HomeMy WebLinkAbout230093 03/12/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 00350781
ONE CIVIC SQUARE PICKETT'S PLACE CHECK AMOUNT: $*******360.00*
CARMEL, INDIANA 46032 547 E 161 ST ST CHECK NUMBER: 230093
WESTFIELD IN 46074 CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1769 360.00 REPAIR PARTS
Pickett's Place O V U C
547 East 161st Street Invoice Number:
Westfield, /N 46074 1769
Voice: (317) 896 3271 Invoice Date:
Sold To: Fax: (317)896 2036 Feb 27, 2014
Page
1
Carmel Street Department
3400 West 131st Street
Westfield, IN 46074
U5.4
Customer ID Customer PO Shipping Method Payment Terms Due Date
MIKE IN SHOP Cust. Pickup Net 30 Days 3/29/14
Quantity . Item Description Unit Price Amount
6.00 STEEL BUSHING TO FIX BUCKET ON 60.00 360.00
PAYLOADER
Subtotal 360.00
Sales Tax
Total Invoice Amount 360.00
Check/Credit Memo No: Payment/Credit Applied
TOTAL 360.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pickett's Place
IN SUM OF $
547 E. 161st St.
Westfield, IN 46074
$360.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 1769 I 42-370.001 $360.00 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
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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))
02/27/14 1769 $360.00
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