HomeMy WebLinkAbout233215 06/04/14 CITY OF CARMEL, INDIANA VENDOR: 365281
ONE CIVIC SQUARE D & S CUSTOM COVERS CHECK AMOUNT: $**.....598.00*
9; ;? CARMEL, INDIANA 46032 RO 5 KING OOD1 OA CHECK NUMBER: 233215
off co CHECK DATE: 06/04/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 5621 598.00 AUTO REPAIR & MAINTEN
--- -- —7,--;.�-�- Invoice
i Date Invoice#
3055 Kingwood Rd. j/29/2014 5621
Rockwood,PA 15557
CUSTOM covnws
tel. 814.926.4075
cell.814.442.0291
fax.814.926.3320
small.davew@dscustomcovers.com
• �web:'www.dscustomcovers.com
Bill To Ship To
Carmel Fire Department Carmel Fire Department
Bob VanVoorst Bob VanVoorst
2 Civic Square 2 Civic Square
Carmel Indiana,46032 Carmel Indiana 46032
P.O. No.
Item Description Qty Rate Amount
Engine 44
Rear Flap Protector Rear protector flap,Two piece with Velcro underflap,sand bag on 1 250.00 250.00
the bottom for support.A fiberglass bar was added to the covers for
stiffness in the mid section.
Seat Belt Buckle Center push seatbelt buckle assembly. 2 28.00 56.00
Speedlay Cover Covers for hose retention assistance,covers are fastened solid on 2 125.00 250.00
one side and the other sides held with center push seatbelt buckle
Shipping Shipping 1 42.00 42.00
Invoice Please pay from this Bill;Thank You 0.00 0.00
I
Total $598.00
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prescribed 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
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))
5621 E44 $598.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
D & S Custom Covers
IN SUM OF $
3055 Kingwood Road
Rockwood, PA 15557
$598.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 5621 43-510.00 $598.00 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund