224027 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 367552 Page 1 of 1
ONE CIVIC SQUARE JIM MARTIN CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 730 E ADMAN DRIVE
% ? CARMEL IN 46032 CHECK NUMBER: 224027
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 150 . 00 OTHER EXPENSES
Carmel Fire Buffs MWOME
730 E. Auman Drive
Carmel, IN 460320
Phone (317) 370-6437
INVOICE #
DATE: SEPTEMBER 9, 2013
TO: FOR:
Jim Martin Antique fire truck display at Safety Day
Carmel Fire Buffs
730 E. Auman Drive
Carmel, IN 460320
Phone (317) 370-6437
DESCRIPTION AMOUNT
5 hours- 4 Antique fire truck displays at Carmel Public Safety Day $150.00
***** NOTE: Please make check out to Jim Martin not Carmel Fire Buffs*****
TOTAL $150.00
Make all checks payable to: Jim Martin
Payment is due within 30 days.
If you have any questions concerning this invoice, contact Jim Martin, (317) 370-6437
Thank you for your business!
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))
$150.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jim Martin
Carmel Fire Buffs IN SUM OF $
730 E. Auman Drive
Carmel, IN 46032
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE I AMOUNT Board Members
1120 I 1 120-851.00 I $150.00 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
SEA--.9--M3
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund