212229 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 119000 Page 1 of 1
0 t' ONE CIVIC SQUARE HALL SIGNS, INC.
CARMEL, INDIANA 46032 4495 W VERNAL PIKE CHECK AMOUNT: $57.97
BLOOMINGTON IN 46404
CHECK NUMBER: 212229
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239031 276389 57 . 97 STREET SIGNS
_ ® 1
since 19"
4495 West Vernal Pike Bloomington, IN 47404 www.liallsigns.com
voice(812-332-9355) toll free(800)284-7446 fax 812-332-9816
INVOICE
276389 08/08/12
CUSTOMER Salesperson TERMS S11111TO
0000552 DB 30 DAYS CARMEL STREET
CARMEL STREET DEPARTMENT
DEPARTMENT 3400 W 131 ST STREET
3400 W 131ST STREET ATTN: CAMERON
CARMEL, IN
CARMEL, IN 46074-
46074-
PURCHASE ORDER NO: CAMERON 7/24
SALES ORDER NO.: 419526
SHIP VIA: UPS/DEST
ORDER SHIP
QUANTITY QUANTITY STOCK CODE PRICE NET PRICE
1 1 856-301201
SD30"X12"PHIW 1255052 57.97
WHITE ON GREEN/EDGE/SR/NH
57.97
1 1/2" RADIUS
NO HOLES
NOTE: Invoices not paid according to terms are subject to 2%per SALES AMOUNT 57.97
month service charge. Payable in U.S.Funds
FED.I.D.351037293
ALL CLAIMS FOR ERRORS AND DEFICIENCIES MUST Freight 0.00
BE NIADE WITHIN FIFTEEN(15)DAYS AFTER RECEIPT
OF GOODS.
'rAX 0.00
Total Invoice 57.97
***NEW REMIT TO:***
HALL SIGNS, INC.
4495 W VERNAL PIKE
BLOOMINGTON, IN 47404
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))
08/08/12 276389 $57.97
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
Hall Signs
IN SUM OF $
4495 W. Vernal Pike
Bloomington, IN 47404
$57.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 276389 42-390.31 I $57.97 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, gust 23, 2012
�-qtreet C is i der
Title
Street Commissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund