227367 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 367831 Page 1 of 1
ONE CIVIC SQUARE GROUPDELPHI CHECK AMOUNT: $354.87
CARMEL, INDIANA 46032 8333 CLINTON PARK DRIVE
M FORT WAYNE IN 46825 CHECK NUMBER: 227367
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 70769R-IN 354 . 87 OTHER MISCELLANOUS
Invoice
PS, rou INVOICE NUMBER: 70769R-IN
gpdelphi INVOICE DATE: 12/13/2013
8333 Clinton Park Drive CUSTOMER PO#:
Ft.Wayne, IN 46825 TERMS: Due Upon Receipt
SOLD TO: SITE:
City of Carmel-Fire Dept Table Throw 2013
2 Civic Square City of Carmel-Fire Dept
Carmel, IN 46032 Keith Freer
DESCRIPTION JOB NUMBER: 0070769 AMOUNT
Purchase-(1)8'Full Black $304.00 X
Table Throw with(2)color perma logo
Transportation-Freight from $50.87 X
Transportation
Net Invoice: $354.87
Your Account Executive is Kara Saylor
Your Account Manager is Tina Meschberger Freight: 0.00
Sales Tax: 0.00
Invoice Total: $354.87
8333 Clinton Park Dr.
Ft.Wayne, IN 46825
P: 260.482.8700
F: 260.482.4877
W:www.groupdelphi.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Group Delphi
IN SUM OF $
8333 Clinton Park Drive
Ft. Wayne, IN 46825
$354.87
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1120 I 70769R-IN I 42-390.99 I $354.87 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
DEC 19 2013
Fire Chief
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))
70769R-IN $354.87
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