223727 08/28/2013 CITY OF CARMEL, INDIANA VENDOR: 00351189 Page 1 of 1
ONE CIVIC SQUARE J 8 M SUPPLY CHECK AMOUNT: $235.90
CARMEL, INDIANA 46032 PO BOX 1184
+ CARMEL IN 46032
CHECK NUMBER: 223727
CHECK DATE: 8/28/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4238900 19566 235 . 90 OTHER MAINT SUPPLIES
AWJ & M Supply Corp INVOICE
PO Box 1184
Carmel, IN 46082-1184 DATE ORDER NO.
( 31 7) 844-3009 8/12/2013 19566
BILL TO SHIP TO
Carmel Fire Department Carmel Fire Department
2 Carmel Civic Square 2 Carmel Civic Square
Carmel IN 46032 Carmel IN .46032
Att'n. Gary Carter
P.O. NO. TERMS SHIP DATE SHIP VIA FOB VENDOR NO.
VERBAL Net 20 8/12/2013 Our Truck Delivered
ITEM DESCRIPTION QTY UNIT PRICE B/O AMOUNT
7755-5 Squeegee fixed head w/ locking blade 28" white 7 33.70 0 235.90
i
Order Complete Total $235.90
I
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))
19566 $235.90
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
J & M Supply
IN SUM OF $
P.O. Box 1184
Carmel, IN 46032
$235.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 19566 I 42-389.00 I $235.90 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
3
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund