212117 08/28/2012 a CITY OF CARMEL, INDIANA VENDOR: 366499 Page 1 of 1
ONE CIVIC SQUARE AMERICAN QUALITY MASONRY
� CARMEL, INDIANA 46032 1215 W.161ST STREET CHECK AMOUNT: $225.00
WESTFIELD IN 46074 CHECK NUMBER: 212117
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 81312 225 . 00 OTHER EXPENSES
American Quality Masonry, Inc
1215 W 1615`Street
Wes �NVUHCI`Fll Westfield, IN 46074
INVOICE NO: 81312
DATE: August 13, 2012
To: Carmel Water WORK SITE: Tuckpoint block bottom of two front
3450 W 13151 Street entries
Carmel, IN 46074
SALESPERSON P.O. NUMBER DATE SHIPPED SHIPPED VIA F.O.B. POINT DUE DATE
9/13/12
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 Labor 225.00 225.00
SUBTOTAL $225.00
SALES TAX
SHIPPING & HANDLING
TOTAL DUE $225.00
THANK YOU FOR YOUR BUSINESS!
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
TAQM
AMERICAN QUALITY MASONRY, INC Purchase Order No.
1215 W 161 ST STREET Terms
WESTFIELD, IN 46074 Due Date 8/21/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/21/2012 81312 $225.00
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
Date Officer
VOUCHER # 121885 WARRANT # ALLOWED
TAQM IN SUM OF $
AMERICAN QUALITY MASONRY, INC
1215 W 161 ST STREET
WESTFIELD, IN 46074
.Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO # INV# ACCT# AMOUNT Audit Trail Code
81312 01-6360-06 $225.00
i
Voucher Total $225.00
Cost distribution ledger classification if
claim paid under vehicle highway fund