212345 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 357537 Page 1 of 1
0 ONE CIVIC SQUARE PRO WINDOW TINTING INC CHECK AMOUNT: $300.00
{ lra CARMEL, INDIANA 46032 6727 GUION ROAD
INDIANAPOLIS IN 46268 CHECK NUMBER: 212345
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 11196 300 . 00 AUTO REPAIR & MAINTEN
PRO WINDOW TINTING, INC.
6727 GUION ROAD
INDIANAPOLIS, IN 46268 11196
(317) 507-TINT (8468) D TE CUSTOMER ORDER NO.
TO SHIP TO
_6j2,PT_ -
" SALESPERSON TAX EXEMPT NO.
yGHARGE°^ DSE.RET'[7 PA I D-OUTW, RiP,2 FO.B.POINT P,� ,, a. .g9,;�� a +^7ERMSa �, :-
«`a°`r`QUAN't,.,:..____�.°`aCKNO '" s .. GE ' r,TOTAL ,:s*:.
'rd
RECEIVED BY _
TOTAL
Aft
3ma Tow
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))
11196 $300.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pro Window Tinting, Inc.
IN SUM OF $
6727 Guion Road
Indianapolis, IN 46268
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 11196 I 43-510.00 I $300.00 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
AUG 2 7 2012
i
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund