035 East 96th Street
Indianapolis, IN 46250
$379.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT Board Members
r
1120 I 19905 1 102 670.99 I $379.00 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
ti tit 18 9012
.9
i ui s U
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund