220116 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 361191 Page 1 of 1
ONE CIVIC SQUARE COUNTRY MULCH
CARMEL, INDIANA 46032 724 E 199TH ST CHECK AMOUNT: $116.00
WESTFIELD IN 46074 CHECK NUMBER: 220116
CHECK DATE: 5/2112013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350400 12289 116 . 00 GROUNDS MAINTENANCE
COUNTRY MULCH Invoice
724 EAST 199TH STREET
WESTFIELD, IN. 46074
317-867-2683-OFFICE
317-445-8012-CELL
Invoice No. 12289
Customer:
Date 05/11/13
CARMEL FIRE DEPARTMENT
ATTN: DENISE SNYDER
2 CIVIC SQUARE
CARMEL,IN. 46032
317-571-2622
P.O. Number Terms Due Date Check#
STATION 43 05/11/13
Description Quantity Price Each Amount
WHOLESALE PREMIUM BLACK DYED 4 29.00 116.00
i
THANK Y®iTr t t ,
Total S116,00
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))
12289 Mulch- Sta. 43 $116.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Country Mulch
IN SUM OF $
724 East 199th Street
Westfield, IN 46074
$116.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 12289 I 43-504.00 I $116.00 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
MA--0 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund