210785 07/17/2012 -u. CITY OF CARMEL, INDIANA VENDOR: 051000 Page 1 of 1
ONE CIVIC SQUARE CARMEL WELDING&SUPP INC CHECK AMOUNT: $94.50
CARMEL, INDIANA 46032 550 S.RANGELINE RD
oN`; CARMEL IN 46032 CHECK NUMBER: 210785
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238900 335239 94 . 50 OTHER MAINT SUPPLIES
DATE INVOICE
6/28/12 335239
TIME CARMEL WELDING AND SUPPLY P/0 NUMBER
11 : 30 : 38 550 South Rangeline Road M000770
SALESMAN Carmel , Indiana 46032 WORK ORDERI
007/007 317-846-3493 www. CarmelWelding . com
STORE PAGE
i
1 1 of 1
Terminal 16
573-4044
BILL TO ACCOUNT* 3093 SHIP TO ACCOUNT: 3093
CARMEL CLAY PARKS AND REC . CARMEL CLAY PARKS AND REC.
1411 EAST 116TH STREET 1411 EAST 116TH STREET
CARMEL, INDIANA 46032 CARMEL, INDIANA 46032
Tax Exemption # : 002423120001
WWW.CARMELWELDING.COM-----Plese keep receipt
for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP
charge. No return on electrical or special orders
ORD SHIP B O INFJ PART NUMBER I DESCRIPTION LIST NET AMOUNT
1 1 STI0781-319-8009 2 . 5 GALLON MIX 6 .402 104 . 99 94 .50 94 .50
RFCE.T ED
JUN 2 9 2012
BV.
Purchase
Descript.n �J
P.O.# Mold0 '71 PorF
G.L.
Budget 0 „
Line Descr ,41 1 YW
Pumhaser Date,__
Approval Date__,
SUB TOTAL - - - - > 94 . 50
CHARGE SALE MISC. - - - - - - - - > 0 . 00
LABOR - - - - - - - -> 0 . 00
TAX 7 . 000 - - -> 0 . 00
Signature INVOICE TOTAL-> 94 . 50
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
051000 Carmel Welding
Date Due
550 S Rangeline Rd
Carmel, IN 46032
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) PO# Amount
6/28/12 335239 2 c cle oil forequipment
$ 94.50
Total $ 94.50
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
Voucher No. Warrant No.
051000 Carmel Welding Allowed 20
550 S Rangeline Rd
Carmel, IN 46032
In Sum of$
$ 94.50
ON ACCOUNT OF APPROPRIATION FOR
101 - General Fund
PO#or INVOICE NO. ACCT#MTLE AMOUNT Board Members
Dept#
1125 335?39 4238900 $ 94.50 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
12-Jul 2012
Signature
$ 94.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund