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210563 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00352550 Page 1 of 1 ONE CIVIC SQUARE T -METAL WORKS, INC. CHECK AMOUNT: $118.00 CARMEL, INDIANA 46032 1813 E 109TH STREET INDIANAPOLIS IN 46280 CHECK NUMBER: 210563 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 T12 -4653 118.00 REPAIR PARTS T MetalWorks, Inc. Architectural /Metals Specialties 1813 E. 109 Street Indianapolis, IN 46280 317 -848 -2936 Fax 317- 848 -6133 Invoice To: Carmel Street Department Job Name: 3400 W. 131 Street Location: Westfield, IN 46074 Your P.O. Jeff Terms: Net 30 days Invoice No. T124653 Date: 6/22/12 (2) Pans 11" x 22" w/ (3) 1 /z" Legs Material: .125 Mill Al Total Material: 118.00 Tax Exempt 00.00 Total Invoice: 118.00 VOUCHER NO. WARRANT NO. ALLOWED 20 T- MetalWorks, Inc. IN SUM OF 1813 E. 109th St. Indianapolis, IN 46280 $118.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 I T12 -4653 I 42- 370.001 $118.00 I 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 �Thursday�June 28, 2012 Street Commissioner „ee, vv Title v 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)) 06/22/12 T12 -4653 $118.00 I 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