221682 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 367239 Page 1 of 1
ONE CIVIC SQUARE REHCO PRODUCTS INC
CARMEL, INDIANA 46032 PO BOX 430 CHECK AMOUNT: $455.00
ARCADIA IN 46030
CHECK NUMBER: 221682
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 8791 455 . 00 SAFETY ACCESSORIES
,���1�0 ��O��i7�O� �N7�❑ Invoice No. U G'
Date J
P.O. Box 430 • 700-800 S. East Street•Arcadia, IN 46030 �/A0/1�
(317) 984-3319 3 0�'e l'r
Terms
1 1/2%per month service charge on past
due accounts.
L 1
D P
OL OL
CUSTOMERS QUANTITY UNIT
'ORDER NO. SHIPPED DESCRIPTION PRICE AMOUNT
t�r•+��'4� C.i 5Jr/�rt �e2� 66 i? S• "G 'BOSS.00
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W9 fAJ C1-7 f
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Received By Total
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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))
8791 Hydrant Wrenches $455.00
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.
ALLOWED 20
Rehco Products Inc.
IN SUM OF $
PO Box 430
Arcadia, IN 46030
$455.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 I 8791 I 43-560.03 I $455.00 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
JUL -. 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund