211937 08/14/2012 u• CITY OF CARMEL, INDIANA VENDOR: 366310 Page 1 of 1
ONE CIVIC SQUARE SCHAFER POWDER COATING INC CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 4518 W 99TH STREET
CARMEL IN 46032 CHECK NUMBER: 211937
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 56084 50 . 00 OTHER CONT SERVICES
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Schafer PovxderComdINVOICE ng. Inc. INVOICE
4518 West 99thStreet,
Carmel, IN 46032
INVOICE#� 58084
CUST.#: City ufCarmel
Eric PH: (317)733-2001
BILL TO: SHIP TO:
/
City ofCarmel City ofCarmel
One Civic Square One Civic Square
Carmel, IN 48032 Carmel, IN 48032
Shipped:05/24/2012
�
$50.00
Surcharge: _ 0.00
Co± 0.00
Tax 1: | 0.00
Tax 2 0.00
Charges- 0.00
0.00
Page 1mI INVOICE ISO Q50.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Schafer Powder Coating, Inc.
IN SUM OF $
4518 W. 99th Street
Carmel, IN 46032
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 56084 I 43-509.001 $50.00 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
Thu�`sdaylAugust 09, 2012
J
Street Commissioner
V
Srrem Coni-915sicner
Title
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))
05/24/12 56084 $50.00
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