215635 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 366313 Page 1 of 1
ONE CIVIC SQUARE FREEDOM BLASTING
CARMEL, INDIANA 46032 13707 THISTLEWOOD DRIVE E CHECK AMOUNT: $5,550.00
CARMEL IN 46032
CHECK NUMBER: 215635
CHECK DATE: 12118/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 251 5, 550 . 00 OTHER CONT SERVICES
Invoice
Freedom Blasting
13707 Thistlewood Dr E
Date'_- -" Invoice
Carmel, IN 46032
12/13/2012 251
Phone# (317)774-4321 freedomblasting@sbcglobal.net
www.freedomblastirig.com
Bill Toy
City of Carmel Indiana
Carmel Street Dept
One Civic Square
Carmel,IN 46032
C/O Eric Russell
P.O. No.
,fir
Rate .mounI
Quantity �, x` ��a � Descnptioh 7a
21 Abrasive blast benches and deliver to Schafer Powder Coating 150.00 3,150.00
16 Abrasive blast trash cans and deliver to Schafer Powder Coating 150.00 2,400.00
Thank you for giving Freedom Blasting,a Woman Owned small business,your work!
Total $5,550.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Freedom Blasting
IN SUM OF $
13707 Thistlewood Dr. E.
Carmel, IN 46032
$5,550.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 251 I 43-509.001 $5,550.00 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
Friday;December 14, 2012
f
c:-,c.
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))
12/13/12 251 $5,550.00
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