212413 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 361278 Page 1 of 1
` ONE CIVIC SQUARE WEBB EFFECTS LLC
CARMEL, INDIANA 46032 1804 BROOKVIEW CIRCLE CHECK AMOUNT: $400.00
GREENFIELDIN 46140
.o„ CHECK NUMBER: 212413
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 2010-130 400 . 00 AUTO REPAIR & MAINTEN
Webb Effects, LLC Invoice
1804 Brookview Cir. Date Invoice#
Greenfield, IN 46140
8/20/2012 2010-130
Bill To Ship To
Carmel Fire Department
2 Civic Square
Carmel,In 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
8/20/2012
Quantity Item Code Description Price Each Amount
1 Vinyl decals&chevron for Utility 45 400.00 400.00
Tax Free 0.00% 0.00
Total $400.00
)rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, 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))
2010-130 U45 $400.00
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
Webb Effects, LLC
IN SUM OF $
1804 Brookview Court
Greenfield, IN 46140
$400.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 2010-130 I 43-510.00 I $400.00 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund