224646 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 367122 Page 1 of 1
` ONE CIVIC SQUARE SEALMASTER INDIANAPOLIS BERNATUECK AMOUNT: $1,841.85
CARMEL, INDIANA 46032 1010 E SUMNER AVE
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? INDIANAPOLIS IN 46227 CHECK NUMBER: 224646
CHECK DATE: 9/2512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236400 7301 1, 841 . 85 PAINT
SealMaster Indianapolis Invoice
Bernath LLC
1010 E. Sumner Ave. Date Invoice#
® nom 8/30/2013 7301
Phone: 317-780-1310
Fax: 317-780-1315
Bill To Ship To
City of Carmel Carmel Street Department
One Civic Square 3400w 131 st St.
Carmel, IN 46032 Westfield, IN 46074
P.O.Number Terms Due Date Rep Ship Date
Street Marking Net 30 9/29/2013 8/30/2013
Quantity Item Code Description Price Each Amount
10 TP Fast Dry- W... Fast Dry Traffic Paint- White 5 gal pail 82.79 827.90T
5 TP Fast Dry-Ye... Fast Dry Traffic Paint-Yellow 5 gal pail 82.79 413.95T
15 Glass Beads Glass Beads(50 Lb bag) 40.00 600.00T
Tax Exempt 0.00% 0.00
Thank you for your business.
Customer Signature Total $1,841.85
A late charge of 1 1/2% per month(18% annualy)will be charged on all past due balances.Accounts with balances past due will be subject to
suspension of credit privileges. Buyer shall pay SealMaster Indanapolis all costs incurred in collecting past due accounts from buyer,including but
not limited to,all court costs and attorney fees.
VOUCHER NO. WARRANT NO.
ALLOWED 20
SealMaster Indianapolis
Bernath LLC
IN SUM OF $
1010 E. Sumner Ave.
Indianapolis, IN 46227
$1,841.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 7301 I 42-364.00 $1,841.85 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
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Stl �l �r
Title
Cost distribution ledger classification if
claim paid motor 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 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))
08/30/13 7301 $1,841.85
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