222540 07/30/2013 - CITY OF CARMEL, INDIANA VENDOR: 00350781 Page 1 of 1
PICKETT'S PLACE ONE CIVIC SQUARE
0 CHECK AMOUNT: $247.00
CARMEL, INDIANA 46032 547 E 161ST ST
WESTFIELD IN 46074 CHECK NUMBER: 222540
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1659 247 . 00 REPAIR PARTS
Pickett's Place O N VO 0 C
547 East 161st Meet Invoice Number:
WostFe/d, IN 46074 1659
Voice: (317)896 3271 Invoice Date:
Sold To: Fax: (317)896 2036 Jul 11,2013
Page
1
Carmel Street Department
3400 West 131st Street
WestFeld, IN 46074
USA
Customer ID Customer PO Shipping Method Payment Terms Due Date
Mike in shop(tractor Cust. Pickup Net 30 Days 8/10/13
Quantity Item Description Unit Price Amount
3/4-10 HELI-COIL KIT& BOTTOMING TAP 247.00
Subtotal 247.00
Sales Tax
Total Invoice Amount 247.00
Check/Credit Memo No: Payment/Credit Applied
TOTAL 247.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pickett's Place
IN SUM OF $
547 E. 161 st St.
Westfield, IN 46074
$247.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT
Board Members
2201 I 1659 I . 42-370.001 $247.00 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
rid
F rid 13
13
NJ VW W
,cttt Carl m ssioner
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))
07/11/13 1659 $247.00
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
120
Clerk-Treasurer