215605 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 366762 Page 1 of 1
0 ONE CIVIC SQUARE CONCEPT TO PROJECT MANAGEMENT LL
CARMEL, INDIANA 46032 702 HEIGHTS ROAD L �CK AMOUNT: $665.54
e DIXON IL 61021
„p„ o CHECK NUMBER: 215605
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4463500 21994 665 . 54 GROUNDS MAINT EQUIPME
Concept to Project Management LLC Invoice
i� 702 Heights Road Date Invoice#
Dixon, IL 61021
12/10/2012 21994
Bill To Ship To
City of Carmel,
Mr.David Huffman
3400 West Main Street
Carmel,IN 46074
P.O. Number Terms Rep Ship Via F.O.B. Project
David Huffman 12/10/2012
Quantity Item Code Description Price Each Amount
1 PA203 5 Scale Refractometer 650.54 650.54
1 2800 Shipping(e) Inbound Freight Cost 15.00 15.00
Phone# Fax# E-mail �T®ta9 $665.54
(815)261-4806 Off... (815)288-6938 harveywilliams600 @comcast.net
VOUCHER NO. WARRANT NO.
ALLOWED 20
Concept to Project Management LLC
IN SUM OF $
702 Heights Road
Dixon, IL 61021
$665.54
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 21994 1 2201-635.00 $665.54 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
Friday, Decembe v1'4,, 2012
!Y
"lrC�l VU!!!rr IIJSIU(�E'r
Street Commissioner
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))
12/10/12 21994 $665.54
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