223423 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 00352813 Page 1 of 1
ONE CIVIC SQUARE CENTRAL INDIANA HARDWARE
0 CHECK AMOUNT: $75.90
CARMEL, INDIANA 46032 P.O.B OX 83030
CHICAGO IL 60691-3010 CHECK NUMBER: 223423
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 7081166 75 . 90 OTHER EXPENSES
Invoice
Central Indiana Hardware Invoice # 7081166
9190 Corporation Drive
since 19S 1 Indianapolis, Indiana 46256 Order# 5061238
Tel: 317-558-5700 Fax:317-558-5712 Date Aug 12, 2013
Customer: Ship To:
CITY OF CARMEL WATER-WASTE UTILITIES CITY OF CARMEL WATER-WASTE
3450 W. 131ST STREET UTILITIES
Carmel, Indiana 46074 3450 W. 131ST STREET
Carmel, Indiana 46074
Tel: 317-571-2669 Fax: 317-571-2654
Account Code 90634 Quote#
Terms �°—Net-30 —"`— -- ---'---Fufchase"Omer# JACK SPEARS i- - - - - ---
Customer Job# Shipped Via Customer Pick-up/Will Call
Salesperson Key Center Account Contact Key Center Account
Order Name
JACK SPEARS 716-3933
Unit Extended
Ordered Shipped Product Description Price Price
15 15 Key Blank 1AP1WB1 KS567 KS800 2.56 38.40
15 15 STANDARD KEY CUTTING (LABOR) 2.50 37.50
Shipment Number Shipment Date Note
98971 Aug 13, 2013 JACK SPEARS 716-3933
Pre-Tax Total 75.90
INDIANA 0.00
Amount Due 75.90
CIH FSC Certificate#SCS-COC-002586
(Only the products that are identified as such on this document are FSC Certified)
Printed-Aug-14,-2013-5:20-PM----
"* Remit to: Central Indiana Hardware, PO Box 83030, Chicago, IL 60691-3010 Page 1 of 1
VOUCHER # 132472 WARRANT # ALLOWED
-9-tm IN SUM OF $
CENTRAL INDIANA HARDWARE
PO BOX 83030
CHICAGO, IL 60691-3010
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
7081166 01-6200-06 $38.40
7081166 01-6360-06 $37.50
Voucher Total $75.90-
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
TCIH
CENTRAL INDIANA HARDWARE Purchase Order No.
PO BOX 83030 Terms
CHICAGO, IL 60691-3010 Due Date 8/20/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/20/2013 7081166 $75.90
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
e x 5//3 Cam°" • � ` t
Date Officer