210951 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 366315 Page 1 of 1
ONE CIVIC SQUARE MELROSE PYROTECHNICS INC
i CARMEL, INDIANA 46032 1 KINGSBURY INDUSTRIAL PARK CHECK AMOUNT: $25,000.00
PO BOX 302 CHECK NUMBER: 210951
KINGSBURG IN 46345
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 15383 25, 000 . 00 FESTIVAL/COMMUNITY EV
a 0
Invoice
° Date: July 4,2012
so
Invoice#: 15383
Melrose Pyrotechnics, Inc Terms: net 30
To: City of Carmel
One Civic Square
Carmel, Indiana 46032
Attn: Nancy Heck, Director of Community Relations
1.00 Ijuly 4th fireworks display a 25,000.00 ' 25,000.00
Project Name: Carmel Fest July 4th display
Invoice No: 15383 ;
PO No. X26406
i
Pte •
Subtotal 0 $ 25,000.00 !
Sales Taxi _
Total( $ 25,000.00
Make all checks payable to Melrose Pyrotechnics,Inc.
Thank you for your business!
P.O.Box 302,1 Kingsbury Industrial Park,Kingsbury,IN 46345;PH 219-393-5522;Fax 219-393-5710
VOUCHER NO. WARRANT NO.
ALLOWED 20
Melrose Pyrotechnics, Inc.
IN SUM OF $
P. O. Box 302, 1 Kingsbury Industrial Park
Kingsbury, IN 46345
$25,000.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
26402 15383 43-590.03 $25,000.00 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
Friday, July 13, 2012
cct� dj-
Community Relations
Title p
Cost distribution ledger classification if D
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))
07/04/12 15383 $25,000.00
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