223307 08/14/2013 CITY OF CARMEL, INDIANA VENDOR: 367460 Page 1 of 1
ONE CIVIC SQUARE VINE&BRANCH LLC
CARMEL, INDIANA 46032 14803 OLD TAYLORSVILLE ROAD CHECK AMOUNT: $2,463.00
PO BOX 188
o„ CHECK NUMBER: 223307
FISHERSVILLE KY 40023
CHECK DATE: 8/1412013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 559 2 , 463 . 00 EQUIPMENT REPAIRS & M
INIV01
Invoice Number:559
"T_T Invoice Date: 7/16/2013
14803 Old Taylorsville Rd. I'D
P.O. Box 188 JUL 19 2013
Fisherville, KY 40023
Phone: 502-241-6010
Fax: 502-241-2288
IN li` To:
Carmel-Clay Parks and Rec Carmel-Clay Parks & Rec
1411 East 116th Stret 1411 East 116th St
Carmel IN 46032 Carmel IN 46032
um e
--Service
......... Net 15 Days 13532 7/31/2013]
Quantity Description Unit Price Extended Price
�1.00 Divider Curtain Service Call Divider Curtain Motor Replacement: 62.00
Materials & Delivery to Job Site
�1.00 Lift Rental 1400.00
1.00 Labor �1,101.00
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Purchase
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purchaser-_---Date
Approval Date
Sales Tax 0.00
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Thank You For Your Business! c;�, Vo q
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Vine & Branch, LLC Terms
P.O. Box 188
Fisherville, KY 40023
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO # Amount
7116/13 559 Gym curtain repair 30078 $ 2,463.00
Total $ 2,463.00
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.
Vine & Branch, LLC Allowed 20
P.O. Box 188
Fisherville, KY 40023
In Sum of$
$ 2,463.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
INVOICE NO. ACCT#/TITL AMOUNT
Dept#
1093 559 4350000 $ 2,463.00 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
.8-Aug 2013
signature
$ 2,463.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund