222087 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 366315 Page 1 of 1
ONE CIVIC SQUARE MELROSE PYROTECHNICS INC CHECK AMOUNT: $25,000.00
CARMEL, INDIANA 46032 1 KINGSBURY INDUSTRIAL PARK
PO BOX 302 CHECK NUMBER: 222087
KINGSBURG IN 46345
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 26755 16399 25, 000 . 00 FIREWORKS
Invoice
Date: July 4, 2013
Invoice#: 16399
Melrose Pyrotechnics, Inc `Perms: net 30 days
To: City of Carmel P.O. # 26755
One Civic Square
Carmel, IN 46032
0 o a o Map U@00
1.00 July 4th fireworks display 25,000.00 25,000.00
-7 55
CtCC y'35 00 3 FeS4„ +- Co—
Subtotal $ 25,000.00
Sales Tax
Total $ 25,000.00
Make all checks payable to Melrose Pyrotechnics,Inc.
Thank you for your business!
P.O.Box 302,1 Kingsbury Industrial Park,Kingsbury,IN 46345;PH 219-393-5522;Fax 219-393-5710
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))
07/04/13 16399 $25,000.00
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
Melrose Pyrotechnics, Inc.
IN SUM OF $
P. O. Box 302, 1 Kingsbury Industrial Park
Kingsbury, IN 46345
$25,000.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26755 I 16399 I 43-590.03 I $25,000.00 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
Thursday, July 11, 2013
n ! �
Director, Community Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund