219225 04/24/2013 c�yMf CITY OF CARMEL, INDIANA VENDOR: 022251 Page 1 of 1
` ONE CIVIC SQUARE BARCO MUNICIPAL PRODS INC
CARMEL, INDIANA 46032 PO BOX 45507 CHECK AMOUNT: $527.85
OMAHA NE 68145-0507 CHECK NUMBER: 219225
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239011 IN-205672 527 . 85 SPECIAL DEPT SUPPLIES
Barco Municipal Products Inc Invoice Date Page
PO Box 45507 Apr 15, 2013 1
Omaha, NE, 68145-0507 Invoice Number
Phone: 1-800-228-2703 IN-205672
Fax: (402) 334-8002
Sold To: Ship To:
CARMEL STREET DEPT CARMEL STREET DEPT
3400 W 131 ST ST 3400 W 131 ST ST
WESTFIELD, IN 46074 WESTFIELD, IN 46074
Order No. Salesperson Order Date Customer No. PO Number ffui p Via Terms
L6937 L Apr 9, 2013 INCO74 JIM PS N30
Qty. Qty. Qty.
Ord. Shp. B/O Item Number Description Unit Price FUOMJ E xtended Price
20 20 0 SC+6589 4x5x21"WIRE WHITE SURVEY FLAGS-CARMEL 24.950 BDL 499.00
STREET DEPT 733-2001
FRT SHIPPING 28.85
Due Date Amount Due
May 15, 2013 527.85
Comments: Tax summary:
Merch Subtotal 499.00
INDIANA Stal 0.00 Misc Chrg Subtotal 28.85
Total sales tax 0.00
Total amount 527.85
Less payment 0.00
Amount due 527.85
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))
04/15/13 IN-205672 $527.85
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Barco Municipal Products, Inc
IN SUM OF $
P. O. Box 45507
Omaha, NE 68145-0507
$527.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
2201 I IN-205672 I 42-390.111 $527.85 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
rid#,f pril 19, 2013
Street Commis o er
Street orn[pissloner
Cost distribution ledger classification if
claim paid motor vehicle highway fund