226218 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 354958 Page 1 of 1
q 0 ONE CIVIC SQUARE ACCURATE LASER SYSTEMS, INC
CARMEL, INDIANA 46032 10660 ANDRADE DRIVE CHECK AMOUNT: $75.49
ZIONSVILLE IN 46077
CHECK NUMBER: 226218
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239011 105556 60 . 00 SPECIAL DEPT SUPPLIES
2201 4239011 105622 15 .49 SPECIAL DEPT SUPPLIES
ACCURATE LASER SYSTEMS, INC.
1.0660 Andrade Drive
Zionsville, Indiana 46077
Phone : (317) 873-561.1. Fax : (317) 873-5770
INVOICE
Date 10/31/13 No. : 105556
Due Date: 11/30/13 Page: 1
Ship To/Remarks
CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET
WESTFIELD IN 46074
(317) 773-2001
Via FOB Terms PO# JOB# Rep.
Net 30 Days BOYD AB
Item Number Description Ordered Unit Price Extended
***** *****
RENTAL
.MISC-RENTAL DUAL SLOPE LASER SN#EB3019 1.0 60.0000 60.00
LS80B SENSOR SN#Q35929
****ONE DAY RENTAL****
10/26/13
Sub-Total : 60.00
Tax 0.00
Total 60.00
Net To Pay: 60.00
ACCURATE LASER SYSTEMS, INC.
10660 Andrade Drive
Zionsville, Indiana 46077
Phone : (317) 873-5611 Fax (317) 873-5770
INVOICE
Date 10/31/13 No. : 105622
Due Date: 11/30/13 Page: -1
Ship To/Remarks
CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET
WESTFIELD IN 46074
(317) 773-2001
Via FOB Terms PO# JOB# Rep.
Net 30 Days PARKS PIFE BC
Item Number Description Ordered Unit Price Extended
***** PURCHASES *****
04SWOG SS FLG ORG &WHITE STRIPE 1.0 1.4000 1.40
8110-04 SS FLG WHITE FLAG 1.0 1.4.000 1.40
8110-02 SS FLG BLUE FLAG 1.0 1.4000 1.40
8110-00 SS FLG RED FLAG 1.0 1.4000 1.40
78-002 'SS ST FLG ORANGE 21" STAKE 1.0 9.8900 9.89
Sub-Total : 15.49
Tax 0.00
Total 15.49
Net To Pay: 15.49
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))
10/31/13 105556 $60.00
10/31/13 105622 $15.49
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
Accurate Laser Systems, Inc
IN SUM OF $
10660 Andrade Drive
Zionsville, IN 46077
$75.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 105556 42-390.11 $60.00 1 hereby certify that the attached invoice(s), or
2201 105622 42-390.11 $15.49 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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Thu ay;,N/ em er 146141'2013
1 V
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund