HomeMy WebLinkAbout231373 04/08/14 m cry
�' * CITY OF CARMEL, INDIANA VENDOR: 368101
® it ONE CIVIC SQUARE RAMA CAR WASH CHECK AMOUNT: $"""*150.00`
?° CARMEL, INDIANA 46032 431 EAST CARMEL DRIVE CHECK NUMBER: 231373
,,�,,oN.�� CARMEL IN 4632 CHECK DATE: 04/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351100 150.00 CAR CLEANING
INVOICE
April 3, 2014
City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
Rama Car Wash
6 Car Wash Books $150.00
TOTAL AMOUNT DUE: $150.00
Please make check payable to:
Rama Car Wash
431 E Cannel Drive
Cannel, IN 46032
INDIANA RETAIL TAX EXEMPT PAGE
City `®'. Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 399"
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Wi94
Rama Gar Wash Camel Police Dapartmo t
VENDOR SHIP 3 Civic Squ@m
439 E. Carmol Drive TO Carmel, IN 46032
Camel, IN 4M (397)571 2M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Accou I$43-611.00
0 Each Book car washes $25.00 $950.00
Sub Total: $950.00
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Send Invoice To:
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CarmGl Pollce DGpartmett
Atte: Pat Young
3 Civic squam
Cafmol, IN 462= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $950.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT/TH F/E IS AN UNOBLIGATED BALANCE IN
• SHIP REPAID.
THIS APPROPRIATIOICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ,,g
SHIPPING LABELS. 1i�1 Qg! 1-�p
�Illa.�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO-
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 9 4 4 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#(TITLE AMOUNT
DEPT.# I 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..------ - ------- --- ---- --- -
20
...._.................._......... ...............................................................................-......._.............................-..._.
Signature
........................._.....-........_........-......__-............................----................_..__. -. -.
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Rama Car Wash
IN SUM OF $
431 E. Carmel Drive
Carmel, IN 46032
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT
Board Members
I hereby certify that the attached invoice(s), or
31944 43-511.00 I $150.00
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
Thursday, April 03, 2014
Chief of Police
4'Z
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))
04/07/14 car wash coupons $150.00
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
20
Clerk-Treasurer