219742 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 367125 Page 1 of 1
ONE CIVIC SQUARE GRANZOW INC CHECK AMOUNT: $280.69
CARMEL, INDIANA 46032 2300 CRONNPOINT EXECUTIVE DR
CHARLOTTE NC 28227-6702 CHECK NUMBER: 219742
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 225005 280 . 69 REPAIR PARTS
v ®
INVOICE 225005
May 1, 2013
I�Illlll,Ill,l,ll,l,,,II,III,�IIIIIIIInIIII�,n,I,IIIIn��nll�i
s CARMEL STREET DEPARTMENT s CARMEL STREET DEPARTMENT
° 3400 W 131 ST ST i 3400 W 131 ST ST
D CARMEL, IN 46074-8267 P CARMEL, IN 46074-8267
T T
O O
Your Order No./Order Date Shipped Via Terms Master No.
AMY LUNN 5/1/2013 UPS NET 30 99021 D
a ® o
-o•o e e o°®
e
5 5 0 KTGOW3KB19 $53.55 $267.75
KIT FOR 21 WN5/21 WN6, 3/4" - 1"
Subtotal; $267.75
Shipping/Handling: $12.94
Invoice Total: $280.69
c i
REMIT TO: $2HO.69
2300 CROWNPOINT EXECUTIVE DR. BALANCE DUE:
CHARLOTTE,NC 28227-6702
Phone(704)845-2300•Fax(704)845-2301
www.granzow.com•sales @granzow.com
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))
05/01/13 225005 $280.69
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
Granzow
IN SUM OF $
2300 Crownpoint Executive Dr.
Charlotte, NC 28227-6702
$280.69
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 1 225005 1 42-370.001 $280.69 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
May 03, 2013
Streefomrt�ilssloner$ioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund