HomeMy WebLinkAbout229615 2/25/2014 CITY OF CARMEL, INDIANA VENDOR: 368000 Page 1 of 1
ONE CIVIC SQUARE PATRIA FLOOR COVERINGS CO CHECK AMOUNT: $71.18
CARMEL, INDIANA 46032 1059 3RD AVENUE SW
'y,roN`oCARMEL IN 46032 CHECK NUMBER: 229615
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 13361 71 . 18 REPAIR PARTS
Patria Coverings Co. Invoice 1059 3rd Ave SW
Date Invoice#
ti.r._..,. Carmel, IN 46032
2/10/2014 13361
Bill To Ship To
Carmel Fire Department
Carmel, IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
Station 42 Due on receipt DPM 2/10/2014 Station 42
Quantity Item Code Description U/M Price Each Amount
1 Tile-Non Stock Summitville Strata 6x6 Color:#44 sq 171 3.10 3.1OT
8 Tile-Non Stock Summitville Q3565 Color:#10 Red Ea. 2.40 19.20T
1 Tile-Non Stock Summitville QB3565 Color:#10 Red Ea. 3.18 3.18T
1 S-720 Natural 25# 5-720 Natural 25#grout Ea. 17.00 17.00T
1 Pallet Charge Pallet Charge 12.50 12.50
1 Delivery Delivery 16.20 16.20
Sales Tax �g- yo -
Phone# Fax# E-mail Total '
317.660.5728 866.579.1580 Sales@PatriaCoveringsCo.com
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))
13361 $71.18
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
Patria Coverings Co.
IN SUM OF $
1059 3rd Avenue SW
Carmel, IN 46032
$71.18
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 13361 I 42-370.00 I $71.18 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
FEB 2 1. il
C
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund