219276 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 366507 Page 1 of 1
ONE CIVIC SQUARE CIRCUIT SQUARE TV-VIDEO
CARMEL, INDIANA 46032 9613 N.COLLEGE AVE CHECK AMOUNT: $18.50
«o� INDIANAPOLIS IN 46280 CHECK NUMBER: 219276
CHECK DATE: 4124/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4350000 14511 18 . 50 EQUIPMENT REPAIRS & M
03/28/2013 09:58 13178444114 CIRCUIT SQU PAGE 01
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CIRCUIT SQUARE TV-VIDEO `
9613 N Copep Ave
Indianap01119, IN 46280
(317) 8444000
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V�D OTV. DESCRIPTION AMOUNT
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COMMENTS TOTAL
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TECHNICIANC � 117 I
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Signature above constitutes aocaptanoo of above work as being a1Y OU
satisfactory-and that equiprnani has been left In good condition.
INVOICE
Purchase
Description 1
P.O.#
A 7-
3/6 5
G.L.# D
Budget
Line Descr
Purchaser Date_
Approval Date
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.
366507 Circuit Square TV-Video Terms
9613 N. College Ave.
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
411113 14511 TV Repair ESE $ 18.50
Total $ 18.50
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
120
Clerk-Treasurer
Voucher No. Warrant No.
366507 Circuit Square TV-Video Allowed 20
9613 N. College Ave.
Indianapolis, IN 46280
In Sum of$
$ 18.50
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 14511 4350000 $ 18.50 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
�I
18-Apr 2013
Signature
$ 18.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
t