213075 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00352711 Page 1 of 1
ONE CIVIC SQUARE JAMES H DREW CORPORATION
CARMEL, INDIANA 46032 PO BOX 68935 CHECK AMOUNT: $285.00
INDIANAPOLIS IN 46268-0935 CHECK NUMBER: 213075
<IOM 00
CHECK DATE: 9125/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 16922 285 . 00 REPAIR PARTS
JAMES H. DREW CORPORATION I N V O I C E
REMIT TO:
PO BOX 68935 INVOICE#: 16922
INDIANAPOLIS IN 46268-0935 INVOICE DATE: 9/7/2012
OUR JOB NUMBER: 412000
CARMEL STREET DEPARTMENT
3400 WEST 131 st STREET
WESTFIELD IN 46074
Qty. U/M Description Unit Price____ Ext. Price
3.00 EA 3" X 12" X 8' WOOD BOARDS 95.00 -285.00
ATTENTION: ERIC RUSSELL
SUBTOTAL 285.00
RETAINAGE: 0.00
SALES TAX: 0.00
TOTAL DUE: 285.00
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))
09/07/12 16922 $285.00
hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
vith IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
James H. Drew Corporation
IN SUM OF $
P. O. Box 68935
Indianapolis, IN 46268-0935
$285.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
T
2201 1 16922 1 42-370.001 $285.00 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, September 21, 2012
&� '
Street Commissi4 oner
J
Street com 'ss:one,
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund