216612 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 003085 Page 1 of 1
ONE CIVIC SQUARE A.M.LEONARD INC
CARMEL, INDIANA 46032 PO BOX 816
CHECK AMOUNT: $238.97
PIQUA OH 45356-0816 CHECK NUMBER: 216612
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238000 CII3004858 238 . 97 SMALL TOOLS & MINOR E
A. o �Aeanard PLEASE Leonard Inc.A. M. Leonard Ic.
P.O. Box 816
Serving The Commercial Horticultural Industry Since 1885 Piqua, Ohio 45356-0816
241 Fox Drive ^ Piqua,Ohio 45356-0816
Phone 1-937-773-2694 Fax 1-937-773-6498
SHIP TO(IF OTHER THAN"SOLD TO")
YOUR ACCOUNT NO.
PLEASE REFER TO YOUR ACCOUNT NO.,OUR INVOICE AND '�, City ol"Cannel
ORDER NO.IN ALL COMMUNICATIONS REGARDING THIS INVOICEy 9625831 S TREET DEPARTMENT
_ �1
-City oTCannel__ _ ✓_ 3400\V 13IST�ST
Onc Civic Square ,�I -�—j a S"TREE"T DI:NAR'I'MEN"I'
Attn DarCll Mindham Rl�v � /~ CARMEL, IN 460748267
Carmel, IN 46032 JAN 22
DOC
STREET DEPARTMENT
r� YOUR PURCHASE ORDER NUMBER AND DATE �
-viA � DAE-SIPPL Duy _i INV.NO/ORDER NO. 1144-DATE `SHIPP EC d—n--nt e i-CW20 3
I— --..___ ter'
0113004858/5013004754 ii 1/17/2013 UI'..S Ground 1/17/2013
I�_SHIPPED ITEM NO. DESCRIPTION UNIT PRICE EXTENDED AMOUNT
- 1 1906-_ ILANYARD SAFETY G DOUBLE 51.9900 51.9900 51.99
BRAIDED ORANGE
1 A1585 !ROPE 5/8 X 150'ARBOR FLEX 169.9900 169.9900 169.99
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A 3% convenience fee will be charged on all payments over$1,000 that are paid by credit card.
ACCOUNTS 30 DAYS ANDOVER ARE SUBJECT TO A FINANCE CHARGE OF 1%PER MONTH WHICH --°SALES TAX FOB SHIPPING&HANDLING-- "- - --- �-°- - ---:-- -- ,;----- ------ -- --_-�� -
IS AN ANNUAL PERCENTAGE RATE OF 12%TO BE APPLIED TO THE UNPAID BALANCE. C.�� Air,:, .1 6.99 "i 238.97
ORIGINAL
Please return below portion with payment:
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))
01/17/13 C113004858 $238.97
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.
ALLOWED 20
A. M. Leonard
IN SUM OF $
P. O. Box 816
Piqua, Ohio 45356-0816
$238.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
2201 I C113004858 I 42-380.001 $238.97 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
riday, Jbiluary 25, 2013
u _V V ~ Street Commissioner
iu
Street CorT;{lessjcner
Cost distribution ledger classification if
claim paid motor vehicle highway fund