218884 04/09/2013 ,\*f CITY OF CARMEL, INDIANA VENDOR: 360022 Page 1 of 1
s ` ONE CIVIC SQUARE THE HOOSIER CO INC CHECK AMOUNT: $1,018.70
CARMEL, INDIANA 46032 P 0 BOX 681064
INDIANAPOLIS IN 46268 CHECK NUMBER: 218884
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032 71814 1, 018 . 70 POSTS & HARDWARE
„ The Hoosier Co., Inc.
i P.O. BOX 681064
® INDIANAPOLIS, IN 46268
(317) 872-8125 FAX(317) 872-7183
Invoice 71814
Bill to: Job: 237087
CITY OF CARMEL CARMEL ST. DEPT.
3400 W. 131ST ST.
WESTFIELD, IN 46074
Invoice#: 71814 Date: 03/29/13 Customer P.O.#: ERIC RUSSELL
Payment Terms: UPON RECEIPT Salesperson:ROGER MELANCON
Customer Code: 915
Remarks:
®- • • - - •
1.00 DIAPHRAGM ASSY. EA 893.70 893.70
0.00 QUAD BEAM, 24” WIDE. 0.00 0.00
0.00 FREIGHT 0.00 125.00
0.00 0.00 0.00
Subtotal: 1,018.70
Total: 1,018.70
Less Retention:
Current Due: 1,018.70
CREDIT REGULATIONS: 1 1/2% Interest Per Month On Past Due Accounts
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))
03/29/13 71814 $1,018.70
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Hoosier Co., Inc.
IN SUM OF $
P. O. Box 681064
Indianapolis, IN 46268
$1,018.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 42-390.32 1 hereby certify that the attached invoice(s), or
2201 71814 42-390.32 $1,018.70 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
Ua" e
6
13
Strppt (�nmmi-cinnAr
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund