219029 04/09/2013 d CITY OF CARMEL, INDIANA VENDOR: 366865 Page 1 of 1
ONE CIVIC SQUARE SHADE PRO
CARMEL, INDIANA 46032 SHAWN RAYL CHECK AMOUNT: $400.00
PO BOX 262
CHECK NUMBER: 219029
WINDFALL IN 46076
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 627221 400 . 00 AUTO REPAIR & MAINTEN
4��76
627221
CUSTOMER'S ORDER IVO. DEPARTMENT DATE
NAMrE�l
ADDRESS '
CITY,STATE,ZIW�L/!
SOLD BY CASH C.O.D. CHARGE ON:ACCT. MDSE.RETD. PAID OUT
QUANTITY DESCRIPTION PRICE -AMOUNT
1
2
3
G7C.-
4 C.
5
6
-
81Z'�W o
s
10 � � o
12 G
-- v
13
1441
15
16
17
18
RECEIVED BY 4�
A-5805 20/46350 KEEP THIS SLIP FOR REFERENCE
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shade Pro
IN SUM OF $
PO Box 262
Windfall, IN 46076
$400.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 627221 I 43-510.00 I $400.00 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
APR ® 8 2013
aw
Fire Chief
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))
627221 Tint L41, E41, E44 $400.00
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