211039 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 366310 Page 1 of 1
ONE CIVIC SQUARE SCHAFER POWDER COATING INC
0 CARMEL, INDIANA 46032 4518 W 99TH STREET CHECK AMOUNT: $300.00
CARMEL IN 46032 CHECK NUMBER: 211039
«ON
CHECK DATE: 7/1712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 56780 300 . 00 OTHER CONT SERVICES
Schafer Powder Coating, Inc. INVOICE
4518 West 99th Street,
Carmel, IN 46032
INVOICE#: 56780
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
._w
INVOICE DATE: ,>.:= PO.#: I'..,:._:.W/O#°.:'`::: SHIP VI r_
06/26/2012 See Below See Below Net 30 Days Customer Truck
- —
ORDER QTY. SHIPPED QTY,_„PART,NUMBER' b,_.. k PARTwDESCRIPTION ::UNIT PRICE 4 EXT -PRICE.:
1 j i bench 100.000 /ea. $100.00
Shipped:06/26/2012
I
Po#verbal P/L#60170 w/o# 69302
4 I 4 1 Trash Can 50.000 /ea. $200.00
I
Shipped:06/26/2012
� I
1 Po#verbal P/L#60170 w/o# 69302
I
SUBTOTAL: $300.00
Surcharge: - 0.00
Cert: 0.00 II
Tax 1: 0.00 !
Tax 2: 0.00
Charees: 0.00 I
Freight: 0.00
Page 1 of 1 INVOICE ISO TOTAL:,.---I $300.00
VOUCHER NO. WARRANT NO.
Schafer Powder Coating, Inc. ALLOWED 20
IN SUM OF $
4518 W. 99th Street
Carmel, IN 46032
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 56780 1 43-509.001 $300.00 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
r Wednesday; July 11, 2012
JO
ty
Street Commissioner
r v
Street L;CTitle iSsiOiIe+
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))
06/26/12 56780 $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