225597 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 361711 Page 1 of 1
ONE CIVIC SQUARE VILLAGE STRIPPERSMITH
CARMEL, INDIANA 46032 914-918 THIRD AVENUE SW CHECK AMOUNT: $550.00
CARMEL IN 46032 CHECK NUMBER: 225597
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350000 080613 550 . 00 EQUIPMENT REPAIRS & M
FURNITURE STRIPPIN G
REFINISHING REPAtR
( 317 ) 844-6069
Date:
Customer Name:
Address:
Phone: . , l to 41 — j
-.-.-.-.-._._._ _ _ .-.-.-.-.-.-.-.- _._._._._._._._._._._: .........
.-
Furniture Type/Description:
V al
Work to be done:
OCT 2 12013--
By J Initial Price: $ ; P �
Time Line Estimate:
Customer Signature:
(By signing this quotation,you hereby agree with the quoted price and Terms and Conditions Listed on reverse)
9 14 3rd Ave S. , Carmel, 1 .4602
VOUCHER NO. WARRANT NO.
ALLOWED 20
Village Strippersmith
IN SUM OF $
914-918 Third Ave S. W.
Carmel, IN 46032
$550.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 08.06.13 I 43-500.00 I $550.00 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
Mo day, October 21, 2013
Director, Administration
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))
08/06/13 08.06.13 Portable Podium $550.00
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