214094 10/23/2012 °,e•, CITY OF CARMEL, INDIANA VENDOR: 00353245 Page 1 of 1
= ONE CIVIC SQUARE SUTTON-GARTEN CHECK AMOUNT: $90.00
CARMEL, INDIANA 46032 901 N.SENATE AVENUE
INDIANAPOLIS IN 46202-3029 CHECK NUMBER: 214094
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 00429692 90 . 00 OTHER EXPENSES
BUTT®N + ®ARTEN CYLINDER RENTAL INVOICE
INVOICE NUMBER, PAGE INVOICE DATE CUSTOMERf, PILIACHASE ORDER NUMBEk HNDL,'&D TERR#
00429692 1 I 09/30/12 I 03758 JEFF COOPER I I 001
REMIT TO
Sutton-Garten Company S Sutton-Garten Company
901 N. Senate Ave. L 901 N. Senate Ave.
Indianapolis IN 46202-3029 D Indianapolis IN 46202-3029
(317) 264-3236 s (317) 264-3236
Fax: (317) 264-3233 Fax: (317) 264-3233
B CARMEL WASTEWATER TREATMENT PLANT S CARMEL WASTEWATER TREAT. PLANT
L SUITE 110 H 9609 HAZELDELL PKWY
760 3RD AVE. SW P CARMEL IN 46280
0 CARMEL IN 46032 0
INV I ITEM SHIPPER INVOICE DATE BEGINNING CYLINDERS CYLINDERS ENDING CYLINDERS DAYS CYLINDER RATE AMOUNT
TYPE NUMBER NUMBER BALANCE SHIPPED RETURNED BALANCE LEASED USED DAYS
PO: JEFF I OOPER
AC A 08/31/12 3 3
A ACET CYL
JA ----- TOTALS -----> 0 3 0 3 0 90 .300 27.00
1 MX KA1025 08/31/12 1 1
K CYL
R K ----- TOTALS -----> 0 1 0 1 0 30 .300 9.00
MX SSTAR 08/31/12 1 1
OX S 08/31/12 5 5
S CYL
RS ----- TOTALS -----> 0 6 0 6 0 180 .30C 54.00
T 00
TOTAL VALUE OF CYLINDERS
2058.00 TOTAL 90.00
INVOICE TYPE
R-RENTAL
D-DEMURRAGE
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00353245
SUTTON-GARTEN CO. Purchase Order No.
901 N. Senate Avenue Terms
Indianapolis, IN 46202 Due Date 10117/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/17/201: 00429692 $90.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 125949 WARRANT # ALLOWED
00353245 IN SUM OF $
SUTTON-GARTEN CO.
901 N. Senate Avenue
Indianapolis, IN 46202
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
00429692 01-7292-06 $90.00
Voucher Total $90.00
Cost distribution ledger classification if
claim paid under vehicle highway fund