221915 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 364472 Page 1 of 1
0 ONE CIVIC SQUARE CARL BREHOB&SON
CARMEL, INDIANA 46032 3821 BREHOB ROAD CHECK AMOUNT: $247.02
v _o� INDIANAPOLIS IN 46217-3300 CHECK NUMBER: 221915
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239034 247 . 02 LANDSCAPING SUPPLIES
CARL BREHOB & SON
3821 BREHOB ROAD
INDIANAPOLIS, INDIANA 46217-3300
Phone(317) 784-1442
Fax(317) 787-2054
Customer's J
Order No. s�r I c Date -` D 20
7�
M a-�2- e:�.n7 la 7
Address
SOLD BY CASH C.O.D. C ON ACCT. MDSE.RETD PAID OUT
QUANTITY DESCRIPTION PRICE AMOUNT
pvc ,� S 19 3CI
To
If �
o y�
y OL
30 '
/Ulm< to tl
All claims and returned goods M ST a acco anied 11.
Received by
TERMS:NET 10 DAYS A 11/2%PER MONTH SERVICE CHARGE JLL BE
CHARGED ON ALL PAST DUE ACCOUNTS.
THIS IS AN 18%ANNUAL RATE OF INTEREST.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carl Brehob & Son
IN SUM OF $
3821 Brehob Road
Indianapolis, IN 46217-3300
$247.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 1 42-390.341 $247.02 I 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
/)l dne July 10, 2013
Street Comm/sIvoner
stl Get eat 111 Mar ier
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
07/10/13 $247.02
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