220728 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 366943 Page 1 of 1
ONE CIVIC SQUARE DAN OBERT
CARMEL, INDIANA 46032 8699 w800 N CHECK AMOUNT: $112.50
(ION GO
.+ INDIANAPOLIS IN 46259 CHECK NUMBER: 220728
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 169 112 . 50 BUILDING REPAIRS & MA
Dan Obert Electrician
8699 W 800N Invoice
Indianapolis,In. 46259 RECF,1"vED
317-370-0139 DATE INVOICE NO.
MAY 15 2013
5/15/201 3 169
BY:—�_ - -- -- ---..._
BILL TO SHIP TO
Carmel/Clay Parks&Recreation Carmel Clay Parks& Recreation
E. 1 16th St. Monon Center
Cannel,In. E. 111 th St.
Carmel, In
,. Cov.59til --
P.O. NO. TERMS DUE DATE REP PROJECT
Verbal Due on receipt 5/15/2013 DCO mens high temp l.im...
` ITEM ,... ..
DESCRIPTION Q... . RATE. AMOUNT
Replace broken high-temperature limit switch on Mens Sauna unit
Commer... Commercial labor rate-Dan Obert 5/9/13 1.5 75.00 1 1150
I
Purchase
P.O.# X11 O �7 P or F
i
c.L.# 1093 - W-3hOIOO
Budget
Line Descr
Purchaser Date
Approval Date
__._......._._...... .......
It's been a pleasure working with you!
Total
$1 2.50
1
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.
366943 Obert, Dan Terms
8699 W 800 N
Indianapolis, IN 46259
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO # Amount
5/15/13 169 Install sensor in Men's sauna $ 112.50
Total $ 112.50
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.
366943 Obert, Dan Allowed 20
8699 W 800 N
Indianapolis, IN 46259
In Sum of$
$ 112.50
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO, ACCT#/TITLE AMOUNT Board Members
Dept#
1093 169 4350100 $ 112.50 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
30-May 2013
Signature
$ 112.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund