214964 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 366658 Page 1 of 1
ONE CIVIC SQUARE BLUE LINE SECURITY SYSTEMS INC CHECK AMOUNT: $420.00
CARMEL, INDIANA 46032 PO Box 17072
'tit.nH .+ INDIANAPOLIS IN 46217-0072 CHECK NUMBER: 214964
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4341992 37935 420 . 00 SECURITY SERVICES
BLUE LINE SECURITY SYSTEMS,INC
P.O. BOX 17072
REMIT TO: P.O. BOX 17072
INDIANAPOLIS IN 46217-0072
Phone : (317) 784-7103 Fax (317) 784-2830
INVOICE
1195
CARMEL CLAY PARKS Date 11/15/12 No. 37935
1411 E 116TH ST Due Date: 11/30/12 PAGE: 1
CARMEL IN 46032
SERVICE DATE/LOCATION
SECURITY FOR 10/29-11/4
Terms
NET 15
Description Quantity Unit Price Extended
Measure
SECURITY HOUR 20.0 21.0000 420.00
�:E—I VED
Purchase NOV 201 2
Description JJ��'I/
P.O.# Rvi rc l0�2Q• 44hz
PorF Y.
G.L.# /oq/ • �f�49� --
Budget
Line Desc
Purchaser
Date
Arnproval
DatE
Sub-Total : 420.00
PLEASE INCLUDE INVOICE NUMBER
WITH YOUR REMITTANCE. THANK YOU VERY Total 420.00
MUCH FOR YOUR BUSINESS.
Net To Pay: 420.00
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
366658 Blue Line Security Systems, Inc. Terms
P.O. Box 17072
Indianapolis, IN 46217-0072
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
11/15/12 37935 Security services 10/29 - 11/4/12 $ 420.00
Total $ 420.00
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.
366658 Blue Line Security Systems, Inc. Allowed 20
P.O. Box 17072
Indianapolis, IN 46217-0072
In Sum of$
$ 420.00
�I
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1091 37935 4341992 $ 420.00 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
29-Nov 2012
Signature
$ 420.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund