211831 08/14/2012 „M. CITY OF CARMEL, INDIANA VENDOR: 00350546 Page 1 of 1
ONE CIVIC SQUARE KIRBY REAL ESTATE
CARMEL, INDIANA 46032 298 W CARMEL DR CHECK AMOUNT: $50.00
CARMEL IN 46032
CHECK NUMBER: 211831
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 50 . 00 OTHER MAINT SUPPLIES
INVOICE: 100
JULY 24, 2012
KIRB REAL ESTATE
298 W.Carmel Drive
Carmel,IN 46032
P 317-843-2212
F 317-587-1543
TO:
CITY OF CARMEL
STREET DEPARTMENT
Carmel,IN 46032
SALES REP. P.O. NUMBER SHIP DATE SHIP VIA FOB TERMS
QUANTITY DESCRIPTION UNIT PRICE TOTAL
Sand Trap
50.00 50.00
50.00
Make ail chec s payable to KIRmi REat_ ES1 ATE
THANK 1'OU FOR YQUR BUSINESS!
. - .
v z. x
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))
07/24/12 $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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kirby Real Estate
Paula Lord IN SUM OF $
298 W. Carmel Drive
Carmel, IN 46032
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 42-389.00 I $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
)( , Thursday�July 26, 2012
Street Commissiode/r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund