222198 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 367242 Page 1 of 1
F ONE CIVIC SQUARE VISCO INC
�a CARMEL, INDIANA 46032 29579 AWBREY LANE CHECK AMOUNT: $1,100.00
EUGENE OR 97402 CHECK NUMBER: 222198
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032 42038 1, 100 . 00 POSTS & HARDWARE
VISCO, INC. Invoice
29579 Awbrey Lane _
Eugene, Oregon 97402 DATE INVOICE#
CAST IRON&STEEL 6/26/2013 42038
DECORATIVE STREET LIGHTS
Bill To SHIP TO
Carmel Street Department
3400 W 131st Street Carmel Street Department
Carmel,IN 46074 3400 W 131st Street
Attn.Amy Carmel,IN 46074
Atm.James Bently
VISCO JOB# TERMS DUE DATE SHIP DATE SHIP VIA CUSTOMER P.O.#
8963 Net 30 7/26/2013 6/26/2013 Direct Shipment JAMES BENTLEY
QTY SHIPPED DESCRIPTION PRICE EA. EXTENSION
4 4318/9"NO LITE LID-NO FINIAL 275.00 1,100.00
Customer is responsible for all State,Local,&Use Tax unless prior notification at time of sale.
'Total $1,100.00
Phone# Fax#
(541) 688-7741 (541) 461-0951
29579 AWBREY LANE EUGENE,OREGON 97402•Toll Free:(800)341-1444•Tel:(541)688-7741 •Fax:(541)461-0951•www.visco-light.com
VOUCHER NO. WARRANT NO.
Visco, Inc. ALLOWED 20
IN SUM OF $
29579 Awbrey Lane
Eugene, OR 97402
$1,100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 42038 1 42-390.321 $1,100.00 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
° ne
k;July 10 2013
Stn������il @Per
Title
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))
06/26/13 42038 $1,100.00
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