221672 07/02/2013 a CITY OF CARMEL, INDIANA VENDOR: 363784 Page 1 of 1
ONE CIVIC SQUARE POYNTER SHEET METAL CHECK AMOUNT: $242.00
CARMEL, INDIANA 46032 8768 NORTH STATE ROAD 37
BLOOMINGTON IN 47404 CHECK NUMBER: 221672
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 23899F 242 . 00 BUILDING REPAIRS & MA
F RECEIVED
JUN 10 2013
BY: "010E
SHEET METAL
D
To : CARMEL CLAY PARKS & REC. nvoice# : 23899-F
Date : 06/07/13
1411 E. 116TH STREET
CARMEL,IN 46032 App
Payment Terms : NET 30
Cust.Ref.#: DAWN KOEPPER
Contract: 23899-MONON COMMUNITY CENTER Contract % Total
Contract Item Amount Complete To Date
TTN: DAWN KOEPPER
1 PROVIDE (3) HOURS OF LABOR AS REQUIRED 242.00 100.00% 242.00
242.00 242.00
a
Purchase MCC ✓ow 4 ch�
Description /�
P.O.# o2Pl-775- P oO
G.L.# 1063-4350100
DUd�t
Line escr
Purchaser Date
Approval Date
Remit To: Total To Date : $242.00
8768 North State Road 37 Less petainage : $0.00
Less Previous Applications : $0.00
Total Due This Invoice : 42.00
Bloomington, IN 47404
[FEI#: 35-212436
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.
Terms
Poynter Sheet Metal
8768 North State Road 37
Bloomington, IN 47404
Invoice Invoice Description Amount
or note attached in (s) or bill(s)) PO #
Date Number ( 29775 $ 242.00
6/7/13 23899F MCC Roof inspection
Total $ 242.00
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
20_
Clerk-Treasurer
Voucher No. Warrant No.
Poynter Sheet Metal Allowed 20
8768 North State Road 37
Bloomington, IN 47404
In Sum of$
$ 242.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
Po#or Board Members
Dept#
INVOICE NO CCT#/TITL AMOUNT
1093 23899F 4350100 $ 242.00 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
20-Jun 2013
$ 242.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund