228697 1/28/2014 F CITY OF CARMEL, INDIANA VENDOR: 364997 Page 1 of 1
ONE CIVIC SQUARE SECURITY EQUIPMENT SUPPLY CHECK AMOUNT: $27.00
CARMEL, INDIANA 46032 PO BOX 66971
DEPT S CHECK NUMBER: 228697
ST LOUIS MO 63166-6971
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 264852 27 . 00 OTHER EXPENSES
® INVOICE:! 264852
®
PAGE. 1
® SE
DATE-, 12/27/13
® SOLD TO ACCOUNT: 18127
® SHIP TO ACCOUNT: 01
® SECURITY EQUIPMENT SUPPLY
PO Box 66971 * Department S*St. Louis, MO 63166-6971
(314)298-8930*(800)325-0221 * FAX: (314)298-9501
S ;
O CITY OF CARMEL WASTEWATER 'H' CITY OF CARMEL WASTEWATER
L 760 THIRD AVE SW I 9609 HAZEL DELL PKWY
D CARMEL, IN 46032 P INDIANAPOLIS, IN 46280
T T
O O
PURCHASE ORDERDATE SALESPER OS N ARMS TAX COQE DOC_#, WH EREIQHT SHIP VIA
JOE 12127113 605 Mat Spears NET 30 EXEMPT Z79093 06 - COLLECT BW
DESCRIPTION ORDERED SHIPPED B/0 U1M PRICE EXTENSION
MAX STV202 Q10 CCTV SIGN 6 6 0 EA 4.50 27.00
I
MERCHANDISE MISCELLANEOUS DISCOUNT TAX FREIGHT TOTAL DUE
Is 27.00 $ .00 $ .00 $ 00 $ 27.00
THANKS FOR YOUR ORDER! MAT
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
364997
SECURITY EQUIPMENT SUPPLY Purchase Order No.
PO BOX 66971 Terms
DEPARTMENT S Due Date 1/24/2014
ST. LOUIS, MO 63166-6971
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/24/2014 264852 $27.00
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
Date Officer
VOUCHER # 137284 WARRANT# ALLOWED
364997 IN SUM OF $
SECURITY EQUIPMENT SUPPLY
PO BOX 66971
DEPARTMENT S
ST. LOUIS, MO 63166-6971
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
264852 01-7202-06 $27.00
Voucher Total $27.00
Cost distribution ledger classification if i
claim paid under vehicle highway fund
i