224167 09/10/2013 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: $5,670.00
`+ PO BOX 188
CHECK NUMBER: 224167
FISHERSVILLE KY 40023
CHECK DATE: 9110/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 598 5, 670 . 00 BUILDING REPAIRS & MA
=BY:
Invoice Number:598
��. Invoice Date: 8/27/2013
14803 Old Taylorsville Rd.
P.O. Box 188
Fisherville, KY 40023
Phone: 502-241-6010
Fax: 502-241-2288
Shi To -i
Bill To
P.,.
Carmel-Clay Parks and Rec Matthew Bush Comm Center
1411 East 116th Stret 1235 Central Park Dr. East
Carmel IN 46032 Carmel IN 46032 _
I
i
Custoner_Order/PO Number — Payment Terms;' i TE Jok Number Due Date -`
29678 I Net 15 Days 13518 1, 9/11/2013
Quantity Description Unit Price Extended Price
1.00 Invoice for annual maintenance and inspection of basketball courts per POi5,670.00 5,670.00
_ .._.._. 29678
103436010 0
iSales Tax 0.00 i
Thank You For Your Businessl „OTAL AMOUNT DUE; _':5,670:00
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.
367460 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
8/27113 598 Basketball court inspection 29678 $ 5,670.00
Total $ 5,670.00
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.
367460 Vine & Branch, LLC Allowed 20
FlsheNille X40023
In Sum of$
$ 5,670.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1093 598 4350100 $ 5,670.00 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
5-Sep 2013
Signature
$ 5,670.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund