214813 11/20/2012 \4f CITY OF CARMEL, INDIANA VENDOR: 366721 Page 1 of 1
ONE CIVIC SQUARE SEDCATCH LP CHECK AMOUNT: $270.00
CARMEL, INDIANA 46032 8380 POINT MOODS COURT
SPRINGBORO OH 45066 CHECK NUMBER: 214813
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 193544 270 . 00 OTHER MAINT SUPPLIES
SedCatch LP Invoice
8380 Point O' Woods Ct.
Springboro, Ohio 45066 Date Invoice#
TE: 937-435-5019 1 1/1/2012 193544
Bill To Ship To
City of Carmel. IN Citv of'Carmel. IN
Boyd Pierce 13ovd Piercv
3400 W Main St. 3400 W Main St.
Westfield. IN 46074 Westfield. IN 46074
P.O. Number Terms Rep Ship Via F.O.B. Project
11/1/2012
Quantity Item Code Description Price Each Amount
2 14N1SI3R22.5(I)(I) S131Z22.5-14v: Round 22-1/2";2995-2250 120.00 240.00T
1 Shipping UPS Ground 30.00 30.00-l'
Out-ot=state sale.exempt Irom sales tax 0.00% 0.00
Total $270.00
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))
11/01/12 193544 $270.00
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
SedCatch LP
IN SUM OF $
8380 Point O' Woods Ct.
Springboro, OH 45066
$270.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 193544 I 42-389.001 $270.00 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
Thursday, November 15, 2012
''-� ✓�`� �� Street Commissioner
,-
Cost distribution ledger classification if
claim paid motor vehicle highway fund