212137 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 360134 Page 1 of 1
ONE CIVIC SQUARE BEN FRANKLIN PLUMBING
�(®f CARMEL, INDIANA 46032 1551 S FRANKLIN ROAD CHECK AMOUNT: $640.00
INDIANAPOLIS IN 46239
„o„-- CHECK NUMBER: 212137
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 F420673 640 . 00 OTHER CONT SERVICES
Invoice
BF - Indianapolis, IN #1090
Benjamin Franklin Plumbing
1551 South Franklin Road
Indianapolis IN 46239
317-375-2175 FAX: 317-375-2179 Invoice# F420673
Account# 224379 Date: 08/07/12
Page# 1 of 1
Service At:
CITY OF CARMEL CITY OF CARMEL
31 1ST AV NW 31 1ST AV NW
CARMEL IN 46032 CARMEL IN 46032
Service Date 08/07/12 PO# Job# 425108
DIAG 49.REPLC PWR FLUSH TOILET TANK IN UPSTAIRS MENS RESTROOM 2YR WARR $657 W/10%DISC FOR
—BEING A BUSINESS AR Bitl l BLb BJR------- —
Description Of Service Quantity Unit Price Extended Price Tx
DD-9 1 $657.00 $657.00
Collected Service Fee $29-$79 l $49.00 $49.00
Sub Total $706.00
Discount 66.00
Regular price: $706.00 You saved $66.00
..............................................................................€ Balance Due $640.00
Terms: Due Upon Receipt Please pay from this Invoice.Thank You
VOUCHER NO. WARRANT NO.
ALLOWED 20
BF - Indianapolis, IN # 1090
IN SUM OF $
1551 S. Franklin Road
Indianapolis, IN 46239
$640.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 I F420673 I 43-509.00 I $640.00 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
Friday, August 24, 2012
Director
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))
08/07/12 F420673 $640.00
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