215177 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 364027 Page 1 of 1
ONE CIVIC SQUARE SMITHS BELL AND CLOCK
CARMEL, INDIANA 46032 40 SUNBURY DRIVE CHECK AMOUNT: $500.00
4MON�� MOORESVILLE IN 46158 CHECK NUMBER: 215177
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351501 1885 500 . 00 EQUIPMENT MAINT CONTR
Smith's Bell and Clock
40 Sunbury Dr.
Mooresville, IN 46158 Number: 1885
888-469-4442
Fax: 317-483-3251 Date: November 25, 2012
Bill To: Ship To:
Dave Huffman Dave Huffman
Carmel Street Dept. Carmel Street Dept.
3400 W. Maifr St j' 3400 W. ( St
Carmel, IN 46074 USA Carmel, IN 46074 USA
PO Number Terms Project
INCA002 On Receipt PM Street Clock
Date Description Hours Rate Amount
11-25-12 Agreement for PMA 2013 0.00 500.00
THANK YOU FOR YOUR BUSINESS. WE'RE GLAD YOUR A PART OF OUR FAMILY!
Total $500.00
0-30 days 31 -60 days 61 -90 days > 90 days Total
$500.00 $0.00 $0.00 $0.00 $500.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Smith's Bell and Clock
IN SUM OF $
40 Sunbury Drive
Mooresville, IN 46158
$500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 1885 I 43-515.01 I $500.00 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 29, 2012
`•„/ ✓�',! '�'' ,�-4'+,��J Jam,/{/✓.�,/;
-,Street,Commissio er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
11/25/12 1885 $500.00
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
120
Clerk-Treasurer