230491 03/26/14 CITY OF CARMEL, INDIANA VENDOR: 00351189
® ya ONE CIVIC SQUARE J & M SUPPLY CHECK AMOUNT: $ ...."246.60'
CARMEL, INDIANA 46032 PO BOX 1184 CHECK NUMBER: 230491
CARMEL IN 46032 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4238900 19770 246.60 OTHER MAINT SUPPLIES
03/19/2014 09:45 3178444289 JOHN GASKILL PAGE 01/01
J & ,M Supply Carp INVOICE
PO Box 1184
Carmel, IN 46082-1184 DATE ORDER NO.
( 31 7) 844-3009 1/30/2014 19770
BILL TO SHIP TO
Carmel Fire Department Carmel Fire Department
2 Carmel Civic Square 2 Carmel Civic Square
Carmel IN 46032 Carmel IN 46032
Att'In. Training Center
P.O. NO, TERMS SHIP DATE SHIP VIA FOB VENDOR NO_
Net 20 1/3012014 Our Truck Delivered
ITEM DESCRIPTION QTY UNIT PRICE B/0 AMOUNT
7755-5 Squeegee fixed head wl locking blade 28"white 4 34.85 0 139.40
2937-5 dandle Aluminum 59"white 4 26.80 0 107.20
Order Complete Total $246.60
VOUCHER NO. WARRANT NO.
ALLOWED 20
J & M Supply
IN SUM OF $
P.O. Box 1184
Carmel, IN 46032
$246.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 19770 I 42-389.00 I $246.60 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 MAR 2 4 214
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Drescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
✓vhom, 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))
19770 CTC $246.60
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
120
Clerk-Treasurer