214072 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 00350944 Page 1 of 1
ONE CIVIC SQUARE SCOTT POOLS, INC
CARMEL, INDIANA 46032 904 W MAIN ST CHECK AMOUNT: $81.89
CARMEL IN 46032
CHECK NUMBER: 214072
CHECK DATE: 10/2312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 121170 81 . 89 OTHER MAINT SUPPLIES
0
Scoot Pools, Inc. H
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904 W. Main Street Invoice Number: 121170
Carmel, IN 46032
Invoice Date: Sep 28,2012
www.scoftpoolsinc.com Page: 1
Voice: (317)846-5576
Fax: (317)846-4763
Email: scottpools2 @gmail.com
Bill To: ` Ship to:
CITY OF CARMEL STREET DEPT.
3400 W. 131ST STREET
CARMEL, IN 46032
Customer PO Payment.Terms i_ Due Date-
-- - - ---- Net 30-Days 10/28/12
Quantity - Description-- - - Unit Price Amount ---
1.00 STORE SALES -9118/12-1 _- - + - 81.89 s - 81.89
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We're on Facebook! Subtotal � 81.89
www.facebook.com/scottpools Sales Tax
Total Invoice 81.89
Happy with our service? 1
(A 1-1/2%late fee will be charged on all Accounts 30 days past due)
Tell Angie! TOT�4L ®UE 81.89
Leave a review at www.angieslist.com
Payments Accepted: Visa,Mastercard, Thank you for your continued business!
Discover, AMEX, Check or Cash.
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Scott 1-'ools
904 Wa-Main��tr eet `'
-
! 317 84b-5575
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A�_�_ount #. CtT;Y CARo 'STREET;
j 3'400.WEST 131ST,:STREET
CARMEr , IN 460-3
!. Dekription Oty Prat e Ea Ext.tende*d
Pobl.ite 3" Ta 1 b" 95 6f..'75
Pentair Scrub - : %..99
L.ifegard #410. . . 1 10.-95 ; 10..95
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! Sut� total 81_:89
Sales Jax Tdtal 0.00
total Amy B .R9..
Paid 8} Ghar!� nl To: otant ' 81;89
0:00
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! .By Charging 7o
'A!uth
I ` .Anrount 31:E9
!.. Customer jlQnatUre,
Tuesday, Se teilbe.. 1.8 �01z 10 30 am,,: F -
� Rej 001 Gsh 1 ; 'Trns O�1000450�4
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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))
09/28/12 121170 $81.89
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
Scott Pools
IN SUM OF $
904 W. Main Street
Carmel, IN 46032
$81.89
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 121170 I 42-389.001 $81.89 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
r Thursday,October 18, 2012
Street Commissioner
JLICCL 1.�V...i i��JJ�Vi Ib'i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund