215952 01/09/2013 �- CITY OF CARMEL, INDIANA VENDOR: T362076 Page 1 of 1
ONE CIVIC SQUARE ATLAIR PROMOTIONS LLC
CARMEL, INDIANA 46032 2018 WINTON AVENUE CHECK AMOUNT: $193.00
SPEEDWAY IN 43224 CHECK NUMBER: 215952
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239011 264 193 . 00 SPECIAL DEPT SUPPLIES
Altair Promotions LLC Invoice
2018 Winton Ave Date Invoice#
Speedway, IN 46224
12/27/2012 264
Bill To Ship To
City of Carmel City of Carmel
3400 W. 131 st Street 3400 W. 131 st Street
Carmel. IN 46074 Carmel, IN 46074
P.O. Number Terms Rep Ship Via F.O.B. Project
Due on receipt DS 12/27/2012
Quantity Item Code Description Price Each Amount
5 Pole Pole 13 lack 6'x1" 13.00 65.00
35 Pole Acorn top 1.95 68.25
7 Pole Collar rings 4.25 29.75
1 FREIGHT Shipping Charges 30.00 30.00
Out-of-state sale,exempt from sales tax _ - 0.00% 0.00
Total $193.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Altair Promotions, LLC
IN SUM OF $
2018 Winton Ave
Speedway, IN 46224
$193.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 264 I 42-390.11 I $193.00 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
/Frlciayj�nuary 04,2013
/ r
Street "ommis,inm-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))
12/27/12 264 $193.00
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