218271 03/13/2013 ,., CITY OF CARMEL, INDIANA VENDOR: 361874 Page 1 of 1
s ONE CIVIC SQUARE V T R, INC CHECK AMOUNT: $995.00
CARMEL, INDIANA 46032 PO BOX 501585
INDIANAPOLIS IN 46250 CHECK NUMBER: 218271
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 8931 995 . 00 EQUIPMENT REPAIRS & M
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
361874 VTR, Inc. Terms
P.O. Box 501585 Date Due
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
2129/13 8931 Vinyl repairs on fitness equipment 29451 $ 995.00
Total $ 995.00
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
i
Voucher No. Warrant No.
361874 VTR, Inc. Allowed 20
P.O. Box 501585
Indianapolis, IN 46250
In Sum of$
$ 995.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-21 8931 4350000 $ 995.00 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
7-Mar 2013
Signature
$ 995.00 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund