220151 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 366313 Page 1 of 1
ONE CIVIC SQUARE FREEDOM BLASTING
CHECK AMOUNT: $525.00
CARMEL, INDIANA 46032 13707 THISTLEWOOD DRIVE E
o� CARMEL IN 46032 CHECK NUMBER: 220151
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 303 525 . 00 OTHER CONT SERVICES
Invoice
Freedom Blasting
13707 Thistlewood Dr E Date - Invoice# ;5
Carmel, IN 46032
N 5/7/2013 303
Phone# (317)774-4321 freedomblasting@sbcglobal.net
www.freedomblasting.com
Bill°To
City of Carmel Indiana
Carmel Street Dept
One Civic Square
Carmel,IN 46032
C/O Eric Russell
I
P.O. No.
Qi arit�ty ? t _ Description Rate Artwunt
€€ f
10 Abrasive blast flower baskets 40.00 400.00
2 Abrasive blast hand railings 62.50 125.00
Thank you for your business!
Total $525.00
Payments/Credits $0.00
Job Total Balance $525.00
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))
05/07/13 303 $525.00
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
Freedom Blasting
IN SUM OF $
13707 Thistlewood Dr. E.
Carmel, IN 46032
$525.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 303 I 43-509.001 $525.00 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
Fr' , May 17, 2013
StreSe't nrnrDnm s oner
signer
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund