210122 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 366310 Page 1 of 1
c ONE CIVIC SQUARE SCHAFER POWDER COATING INC
CARMEL, INDIANA 46032 4518 W 99TH STREET CHECK AMOUNT: $2,216.00
CARMEL IN 46032 CHECK NUMBER: 210122
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032 56256 300.00 POSTS HARDWARE
2201 4239032 56366 200.00 POSTS HARDWARE
2201 4239032 56399 1,416.00 POSTS HARDWARE
2201 4239032 56470 300.00 POSTS HARDWARE
Schafer Powder Coating, Inc. INVOICE
4518 West 99th Street,
Carmel, IN 46032
INVOICE 56470
CUST. City of Carmel
Eric PH: (317) 733-2001
BILL TO: SHIP TO:
City of Carmel City of Carmel
One Civic Square One Civic Square
Carmel, IN 46032 Carmel, IN 46032
/0
INVOI SALESPER
06/12/2012 See Below See Below Net 30 Days
Customer Truck
ORDER QT11'S SHIPPED PART DESCRIP.f10N UN PRI
4 4 Trash Can 50.000 /ea. $200.00
Shipped: 06/12/2012
Po# verbal P/L# 59862 w/o# 68585
Bench I 100.000 /ea. $100.00
Shipped: 06/12/2012
Po# verbal P/L# 59862 w/o# 68585
SUBTOTAL $300.00
Surcharge: 0.00
Cert: 0.00
Tax 1: 1 0.00
Tax 0.00
Charges: 0.00
Freight: 0.00
Page 1 of 1 INVOICE ISO TOTAL: 714
Schafer Powder Coating, Inc. INVOICE
4518 West 99th Street,
Carmel, IN 46032
INVOICE 56256
CUST. City of Carmel
Eric PH: (317) 733-2001
BILL TO: SHIP TO:
City of Carmel City of Carmel
One Civic Square One Civic Square
Carmel, IN 46032 Carmel, IN 46032
06/01/2012 See Below See Below j Net 30 Days Customer Truck
QT O R D ER SH IPPE D Q N U WE7R PRICE.EXT:PRICE
3 nch 100.000 /ea. I $300.00
Shipped: 06/01/2012
Po# Verbal P/L# 59648 w/o# 68246
SUBTOTAL! $300.00
Surcharge: 0.00
Cert: 0.00
Tax 1: 0.00
Tax 2: 0.00
Charges: 0.00
Freight: 0.99.
Page I of 1 INVOICE ISO TOTAL: $300.00
Schafer Powder Coating, Inc. LNVOICE
4518 West 99th Street,
Carmel, IN 46032
INVOICE 56366
COST. City of Carmel
Eric PH: (317) 733-2001
BILL TO: SHIP TO:
City of Carmel City of Carmel
One Civic Square One Civic Square
Carmel, IN 46032 Carmel, IN 46032
SHI VIA
06/06/2012 See Below See Below
Net 30 Days
I Customer Truck
E -A
DER QTY-
-j—SH —PPED QDtILF PART., MSM �LNIT Xj. PRICE-E4 A PRICE
41 4 Trash Can j_-, --9
50.000 /ea. $200.00
Shipped: 06/06/2012 i
'Po# verbal P/L# 59758 w/o# 68342
SUBTOTAL $200.00
S urcharge: 0.00
Cert: 0.00
Tax 1: 0.00
Tax 2: I 0.00
Charges: 0.00
Freight 0.00
Page 1 of 1 INVOICE ISO
TOTAL:. $200.00
Schafer Powder Coating, Inc. INVOICE
4518 West 99th Street,
Carmel, IN 46032
INVOICE 56399
CUST. City of Carmel
Eric PH: (317) 733-2001
BILL TO: SHIP TO:
City of Carmel City of Carmel
One Civic Square One Civic Square
Carmel, IN 46032 Carmel, IN 46032
TJ 6
SH
06/0712012 See Below See Below Net 30 Days Customer Truck
ESC
PART. N
SHIPPEC
UNI Y Vk It 0"�
ORD It
100 100 1 Posts 12' poles i 12.000 /ea. $1,200.00
Shipped: 06/07/2012
Po# Verbal P/L# 59791 w/o# 68498
72 72 Sleeve 3.000 /ea. $216.00
Shipped: 06/07/2012
Po# Verbal PIL# 59791 wto# 68498
S UBTOTALS $1 416 00
Surcharge: 1 0.00
Cert: 0.00
Tax 1: 0.00
Tax 2: 0.00
Charges: 0.00
Freight: 0.00
Page 1 of I INVOICE ISO
11 M
;E
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))
06/01/12 56256 $300.00
06/06/12 56366 $200.00
06/07/12 56399 $1,416.00
06/12/12 56470 $300.00
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
VOUCHE NO. WARRANT NO.
ALLOWED 20
Schafer Powder Coating, Inc.
IN SUM OF
4518 W. 99th Street
Carmel, IN 46032
$2,216.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 56256 42- 390.32 $300.00 I hereby certify that the attached invoice(s), or
2201 56366 42- 390.32 $200.00 bill(s) is (are) true and correct and that the
2201 56399 42- 390.32 $1,416.00
materials or services itemized thereon for
2201 56470 42- 390.32 $300.00
which charge is made were ordered and
received except
Friday, June 15, 2012
Street Com i yner
,d
Street CoTnitIlMissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund