216894 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 00353245 Page 1 of 1
ONE CIVIC SQUARE SUTTON-GARTEN
' CARMEL, INDIANA 46032 901 N.SENATE AVENUE CHECK AMOUNT: $93.00
INDIANAPOLIS IN 46202-3029 CHECK NUMBER: 216894
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 00440530 93 . 00 CONT SVS-OTHER-S PLAN
suTT®IV + ®AIFRTEN CYLINDER RENTAL INVOICE
-,�%tcustibmEh#
PURCHA§EORbER
00440530 1 12/31/12 03758 JEFF COOPER I 001
REMIT TO
Sutton-Garten Company S Sutton-Garten Company
901 N. Senate Ave. L 901 N. Senate Ave.
Indianapolis IN 46202-3029 0 Indianapolis IN 46202-3029
(317) 264-3236 v (317) 264-3236
Fax: (317) 264-3233 Fax: (317) 264-3233
B CARMEL WASTEWATER TREATMENT PLANT S CARMEL WASTEWATER TREAT. PLANT
I H
SUITE 110 1 9609 HAZELDELL PKWY
L 760 3RD AVE. SW P CARMEL IN 46280
T T
0 CARMEL IN 46032 0
INV SHIPPER INVOICE BEGINNING CYLINDERS CYLINDERS ENDING CYLINDERS DAYS CYLINDER
PE ITEM NUMBER NUMBER DATE BALANCE SHIPPED RETURNED BALANCE LEASED USED DAYS RATE AMOUNT
P i: JEFF DOPER
AC A BALANCE FORWARD 3
A ACET 2YL
R A ----- T TALS -----> 3 0 0 3 0 93 .300 27.90
MX KA1025 BALANCE FORWARD 1
K CYL
JK -
---- TOTALS -----> 1 0 0 1 0 31 .300 9.30
MX SSTAR BALANCE FORWARD 1
OX S BALANCE FORWARD 5
S CYL
JS ----- T TALS -----> 6 0 0 6 0 186 .300 55.80
T .00
TOTAL VALUE OF CYLINDERS TOTAL /
2058.00 93.00
INVOICE TYPE
R-RENTAL
D-DEMURRAGE
VOUCHER # 126493 WARRANT # ALLOWED
00353245 IN SUM OF $
SUTTON-GARTEN CO.
901 N. Senate Avenue
Indianapolis, IN 46202
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
00440530 01-7362-06 $93.00
Voucher Total $93.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00353245
SUTTON-GARTEN CO. Purchase Order No.
901 N. Senate Avenue Terms
Indianapolis, IN 46202 Due Date 12/31/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/31/201; 00440530 $93.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer