218054 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 365466 Page 1 of 1
ONE CIVIC SQUARE JASON P GORDON
CARMEL, INDIANA 46032 16102 SPRING MILL ROAD CHECK AMOUNT: $350.00
WESTFIELD IN 46074
<,o CHECK NUMBER: 218054
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4350900 1046 350 . 00 OTHER CONT SERVICES
/L 0—
Jason Gordon INVOICE
16102 Spring Mill Road Invoice Number: 1046
Westfield, IN 46074
317-731-8573 Invoice Date: 02/20/13
Customer Information: City of Carmel
Order Information:
Case# . Product Description Amount Each Amount
720 College Way--Replaced rotten soffit and
fascia board. Painted and covered crawl 350.00 $350.00
space.
Subtotal:
Tax:
Shipping:
Grand Total: $350.00
Notes:
Thank You
Jason Gordon
r
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jason Gordon
IN SUM OF $
16102 Spring Mill Road
Westfield, IN 46074
$350.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 I 1046 I 43-509.00 I $350.00 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
Monday, March 11, 2013
s
Dir cto
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))
02/20/13 1046 720 College Way $350.00
I 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